Perioperative management and "Fast-Track" therapy in vascular medicine.

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 -