caa a22 4500 606207449 CHVBK 20210128101016.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10353-015-0303-2 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0303-2 Compliance with and fulfillment of a fast-track protocol in daily surgical practice in a university hospital [Elektronische Daten] [J. Bräunlein, E. Gasser, R. Kafka-Ritsch] 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. Springer-Verlag Wien, 2015 ERAS nationallicence Compliance nationallicence Colorectal nationallicence Bräunlein J. University Hospital Innsbruck, Anichstrasse 37, 6020, Innsbruck, Austria aut Gasser E. University Hospital Innsbruck, Anichstrasse 37, 6020, Innsbruck, Austria aut Kafka-Ritsch R. University Hospital Innsbruck, Anichstrasse 37, 6020, Innsbruck, Austria aut European Surgery Springer Vienna 47/2(2015-04-01), 45-48 1682-8631 47:2<45 2015 47 10353 https://doi.org/10.1007/s10353-015-0303-2 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/s10353-015-0303-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bräunlein J. University Hospital Innsbruck, Anichstrasse 37, 6020, Innsbruck, Austria aut NATIONALLICENCE 700 1- Gasser E. University Hospital Innsbruck, Anichstrasse 37, 6020, Innsbruck, Austria aut NATIONALLICENCE 700 1- Kafka-Ritsch R. University Hospital Innsbruck, Anichstrasse 37, 6020, Innsbruck, Austria aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/2(2015-04-01), 45-48 1682-8631 47:2<45 2015 47 10353