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[Anesthesiological concepts in fast-track arthroplasty]
F Tetzner1, O Gunnarsson Wendler1, L Rackwitz2
1Klinik für Anästhesiologie und Interdisziplinäre Intensivmedizin, Evangelisches Waldkrankenhaus Spandau, Stadtrandstr. 555, 13589, Berlin, Deutschland.
Abstract:
Whereas only a few years ago the only expectation of skilful anesthesia was an undisturbed execution of surgical procedures, today this has changed to a perioperative responsibility in which all physicians involved in the treatment process try to optimize the existing circumstances and risks of the patient before, during and after surgery. Thus, the tasks for the anesthesiologist have been mainly extended to a rapid recovery strategy with as few side effects as possible, such as nausea and vomiting or postoperative cognitive deficits (POCD). The establishment of evident structures and the introduction of suitable perioperative procedures with the goal of maintaining homeostasis, adequate opioid-sparing pain treatment and rapid postoperative convalescence determine the anesthesiological fast-track concept.
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