Perioperative management and "Fast-Track" therapy in vascular medicine.
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Perioperative management and "Fast-Track" therapy in vascular medicine. / Debus, Eike Sebastian; Ivoghli, Arman; Göpfert, Matthias; Kölbel, Thilo; Larena-Avellaneda, Axel-Antonio.
in: VASA, Jahrgang 40, Nr. 4, 4, 2011, S. 281-288.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Perioperative management and "Fast-Track" therapy in vascular medicine.
AU - Debus, Eike Sebastian
AU - Ivoghli, Arman
AU - Göpfert, Matthias
AU - Kölbel, Thilo
AU - Larena-Avellaneda, Axel-Antonio
PY - 2011
Y1 - 2011
N2 - Perioperative risk in vascular medicine is particularly high due to the increased prevalence of cardiovascular comorbidity. Therefore, it is of the utmost importance that during periprocedural management the patient remains in good general condition and that the patient is mobilized as soon as possible. Along with implementation of minimally-invasive techniques and endovascular procedures, networking and cooperation between the surgeon, anesthesiologist, physiotherapist and the nursing team can lead to an optimization of perioperative mobilization. The Fast-Track concept represents uncharted territory in the field of vascular surgery and it can provide advantages, particularly in relation to multimorbidity in the field of vascular medicine. The Fast-Track concept was introduced by Danish surgeon Henrik Kehlet and was originally intended to be implemented in general surgery. When compared to conventional management, this method offers better medical results, lower costs and other advantages for the patient: besides a better perioperative condition a reduction of postoperative complications and reduction of overall in-hospital stay was achieved. Therefore, the next logical step was to introduce and adapt this concept to other fields of operative medicine. This paper represents a systematic review on the actual experience of the fast-track concept in vascular surgery.
AB - Perioperative risk in vascular medicine is particularly high due to the increased prevalence of cardiovascular comorbidity. Therefore, it is of the utmost importance that during periprocedural management the patient remains in good general condition and that the patient is mobilized as soon as possible. Along with implementation of minimally-invasive techniques and endovascular procedures, networking and cooperation between the surgeon, anesthesiologist, physiotherapist and the nursing team can lead to an optimization of perioperative mobilization. The Fast-Track concept represents uncharted territory in the field of vascular surgery and it can provide advantages, particularly in relation to multimorbidity in the field of vascular medicine. The Fast-Track concept was introduced by Danish surgeon Henrik Kehlet and was originally intended to be implemented in general surgery. When compared to conventional management, this method offers better medical results, lower costs and other advantages for the patient: besides a better perioperative condition a reduction of postoperative complications and reduction of overall in-hospital stay was achieved. Therefore, the next logical step was to introduce and adapt this concept to other fields of operative medicine. This paper represents a systematic review on the actual experience of the fast-track concept in vascular surgery.
KW - Humans
KW - Treatment Outcome
KW - Length of Stay
KW - Time Factors
KW - Patient Care Team
KW - Interdisciplinary Communication
KW - Intraoperative Care
KW - Early Ambulation
KW - Endovascular Procedures/adverse effects
KW - Peripheral Arterial Disease/surgery/therapy
KW - Postoperative Complications/etiology/prevention & control
KW - Vascular Surgical Procedures/adverse effects
KW - Humans
KW - Treatment Outcome
KW - Length of Stay
KW - Time Factors
KW - Patient Care Team
KW - Interdisciplinary Communication
KW - Intraoperative Care
KW - Early Ambulation
KW - Endovascular Procedures/adverse effects
KW - Peripheral Arterial Disease/surgery/therapy
KW - Postoperative Complications/etiology/prevention & control
KW - Vascular Surgical Procedures/adverse effects
M3 - SCORING: Journal article
VL - 40
SP - 281
EP - 288
JO - VASA
JF - VASA
SN - 0301-1526
IS - 4
M1 - 4
ER -