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- P Zonca, J Stigler, T Maly, C Neoral, M Hajek, and S Stiglerova.
- Department of Surgery, City Hospital, Ostrava, The Czech Republic. pavel.zonca@hotmail.co.uk
- Bratisl Med J. 2008 Jan 1;109(2):61-5.
AimThe aim of this study is to show the current view on fast-track programs optimizing the perioperative care.MethodsAuthors searched Medline databases and identified current trials regarding all factors of fast-track programs. They analyzed these trials and identified the most important principles of fast-track programs based on trial analysis.ResultsThe most important principles are consistent in all individual trials. Most of authors recommend 10-12 issues. All authors emphasize early mobilization of patients after surgery and early introduction of peroral nutrition. Fast-track programs shorten the duration of hospitalisation and decrease morbidity.ConclusionThe perioperative care is characterized by a range of trussing traditions. Fast-track surgery optimizes the perioperative care. It is a safe method according to the trials. The implementation of single fast-track surgery factors is very slow (Tab. 2, Ref. 49).
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