caa a22 4500 606207368 CHVBK 20210128101016.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10353-015-0300-5 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0300-5 Is epidural anaesthesia mandatory in fast-track surgery for elective colorectal resections? [Elektronische Daten] [M. Möschel, D. Wohlgenannt] Summary: Background: Epidural anaesthesia is considered as a basic element of enhanced recovery after surgery (ERAS). In regard of the expenditure and the possible complications, the authors established a modified protocol without epidural analgesia. Methods: In this prospective single-centre study, 64 consecutive patients undergoing elective colorectal surgery were treated according to the concept of ERAS, replacing epidural analgesia with infiltration of the incision lines. Results: Adequate pain control was possible in 52 (81 %) patients; 55 (86 %) did not need any antiemetic drugs, 41 (64 %) tolerated solid food on the first postoperative day and 51 (80 %) had first bowel movement until day 2. Discharge was possible on day 4.3, overall complication rate was 19 % and 30-day mortality was 3 %. Conclusions: ERAS in elective colon surgery is feasible using local infiltration of the incision line resulting in comparable outcome in regard of pain control, intestinal paralysis and complications. Springer-Verlag Wien, 2015 Fast-track surgery nationallicence Colorectal nationallicence Epidural anaesthesia nationallicence Local anaesthesia nationallicence Möschel M. Landeskrankenhaus Feldkirch, 6800, Feldkirch, Austria aut Wohlgenannt D. Landeskrankenhaus Bregenz, Bregenz, Austria aut European Surgery Springer Vienna 47/2(2015-04-01), 49-52 1682-8631 47:2<49 2015 47 10353 https://doi.org/10.1007/s10353-015-0300-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0300-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Möschel M. Landeskrankenhaus Feldkirch, 6800, Feldkirch, Austria aut NATIONALLICENCE 700 1- Wohlgenannt D. Landeskrankenhaus Bregenz, Bregenz, Austria aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/2(2015-04-01), 49-52 1682-8631 47:2<49 2015 47 10353