{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T15:29:05Z","timestamp":1758814145188,"version":"3.37.3"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008131","name":"Rheinische Friedrich-Wilhelms-Universit\u00e4t Bonn","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008131","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Anaesthesiologie"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Einleitung<\/jats:title>\n                <jats:p>Beim Fast-Track(FT)-Konzept handelt es sich um multimodale, interdisziplin\u00e4re Ma\u00dfnahmen zur perioperativen Patientenbetreuung zur Reduktion postoperativer Komplikationen. Trotz guter Evidenz erscheint die Umsetzung verbesserungsw\u00fcrdig, wobei sich nahezu alle Untersuchungen ungeachtet des interdisziplin\u00e4ren Aspektes auf die Implementierung der chirurgischen Module fokussieren. Die Adh\u00e4renz zu den an\u00e4sthesiologischen Ma\u00dfnahmen (pr\u00e4operative Patientenoptimierung, Pr\u00e4medikation, Volumen- und W\u00e4rmemanagement, Schmerztherapie) ist hingegen nur unzureichend untersucht. Um den Status quo zu erfassen, wurde eine Umfrage zur Umsetzung der an\u00e4sthesiologischen FT-Bausteine unter den Mitgliedern der Deutschen Gesellschaft f\u00fcr An\u00e4sthesiologie und Intensivmedizin (DGAI) durchgef\u00fchrt und analysiert, wo m\u00f6gliches Verbesserungspotenzial besteht.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Mithilfe des Online-Umfragetools SurveyMonkey\u00ae wurden 28\u00a0Fragen zur perioperativen an\u00e4sthesiologischen Versorgung kolorektalchirurgischer Patienten an die Mitglieder der DGAI verschickt und die Adh\u00e4renz zu den FT-Ma\u00dfnahmen analysiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>W\u00e4hrend einige der FT-Ma\u00dfnahmen (W\u00e4rmemanagement, PONV-Prophylaxe) bereits routinem\u00e4\u00dfig umgesetzt sind, gibt es bei anderen Bausteinen eine Divergenz zwischen den aktuellen Empfehlungen und der klinischen Umsetzung. Besonders betroffen sind neben der Pr\u00e4medikation insbesondere interdisziplin\u00e4re Ma\u00dfnahmen (Pr\u00e4habilitation) sowie Ma\u00dfnahmen, die mehrere Schnittstellen (OP, Aufwachraum (AWR), Station) betreffen, wie beispielsweise Volumenmanagement oder perioperative Schmerztherapie<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fazit<\/jats:title>\n                <jats:p>Die an\u00e4sthesiologischen Empfehlungen des FT-Konzepts werden in Deutschland nur teilweise umgesetzt. Hiervon sind insbesondere die interdisziplin\u00e4ren Bausteine sowie Ma\u00dfnahmen an den Schnittstellen OP-AWR-Station betroffen. Die Bildung eines interdisziplin\u00e4ren FT-Teams und die interdisziplin\u00e4re Ausarbeitung von SOP k\u00f6nnen die Adh\u00e4renz optimieren, was wiederum das kurz- und langfristige Outcome der Patienten verbessert.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00101-021-01074-8","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T16:02:53Z","timestamp":1637942573000},"page":"510-517","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Umsetzung an\u00e4sthesiologischer Fast-Track-Ma\u00dfnahmen bei kolorektalen Resektionen","Implementation of fast-track measures in colorectal resections"],"prefix":"10.1007","volume":"71","author":[{"given":"M. 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