{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T18:16:59Z","timestamp":1776449819741,"version":"3.51.2"},"reference-count":38,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2006,8,25]],"date-time":"2006-08-25T00:00:00Z","timestamp":1156464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:p><jats:bold>Background:\u2002<\/jats:bold> For colorectal surgery, evidence suggests that optimal management includes: no pre\u2010operative fasting, a thoracic epidural analgesia continued for 2 days post\u2010operatively, and avoidance of fluid overload. In addition, no long\u2010acting benzodiazepines on the day of surgery and use of short\u2010acting anaesthetic medication may be beneficial. We examined whether these strategies have been adopted in five northern\u2010European countries.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> In 2003, a questionnaire concerning peri\u2010operative anaesthetic routines in elective, open colonic cancer resection was sent to the chief anaesthesiologist in 258 digestive surgical centres in Scotland, the Netherlands, Denmark, Sweden and Norway.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> The response rate was 74% (<jats:italic>n <\/jats:italic>= 191). Although periods of pre\u2010operative fasting up to 48 h were reported, most (&gt; 85%) responders in all countries declared to adhere to guidelines for pre\u2010operative fasting and oral clear liquids were permitted until 2\u20133 h before anaesthesia. Solid food was permitted up to 6\u20138 h prior to anaesthesia. In all countries more than 85% of the responders indicated that epidural anaesthesia was routinely used. Except for Denmark, long\u2010acting benzodiazepines were still widely used. Short\u2010acting anaesthetics were used in all countries except Scotland where isoflurane is the anaesthetic of choice. With the exception of Denmark, intravenous fluids were used unrestrictedly.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> In northern Europe, most anaesthesiologists adhere to evidence\u2010based optimal management strategies on pre\u2010operative fasting, thoracic epidurals and short\u2010acting anaesthetics. However, premedication with longer\u2010acting agents is still common. Avoidance of fluid overload has not yet found its way into daily practice. This may leave patients undergoing elective colonic surgery at risk of oversedation and excessive fluid administration with potential adverse effects on surgical outcome.<\/jats:p>","DOI":"10.1111\/j.1399-6576.2006.01121.x","type":"journal-article","created":{"date-parts":[[2006,8,25]],"date-time":"2006-08-25T17:44:23Z","timestamp":1156527863000},"page":"1152-1160","source":"Crossref","is-referenced-by-count":45,"title":["Patterns in current anaesthesiological peri\u2010operative practice for colonic resections: a survey in five northern\u2010European countries"],"prefix":"10.1111","volume":"50","author":[{"given":"P.","family":"Hannemann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Lassen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Hausel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Nimmo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.","family":"Ljungqvist","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Nygren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Soop","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Fearon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Andersen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Revhaug","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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