Evidence-based Perioperative Management: Strategic Shifts in Times of Fast Track Surgery

Changes in perioperative management is an ever evolving subject. The primary aim is to improve patient care and more recently to increase economic efficacy. Data from various randomized studies have caused a shift from traditional care concepts towards evidence based multimodal treatment strategies....

Full description

Saved in:
Bibliographic Details
Published inAnticancer research Vol. 29; no. 7; pp. 2799 - 2802
Main Authors COPRA, Sascha Santosh, SCHMIDT, Sven Christian, FOTOPOULOU, Christina, SEHOULI, Jalid, SCHUMACHER, Guido
Format Journal Article Conference Proceeding
LanguageEnglish
Published Attiki International Institute of Anticancer Research 01.07.2009
Subjects
Online AccessGet full text
ISSN0250-7005
1791-7530
1791-7530

Cover

Abstract Changes in perioperative management is an ever evolving subject. The primary aim is to improve patient care and more recently to increase economic efficacy. Data from various randomized studies have caused a shift from traditional care concepts towards evidence based multimodal treatment strategies. They may lead to dramatic changes in perioperative patient care such as the routine use of nasogastric decompression, mechanical bowel preparation and established nutrition schemes. Further aspects of modern perioperative patient care include epidural analgesia, antibiotic prophylaxis, intraoperative fluid management and early mobilization. It has been generally accepted that these multimodal treatment concepts also known as “fast track surgery” show no differences in patient morbidity while significantly reducing patient discomfort and duration of hospitalization. However, despite the evidence-based superiority, widespread implementation has not yet occurred. The aim of this review is to highlight and discuss current changes and to show future perspectives of perioperative treatment strategies.
AbstractList Changes in perioperative management is an ever evolving subject. The primary aim is to improve patient care and more recently to increase economic efficacy. Data from various randomized studies have caused a shift from traditional care concepts towards evidence based multimodal treatment strategies. They may lead to dramatic changes in perioperative patient care such as the routine use of nasogastric decompression, mechanical bowel preparation and established nutrition schemes. Further aspects of modern perioperative patient care include epidural analgesia, antibiotic prophylaxis, intraoperative fluid management and early mobilization. It has been generally accepted that these multimodal treatment concepts also known as “fast track surgery” show no differences in patient morbidity while significantly reducing patient discomfort and duration of hospitalization. However, despite the evidence-based superiority, widespread implementation has not yet occurred. The aim of this review is to highlight and discuss current changes and to show future perspectives of perioperative treatment strategies.
Changes in perioperative management is an ever evolving subject. The primary aim is to improve patient care and more recently to increase economic efficacy. Data from various randomized studies have caused a shift from traditional care concepts towards evidence based multimodal treatment strategies. They may lead to dramatic changes in perioperative patient care such as the routine use of nasogastric decompression, mechanical bowel preparation and established nutrition schemes. Further aspects of modern perioperative patient care include epidural analgesia, antibiotic prophylaxis, intraoperative fluid management and early mobilization. It has been generally accepted that these multimodal treatment concepts also known as "fast track surgery" show no differences in patient morbidity while significantly reducing patient discomfort and duration of hospitalization. However, despite the evidence-based superiority, widespread implementation has not yet occurred. The aim of this review is to highlight and discuss current changes and to show future perspectives of perioperative treatment strategies.Changes in perioperative management is an ever evolving subject. The primary aim is to improve patient care and more recently to increase economic efficacy. Data from various randomized studies have caused a shift from traditional care concepts towards evidence based multimodal treatment strategies. They may lead to dramatic changes in perioperative patient care such as the routine use of nasogastric decompression, mechanical bowel preparation and established nutrition schemes. Further aspects of modern perioperative patient care include epidural analgesia, antibiotic prophylaxis, intraoperative fluid management and early mobilization. It has been generally accepted that these multimodal treatment concepts also known as "fast track surgery" show no differences in patient morbidity while significantly reducing patient discomfort and duration of hospitalization. However, despite the evidence-based superiority, widespread implementation has not yet occurred. The aim of this review is to highlight and discuss current changes and to show future perspectives of perioperative treatment strategies.
Changes in perioperative management is an ever evolving subject. The primary aim is to improve patient care and more recently to increase economic efficacy. Data from various randomized studies have caused a shift from traditional care concepts towards evidence based multimodal treatment strategies. They may lead to dramatic changes in perioperative patient care such as the routine use of nasogastric decompression, mechanical bowel preparation and established nutrition schemes. Further aspects of modern perioperative patient care include epidural analgesia, antibiotic prophylaxis, intraoperative fluid management and early mobilization. It has been generally accepted that these multimodal treatment concepts also known as "fast track surgery" show no differences in patient morbidity while significantly reducing patient discomfort and duration of hospitalization. However, despite the evidence-based superiority, widespread implementation has not yet occurred. The aim of this review is to highlight and discuss current changes and to show future perspectives of perioperative treatment strategies.
Author SASCHA SANTOSH CHOPRA
JALID SEHOULI
SVEN CHRISTIAN SCHMIDT
CHRISTINA FOTOPOULOU
GUIDO SCHUMACHER
Author_xml – sequence: 1
  givenname: Sascha Santosh
  surname: COPRA
  fullname: COPRA, Sascha Santosh
  organization: Department of General, Visceral and Transplantation Surgery, Charité Campus Virchow Clinic, Medical University of Berlin, Berlin, Germany
– sequence: 2
  givenname: Sven Christian
  surname: SCHMIDT
  fullname: SCHMIDT, Sven Christian
  organization: Department of General, Visceral and Transplantation Surgery, Charité Campus Virchow Clinic, Medical University of Berlin, Berlin, Germany
– sequence: 3
  givenname: Christina
  surname: FOTOPOULOU
  fullname: FOTOPOULOU, Christina
  organization: Department of Gynecology, Charité Campus Virchow Clinic, Medical University of Berlin, Berlin, Germany
– sequence: 4
  givenname: Jalid
  surname: SEHOULI
  fullname: SEHOULI, Jalid
  organization: Department of Gynecology, Charité Campus Virchow Clinic, Medical University of Berlin, Berlin, Germany
– sequence: 5
  givenname: Guido
  surname: SCHUMACHER
  fullname: SCHUMACHER, Guido
  organization: Department of General, Visceral and Transplantation Surgery, Charité Campus Virchow Clinic, Medical University of Berlin, Berlin, Germany
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21713519$$DView record in Pascal Francis
https://www.ncbi.nlm.nih.gov/pubmed/19596964$$D View this record in MEDLINE/PubMed
BookMark eNpF0F1LwzAUBuAgivvQvyC50btC0jRJ452MTYWJwiZ4V07bkzXaj5l0k_17C069OvDy8MJ7JuS07Vo8IWOuDY-0FOyUjFksWaQZkyMyCeGdMaVMKs7JiBtplFHJmLzN967EtsAoh4AlfUHvui166N0e6RO0sMEG2_6WrvohxI0r6Kpytg_UtXTtGgy0s3QBoadrD8UHXe38Bv3hgpxZqANeHu-UvC7m69lDtHy-f5zdLaMqVqaPjDVKFmhLKTnI1OY5RyEFpKVO0CZJwowqFYBITTIMkQxEbBFKi1jKgudiSm5-ere--9xh6LPGhQLrGlrsdiFTOtE61vEAr45wlzdYZlvvGvCH7PcXA7g-AggF1NZDW7jw52KuuZDc_LvKbaov5zELDdT1UCsy8LHJdBZrY8Q3_Nx31Q
ContentType Journal Article
Conference Proceeding
Copyright 2009 INIST-CNRS
Copyright_xml – notice: 2009 INIST-CNRS
DBID IQODW
CGR
CUY
CVF
ECM
EIF
NPM
7X8
DatabaseName Pascal-Francis
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList
MEDLINE - Academic
MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1791-7530
EndPage 2802
ExternalDocumentID 19596964
21713519
ar29_7_2799
Genre Journal Article
GroupedDBID -
23M
53G
55
5GY
5RE
5VS
ABFLS
ADACO
ADBBV
ADBIT
AENEX
ALMA_UNASSIGNED_HOLDINGS
BAWUL
DIK
EBS
EJD
F5P
H13
KQ8
L7B
OK1
P2P
RHF
RHI
SJN
UDS
VRB
X7M
ZGI
---
.55
.GJ
AFFNX
AIZAD
BTFSW
IQODW
W8F
ZXP
CGR
CUY
CVF
ECM
EIF
NPM
7X8
ID FETCH-LOGICAL-h269t-9f965cefd551a58fbb1e353a8d74ef444096d6aa389400550a32feadfeed5c1b3
ISSN 0250-7005
1791-7530
IngestDate Thu Jul 10 18:44:42 EDT 2025
Thu Apr 03 06:53:22 EDT 2025
Mon Jul 21 09:14:34 EDT 2025
Tue Nov 23 16:34:06 EST 2021
IsPeerReviewed true
IsScholarly true
Issue 7
Keywords Cancerology
Clinical management
Treatment
Surgery
review
Fast track
perioperative management
Bibliographic review
Language English
License CC BY 4.0
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-h269t-9f965cefd551a58fbb1e353a8d74ef444096d6aa389400550a32feadfeed5c1b3
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
PMID 19596964
PQID 67477272
PQPubID 23479
PageCount 4
ParticipantIDs proquest_miscellaneous_67477272
pubmed_primary_19596964
pascalfrancis_primary_21713519
highwire_smallpub3_ar29_7_2799
PublicationCentury 2000
PublicationDate 2009-07-01
PublicationDateYYYYMMDD 2009-07-01
PublicationDate_xml – month: 07
  year: 2009
  text: 2009-07-01
  day: 01
PublicationDecade 2000
PublicationPlace Attiki
PublicationPlace_xml – name: Attiki
– name: Greece
PublicationTitle Anticancer research
PublicationTitleAlternate Anticancer Res
PublicationYear 2009
Publisher International Institute of Anticancer Research
Publisher_xml – name: International Institute of Anticancer Research
SSID ssj0066983
Score 1.9305161
Snippet Changes in perioperative management is an ever evolving subject. The primary aim is to improve patient care and more recently to increase economic efficacy....
Changes in perioperative management is an ever evolving subject. The primary aim is to improve patient care and more recently to increase economic efficacy....
SourceID proquest
pubmed
pascalfrancis
highwire
SourceType Aggregation Database
Index Database
Publisher
StartPage 2799
SubjectTerms Biological and medical sciences
Evidence-Based Medicine
Humans
Medical sciences
Neoplasms - surgery
Perioperative Care
Tumors
Title Evidence-based Perioperative Management: Strategic Shifts in Times of Fast Track Surgery
URI http://ar.iiarjournals.org/content/29/7/2799.abstract
https://www.ncbi.nlm.nih.gov/pubmed/19596964
https://www.proquest.com/docview/67477272
Volume 29
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVAFT
  databaseName: Open Access Digital Library
  customDbUrl:
  eissn: 1791-7530
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0066983
  issn: 0250-7005
  databaseCode: KQ8
  dateStart: 20040101
  isFulltext: true
  titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html
  providerName: Colorado Alliance of Research Libraries
– providerCode: PRVBFR
  databaseName: Free Medical Journals
  customDbUrl:
  eissn: 1791-7530
  dateEnd: 20231001
  omitProxy: true
  ssIdentifier: ssj0066983
  issn: 0250-7005
  databaseCode: DIK
  dateStart: 20040101
  isFulltext: true
  titleUrlDefault: http://www.freemedicaljournals.com
  providerName: Flying Publisher
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3db9MwELfKkBBvbAwoY8MPvE1B-XCcmLdpW9UCJdXWSn2LnMRWK0oytenL_gP-a86x88WGELykletE6d1P57vz-XcIfXACx-GEMCtMk8wi0idWmHiuRYQQdsgp41W-Y_qNjhfk89JfDgY_O1VL-zL5mN4_eq7kf7QKY6BXdUr2HzTbPBQG4DvoF66gYbg-1PGjS81FrnLRoLjtuaHtWXVBUPcMtdRilaly93VxJwzZd1v5otICNU1ten67WsuyKpPVVE7gTo74rlQ86Ol3sDTtOWq1dxHNbi50ahniZA4feVnsmhzz7eV4OrmaVxPArBougw4kR9E8mkWLr9GipTowHb2r-6_H8ONE1_NuTPV9naRgTUGrCVx72c1eGURHTjddOWkTCA6aFdi237XXJkOicRl0jW-gey2ZhdwNbbdd5eqd_d8Wv6YkEUKzqlnhE_TU9QKimmFcTb7UizqlTDO61i_U4ZNW5bQgYr6RuhXKn2OVymeZv0DH7WlOPGvAc4gGIj9Cz6amqOIlWvZRgnsowS1KPuEGI1hjBK9zXGEEFxIrjOAKI9hg5BgtRtfzy7FlGm5YK5ey0mKSUT8VMgM3mvuhTBJHeL7HwywgQhJCIN7NKOfg5BJF3mZzz5VgiiT8AT91Eu8VOsiLXLxBWLH8-4SHXNgJYWkWBjDNTsMsJQJGyRCd1fKLdz_4ZgNy8mK-dVkcxEqRMKEn1fhOs6_EtaKG6H0t5hhMotrn4rko9ruYQois6guG6LWWfnOvYlKijJK3f3v4CXrewvgdOii3e3EK3meZnFW4-AU7_Y6t
linkProvider Flying Publisher
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=proceeding&rft.title=Anticancer+research&rft.atitle=Evidence-based+Perioperative+Management%3A+Strategic+Shifts+in+Times+of+Fast+Track+Surgery&rft.au=COPRA%2C+Sascha+Santosh&rft.au=SCHMIDT%2C+Sven+Christian&rft.au=FOTOPOULOU%2C+Christina&rft.au=SEHOULI%2C+Jalid&rft.date=2009-07-01&rft.pub=International+Institute+of+Anticancer+Research&rft.issn=0250-7005&rft.volume=29&rft.issue=7&rft.spage=2799&rft.epage=2802&rft.externalDBID=n%2Fa&rft.externalDocID=21713519
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0250-7005&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0250-7005&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0250-7005&client=summon