Fast track surgery - a multimodal strategy for managing surgical patients

Multiple factors are involved in the recovery of patients without significant complications and in reduction of the duration of their stay in hospital. The search for effective treatment methods for surgical patients with minimal risk led to the emergence and development of a new concept - fast track surgery. This is a package of healthcare services, which provides a modern approach to the preoperative, intraoperative and postoperative phases of patient management, the combined effect of which is in the reduction of complications, postoperative pain, stress responses and organ dysfunction, as well as early rehabilitation. Reducing the cost of treatment, time of in-hospital stay, faster return to normal life and work - are the benefits of a multimodal strategy for management of surgical patients. Promising initial results obtained using the fast track program, raise the issue of the need to change the traditional system of surgical care in order to improve postoperative results and to further study of each component of this program. Further improvement of this technique requires combined use of minimally invasive surgeries, pharmacological suppression of stress and effective multimodal non-opioid analgesia with active rehabilitation techniques.

fast track, surgical treatment, fast track, preoperative period, anesthesia, laparoscopy, rehabilitation