Fast track cirugia de colon

FAST–TRACK EN CIRUGIA COLORECTAL DEPARTAMENTO DE CIRUGIA GENERAL Y DIGESTIVA JEFE: DR. IVAN VOJVODIC HERNANDEZ MR3 LUIS MARI GUTARRA NOVIEMBRE-2010 TO KMCV EsSALUD HOSPITAL EDGARDO REBAGLIATI MARTINS LIMA PERU

FAST – TRACK EN CIRUGÍA COLORRECTAL ,[object Object],[object Object],[object Object],[object Object],[object Object],Rev. Chilena de Cirugía. Vol 61, Nº 2, Abril 2009; pág. 158-167

FAST – TRACK EN CIRUGÍA COLORRECTAL ,[object Object],[object Object],[object Object],Cir. Esp. 2006;80(6):361.8

Ítems del FAST – TRACK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],British Journal of Surgery 2006; 93 : 800–809

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],H. Kehlet and D.W. Wilmore / The American Journal of Surgery 183 (2002) 630–641

FAST-TRACK: Preparación intestinal mecánica ,[object Object],[object Object],[object Object],Int J Colorectal Dis (2008) 23:1145–1150

FAST – TRACK: Restricción de fluidoterapia ,[object Object],[object Object],[object Object],[object Object],[object Object],Randomised Multicenter Trial 8 Hospitals in DK Brandstrup et al Ann Surg 2003,641-648 11 22 Falta de cicatrizac. 5 17 cardiopulmonares 33 % 51 % complicaciones 2740 ml 5388 ml Día operatorio Restrictiv n=69 Standard n=72

FAST-TRACK: analgesia -anestesia ,[object Object],[object Object],[object Object],[object Object],Cir. Esp. 2006;80(6):361.8 Nivel de evidencia 1b

Comparación de los efectos entre anestésicos/analgésicos regionales con los sistémicos H. Kehlet and D.W. Wilmore / The American Journal of Surgery 183 (2002) 630–641

FAST-TRACK: Incisión ,[object Object],[object Object],[object Object],[object Object],Transverse verses midline incisions for abdominal surgery. Cochrane Database of Systematic Reviews 2005, Issue 4. Brown SR, Goodfellow PB. Transverse verses midline incisions for abdominal surgery. Cochrane Database Syst Rev 2005;CD005199.

[object Object],[object Object],[object Object],Surg Endosc (2009) 23:465–466

FAST-TRACK: Sonda foley ,[object Object],[object Object],[object Object],[object Object],[object Object],Anesthesiology, V 110, No 5, May 2009

FAST-TRACK: Sonda foley Anesthesiology, V 110, No 5, May 2009

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Arch Surg. 2006;141:307-314

Nasogastric Intubation After Abdominal Surgery A Meta-analysis of Recent Literature Arch Surg. 2006;141:307-314

FAST-TRACK: drenajes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Evidence-based value of prophylactic drainage in gastrointestinal surgery: a systematic review and meta-analyses. Ann Surg. 2004 Dec;240(6):1074-84;

Score apfel de PONV. Anesth Analg 2008;107:459–63)

FAST-TRACK: Náuseas y Vómitos Post- Operatorios ( PONV) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Anesth Analg 2008;107:459–63)

[object Object],[object Object],GASTROENTEROLOGY & HEPATOLOGY october 2008 vol 5 no 10

FAST-TRACK: ÍLEO POST-QUIRÚRGICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],GASTROENTEROLOGY & HEPATOLOGY october 2008 vol 5 no 10

FAST-TRACK: NUTRICIÓN ,[object Object],[object Object],J Gastrointest Surg (2009) 13:569–575 6.8-16 días 6.2-19 días Estanc. Hospitalaria 19% 6.7% Mortalidad 7.1% 6.3% Neumonía 27% 8.3% Dehisc. Anastomosis 13% 13% Absc. intraabdominal 33.3% 13.4% ISQ Control Nutrición precoz Complicaciones

[object Object],[object Object],[object Object],[object Object],[object Object],J Gastrointest Surg (2009) 13:569–575

FAST-TRACK: Resultados ,[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Int J Colorectal Dis (2008) 23:93–99

Int J Colorectal Dis (2008) 23:93–99 Ítems de FAST-TRACK que se incluyeron en el presente Estudio

Int J Colorectal Dis (2008) 23:93–99

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Int J Colorectal Dis (2008) 23:93–99

[object Object],[object Object],[object Object],[object Object],[object Object],Int J Colorectal Dis (2008) 23:93–99

[object Object],[object Object],[object Object],[object Object],World J Surg (2009) 33:2433–2438

World J Surg (2009) 33:2433–2438

Implementing Fast-Track Protocol for Colorectal Surgery: A Prospective Randomized Clinical Trial World J Surg (2009) 33:2433–2438

Implementing Fast-Track Protocol for Colorectal Surgery: A Prospective Randomized Clinical Trial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],World J Surg (2009) 33:2433–2438

Readmisiones ,[object Object],[object Object],British Journal of Surgery 2006; 93 : 800–809

Readmisiones British Journal of Surgery 2006; 93 : 800–809

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Fast track cirugia de colon

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Fast track cirugia de colon