Key result
The fast-track rehabilitation protocol for elective colonic resection involves multimodal anesthesiological strategies including modified fluid management, epidural analgesia, and normothermia maintenance.
This review outlines the anesthesiological components of a fast-track rehabilitation protocol for elective colonic surgery to support homeostasis and recovery.
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May guide anesthesiological care in fast-track colonic resection; leaves open outcome validation in prospective trials.
SUMMARY This review discusses the fast‐track rehabilitation protocol in use at the Charité University Hospital for patients undergoing elective colonic resection, as well as underlying mechanisms and clinical pathways. In particular, it examines the anesthesiological aspects of this multimodal approach, such as revised guidelines for preoperative fasting, modified pre‐ and postoperative fluid management and effective analgetic therapy, including epidural analgesia, short‐acting anesthetic agents and the avoidance of high doses of systemic opioids. Maintenance of normothermia and normovolemia is also discussed.
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Hensel et al. (2007) conducted a review in Elective colonic resection. Fast-track rehabilitation protocol was evaluated. The fast-track rehabilitation protocol for elective colonic resection involves multimodal anesthesiological strategies including modified fluid management, epidural analgesia, and normothermia maintenance.
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