Strüber M, Winterhalter M
Klinik für Herz-, Thorax-, Transplantations- und Gefässchirurgie, Medizinische Hochschule, Carl-Neuberg-Strasse 1, Hannover, Germany.
Chirurg. 2009 Aug;80(8):724-9. doi: 10.1007/s00104-009-1681-4.
Fast track in cardiac surgery is not well defined. In the past early or immediate extubation was used as a marker. After cardiac surgery this parameter is not sufficient. In addition to cardiorespiratory stability, circulatory and haemostatic homeostasis are also required. Therefore the current Fast Track concept includes a period of intensive monitoring of the patient postoperatively to establish stability. Thereafter intensive care medicine should not be required. Evolving new surgical concepts in combination with appropriate anaesthesiologic management will lead to wide application of fast track cardiac surgery in the future.
心脏手术的快速康复尚无明确定义。过去，早期或即刻拔管被用作一个标志。但在心脏手术后，这个参数并不充分。除了心肺稳定性外，还需要循环和止血的内环境稳定。因此，当前的快速康复概念包括术后对患者进行一段时间的密切监测以建立稳定性。此后不应再需要重症监护医学。不断发展的新手术概念与适当的麻醉管理相结合，将导致快速康复心脏手术在未来得到广泛应用。
