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....
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Published in | Anticancer research Vol. 29; no. 7; pp. 2799 - 2802 |
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Main Authors | , , , , |
Format | Journal Article Conference Proceeding |
Language | English |
Published |
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International Institute of Anticancer Research
01.07.2009
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ISSN | 0250-7005 1791-7530 1791-7530 |
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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 âfast track surgeryâ
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. |
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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 âfast track surgeryâ
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 |
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Keywords | Cancerology Clinical management Treatment Surgery review Fast track perioperative management Bibliographic review |
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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.... |
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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 |
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