Oremus Kresimir, Korolija Dragan, Skegro Mate, Majerić-Kogler Visnja, Tonković Dinko, Silovski Hrvoje
Klinika za anesteziologiju, reanimatologiju i intenzivno lijecenje, KBC Zagreb.
Lijec Vjesn. 2007 Aug-Sep;129(8-9):269-75.
Despite constant improvements in surgical technique and perioperative care which led to significant reductions in mortality and morbidity after general surgery, complication rates after major abdominal surgery still reach 15-40%. The main cause of postoperative complications (not linked to surgical technique itself) is the perioperative stress reaction potentiated by pain, inadequate perioperative fluid management, immobilisation and hypothermia. Multimodal rehabilitation of surgical patients represents the practical application of advances in surgery, anaesthesiology and postoperative rehabilitation with the aim of reducing perioperative stressors and facilitating an early return of the patient to his/her preoperative functional status. Besides discussing various aspects of multimodal rehabilitation, the authors present their own first experiences with its introduction into everyday clinical practice.
尽管外科技术和围手术期护理不断改进，使得普通外科手术后的死亡率和发病率显著降低，但大型腹部手术后的并发症发生率仍达到15%-40%。术后并发症（与手术技术本身无关）的主要原因是疼痛、围手术期液体管理不当、制动和体温过低所加剧的围手术期应激反应。外科患者的多模式康复是外科、麻醉学和术后康复进展的实际应用，旨在减少围手术期应激源，并促进患者早日恢复到术前功能状态。除了讨论多模式康复的各个方面，作者还介绍了他们将其引入日常临床实践的初步经验。
