Fast track rehabilitation in colonic surgery

被引:9
作者
Merat, S.
Rouquie, D.
Bordier, E.
LeGulluche, Y.
Baranger, B.
机构
[1] Hosp Instruct Armees Val Grace, Dept Anesthesie Reanimat, F-75005 Paris, France
[2] Hosp Instruct Armees Val Grace, Dept Chirurg Viscerale & Vasc, F-75005 Paris, France
来源
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2007年 / 26卷 / 7-8期
关键词
fast track rehabilitation; colonic surgery; hospital stay; RANDOMIZED CLINICAL-TRIAL; POSTOPERATIVE EPIDURAL ANALGESIA; GASTROINTESTINAL TRANSIT; MULTIMODAL OPTIMIZATION; ANASTOMOTIC LEAKAGE; CONTINUOUS-INFUSION; COLORECTAL SURGERY; BOWEL PREPARATION; EARLY AMBULATION; ELDERLY-PATIENTS;
D O I
10.1016/j.annfar.2007.03.030
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
In France, the total hospital stay after colorectal resection by laparoscopy or laparotomy varies between 10 and 20 days. For several years, the concept of fast track rehabilitation in colonic surgery has been developed. In addition to a specific surgical and anaesthetic management, this concept relies on postoperative measures, particularly an early food intake and ambulation, which allow a spectacular reduction of the hospital stay until only 2 days. Two remarks temper initial optimism: all patients do not wish a short hospital stay and the wards do not always have the available resources necessary to set up this concept. (c) 2007 Elsevier Masson SAS. Tous droits reserves.
引用
收藏
页码:649 / 655
页数:7
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