Zentralblatt für Chirurgie
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Comparative Study
[First line application of a modified dilatational tracheostomy in the intensive care].
Despite the growing clinical use of the percutaneous dilatational tracheostomy data concerning their first line application are still lacking. ⋯ The first line application of the dilatational tracheostomy has a low morbidity.
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Comparative Study
[Establishing "fast-track"-colonic surgery in the clinical routine].
A multimodal perioperative concept ("fast-track"-surgery) may decrease the incidence of general complications following elective colonic resections, accelerate rehabilitation and shorten postoperative hospital stay. During the introduction of this new "clinical pathway" several obstacles have to be overcome. This manuscript describes a practical way to establish "fast-track"-colonic surgery in the clinical routine. ⋯ Establishing "fast-track"-colonic surgery requires close cooperation between surgery, anestehsiology and nursing personal. Most important is a surgeon prepared to overcome traditional concepts of perioperative care.