Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

01.04.2015 | Main Topic | Ausgabe 2/2015

European Surgery 2/2015

Compliance with and fulfillment of a fast-track protocol in daily surgical practice in a university hospital

Zeitschrift:
European Surgery > Ausgabe 2/2015
Autoren:
J. Bräunlein, E. Gasser, MD R. Kafka-Ritsch

Summary

Background

The aim of this retrospective study was to analyze the fulfillment of different fast-track elements in daily surgical practice.

Methods

One hundred and forty-nine consecutive patients (69 female, 46 %) with a median(range) age of 68(33–93), were analyzed.

Results

In 46 % of patients no oral bowel preparation was performed. Successful placement of patent ductus arteriosus (PDA) was reached in 94(63 %) patients. Nasogastric tube was removed in 97 %, a drain was placed in 94(63 %) patients. The urine catheter was removed in 43 % until postoperative day (POD) 3. No intravenous medication was recorded in 25(16 %) patients on POD1. In 47(32 %) patients deviation from the postoperative fast-track protocol was observed. Hospital mortality was 0.7 % and rehospitalization rate was 5 %(n = 7).

Conclusion

In summary, this study shows that the extension of the enhanced recovery of surgery (ERAS) protocol in a large department with a great number of staff involved is challenging and needs permanent supervision. Bowel preparation and epidural anesthesia were the elements with worse compliance.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 2/2015

European Surgery 2/2015Zur Ausgabe