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[Principles of fast track surgery. Multimodal perioperative therapy programme]
1Section for Surgical Pathophysiology, Rigshospitalet Copenhagen University, Copenhagen, Denmark. henrik.kehlet@rh.dk
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|August 12, 2009
Summary
Fast track surgery, a multimodal approach, enhances patient recovery and reduces hospital stays. Further improvements are possible through minimally invasive techniques and advanced pain management strategies.
Area of Science:
- Surgical recovery protocols
- Evidence-based medicine
- Multimodal perioperative care
Context:
- Fast track surgery combines evidence-based principles for enhanced postoperative recovery.
- Implementation of fast track protocols has been slow despite economic benefits.
- Potential for improved outcomes exists through advancements in care principles.
Purpose:
- To review the evidence supporting multimodal approaches to enhance postoperative recovery.
- To identify barriers to the general implementation of fast track surgery.
- To suggest areas for future development to further optimize surgical outcomes.
Summary:
- Multimodal fast track methodology enhances recovery, reducing morbidity and hospitalisation.
- Key components include minimally invasive surgery, multimodal non-opioid analgesia, and pharmacological stress reduction.
- Despite proven benefits, widespread adoption of fast track surgery remains limited.
Impact:
- Potential to significantly reduce healthcare costs and improve patient quality of life.
- Highlights the need for broader implementation of evidence-based perioperative pathways.
- Guides future research towards refining components of enhanced recovery protocols.
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