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Compliance with and fulfillment of a fast-track protocol in daily surgical practice in a university hospital

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Summary

Background

The aim of this retrospective study was to analyze the fulfillment of different fast-track elements in daily surgical practice.

Methods

One hundred and forty-nine consecutive patients (69 female, 46 %) with a median(range) age of 68(33–93), were analyzed.

Results

In 46 % of patients no oral bowel preparation was performed. Successful placement of patent ductus arteriosus (PDA) was reached in 94(63 %) patients. Nasogastric tube was removed in 97 %, a drain was placed in 94(63 %) patients. The urine catheter was removed in 43 % until postoperative day (POD) 3. No intravenous medication was recorded in 25(16 %) patients on POD1. In 47(32 %) patients deviation from the postoperative fast-track protocol was observed. Hospital mortality was 0.7 % and rehospitalization rate was 5 %(n = 7).

Conclusion

In summary, this study shows that the extension of the enhanced recovery of surgery (ERAS) protocol in a large department with a great number of staff involved is challenging and needs permanent supervision. Bowel preparation and epidural anesthesia were the elements with worse compliance.

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Authors and Affiliations

  1. University Hospital Innsbruck, Anichstrasse 37, 6020, Innsbruck, Austria

    J. Bräunlein, E. Gasser & R. Kafka-Ritsch MD

Authors
  1. J. Bräunlein
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  2. E. Gasser
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  3. R. Kafka-Ritsch MD
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Correspondence to R. Kafka-Ritsch MD.

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Bräunlein, J., Gasser, E. & Kafka-Ritsch, R. Compliance with and fulfillment of a fast-track protocol in daily surgical practice in a university hospital. Eur Surg 47, 45–48 (2015). https://doi.org/10.1007/s10353-015-0303-2

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  • DOI: https://doi.org/10.1007/s10353-015-0303-2

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