Manual of Fast Track Recovery for Colorectal Surgery

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Nader Francis, Robin H. Kennedy, Olle Ljungqvist, Monty G. Mythen
Springer Science & Business Media, Jan 2, 2012 - Medical - 181 pages
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Manual of Fast Track Recovery for Colorectal Surgery provides a broad overview on enhanced recovery, with expert opinions from leaders in the field regarding elements of enhanced recovery care that are generic and specific to colorectal surgery.
This book covers the patient journey through such a programme, commencing with optimisation of the patient’s condition, patient education and conditioning of their expectations. Manual of Fast Track Recovery for Colorectal Surgery investigates the metabolic response to surgery, anaesthetic contributions and optimal fluid management, after surgery. It also details examples of enhanced recovery pathways and practical tips on post-operative pain control, feeding, mobilisation and criteria for discharge.
Manual of Fast Track Recovery for Colorectal Surgery is a valuable reference tool for colorectal surgeons, anaesthetists, ward nurses and other members of the team involved in perioperative care: pain control specialists, physiotherapists, dietitians, specialist therapists (such as colorectal and stoma nurses), and outpatient nurses.
 

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Contents

Chapter 1 Overview Key Elements and the Impact of Enhanced Recovery Care
1
Chapter 2 Preoperative Optimisation and Conditioning of Expectations
15
Chapter 3 The Metabolic Stress Response and Enhanced Recovery
36
Chapter 4 Anaesthetic Contributions in Enhanced Recovery
49
Chapter 5 Perioperative Fluid Management in Enhanced Recovery
73
Chapter 6 Pain Control After Surgery
94
Chapter 7 Colorectal Surgery and Enhanced Recovery
111
Chapter 8 Setting Up an Enhanced Recovery Programme
130
Chapter 9 The Role of the Enhanced Recovery Facilitator
143
Chapter 10 Success and Failure in Colorectal Enhanced Recovery
159
Chapter 11 Data Collection and Audit
171
Index
177
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About the author (2012)

Nader Francis, MBChB, FRCS, PhD is lead colorectal surgeon at Yeovil District Hospital, where fast track colorectal surgery was first introduced within the UK. He holds a PhD in laparoscopic surgery skills which he studied for under Sir Alfred Cuschieri. Robin Kennedy, FRCS is a consultant surgeon at St. Mark’s Hospital, a national and international referral centre for intestinal and colorectal disorders. Here, he teaches and co-ordinates research on laparoscopic colorectal surgery and Enhanced Recovery Care. He spent 14 years between 1992 and 2006 at Yeovil District Hospital, where his research and clinical interests increasingly focused on how the application of laparoscopic and endoscopic techniques could improve outcomes of gastrointestinal disease. This coupled with the use of Enhanced Recovery Programmes has resulted in various publications and receipt of the Health and Social Care Award ‘Hospital Doctor of the Year’ in 2004.

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