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Snabbspår har fördelar vid elektiv gynekologisk kirurgi.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Anaesthesiology and Intensive Care in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
2014 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 25-26, 2-7 p.Article in journal (Refereed) Published
Abstract [sv]

Principerna för snabbspår i samband med elektiv kirurgi har visat sig förbättra och påskynda postoperativ återhämtning.

Snabbspår bygger på en kombination av evidensbaserade åtgärder och förhållningssätt pre-, per- och postoperativt.

Översikten ger stöd för uppfattningen att snabbspår ska användas i samband med elektiv benign gynekologisk kirurgi för att optimera patientens återhämtning.

Trots övertygande evidens behövs ytterligare studier, information och utbildning för att förbättra införandet av principer för snabbspår i samband med gynekologisk kirurgi. 

Engagemang från alla inblandade personalkategorier är avgörande för möjligheten till implementering.

Abstract [en]

Fast-track is a multimodal strategy aimed at achieving an improved and accelerated postoperative recovery. The strategy combines unimodal evidence-based interventions concerning preoperative preparation, peroperative principles and postoperative care. There is substantial evidence for the benefits of following fast-track concepts in general elective surgery to enhance postoperative recovery. The main findings of this review are that there are benefits likewise within elective gynecological surgery, but studies of quality of life, patient satisfaction and health economics are needed. Studies of fast-track within non-elective surgery and gynaecological oncology surgery are lacking. Widespread information and education is needed to improve the rate of implementation of fast-track. Comprehensive involvement of the entire staff dealing with the patient in the perioperative period is crucial to ensure implementation and development of surgical care aiming for enhanced postoperative recovery.

Place, publisher, year, edition, pages
2014. Vol. 111, no 25-26, 2-7 p.
National Category
Other Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-115279PubMedID: 25072075OAI: oai:DiVA.org:liu-115279DiVA: diva2:794650
Available from: 2015-03-12 Created: 2015-03-12 Last updated: 2017-12-04Bibliographically approved

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Borendal Wodlin, NinnieNilsson, LenaKjölhede, Preben

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Department of Clinical and Experimental MedicineFaculty of Health SciencesDivision of Drug ResearchDepartment of Anaesthesiology and Intensive Care in LinköpingDivision of Clinical SciencesDepartment of Gynaecology and Obstetrics in Linköping
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