| Perioperative management and Fast-Track therapy in vascular medicine. | |
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MedLine Citation:
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PMID: 21780051 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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E S Debus; A Ivoghli; M Goepfert; T Kölbel; A Larena-Avellaneda |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: VASA. Zeitschrift für Gefässkrankheiten. Journal for vascular diseases Volume: 40 ISSN: 0301-1526 ISO Abbreviation: VASA Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-07-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0317051 Medline TA: Vasa Country: Switzerland |
Other Details:
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Languages: eng Pagination: 281-8 Citation Subset: IM |
Affiliation:
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Clinic and Policlinic for Vascular Medicine, University Heart Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany. |
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Descriptor/Qualifier:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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