Application Of Fast Track Surgery Research Articles

Knowledge, attitude and application towards fast track surgery among operating room paramedics: a cross-sectional study

BackgroundFast track surgery has shown its effectiveness to accelerate recovery and gained acceptance in many operations. However, data for paramedics using fast track surgery are limited in China. The aims of our study are to evaluate the knowledge, attitude and application status of fast track surgery in paramedics and to provide suggestions for the better application of fast track surgery.MethodsTwo Hundred Ninety-one operating room paramedics were investigated by simple random sampling from October 20 to December 20, 2019 time. A self-reported questionnaire was used to collect data with five dimensions: demographic data, cognitive level, knowledge, attitude and application of fast track surgery. Data were analyzed using qualitative and quantitative methods.Results19.93% of participants never heard fast track surgery and only 3.32% of participants were very familiar with it. Gender (0.702, 95% CI 0.109–1.294), technical title (0.342, 95% CI 0.126–0.558) and awareness of the concept of fast track surgery (0.471, 95% CI 0.165–0.776) had a correlation with the knowledge level of paramedics towards fast track surgery. In terms of attitude towards fast track surgery, gender (− 1.944, 95% CI -3.830- -0.058), age (0.303, 95% CI 0.021–0.585) and knowledge score of fast track surgery (0.426, 95% CI 0.014–0.838) are related. Half of the paramedics believe the most difficult problem in the application of fast track surgery was the lack of multi-team communication and cooperation.ConclusionThe knowledge of fast track surgery among paramedics in Wuhan is poor, and some paramedics have a negative attitude towards it. As the attitude is positively correlated with the knowledge, it is necessary to improve the knowledge level of fast track surgery among paramedics in Wuhan.

Effect of fast-track surgery in gynecological laparoscopy: a randomized controlled trial†

Abstract Objective To evaluate the value of fast-track surgery (FTS) in gynecological laparoscopy during the perioperative period. Methods The clinical data of 234 patients who underwent gynecological laparoscopy from January to December in 2018 were collected. Of note, 117 patients received a routine nursing method (control group), and 117 patients received the FTS nursing method (observation group). Results Compared with the control group, FTS group had a quicker postoperative bowel function recovery, earlier to get out of bed, and a lower anxiety level (P < 0.05); The incidence of postoperative nausea and vomiting of two groups had no statistical difference. Conclusions The application of FTS in gynecological laparoscopy is safe, effective, and worth promoting.

Fast track surgery for knee replacement surgery: a lean six sigma approach

PurposeThe reduction of costs has a more and more relevant role in the healthcare context, therefore, a large effort is done by health providers to this aim, for example, by reducing the length of hospital stay (LOS) of patients undergoing surgery. Fast track surgery fits perfectly this issue and was applied to patients undergoing knee replacement surgery due to Osteoarthritis, one of the most common diseases of aged population. The paper aims to discuss these issues.Design/methodology/approachLean six sigma was applied to analyze the implementation of fast track surgery through the define, measure, analyze, improve, control roadmap, used as a typical problem-solving approach. It is characterized by five operational phases, which make possible the achievement of fixed goals through a rigorous process of defining, measuring, analyzing, improving and controlling business problems.FindingsThe corrective action, consisting in the application of fast track surgery, improved both effectiveness and efficiency of the process of care. The average length of hospital stay (LOS) was reduced from 8.34 to 6.68 days (–19.9 percent) and its standard deviation from 2.41 to 1.99 days (–17.1 percent). The statistical significance of this decrease was verified by means of proper tests. Moreover, some variables influencing the LOS were identified.Research limitations/implicationsThe follow up and the satisfaction of patients were not analyzed and could be a future development of this study.Practical implicationsPatients will experience a faster recovery while the hospital will benefit from a rise of available beds. The effect is a general improvement of hospital management.Originality/valueThe introduction of fast track surgery for patients undergoing knee replacement surgery made significantly reduce LOS and, consequently, costs’ with a money saving of more than 50,000 euro per year.

Application of fast-track surgery in the perioperative period of laparoscopic partial nephrectomy for renal tumors.

ObjectivesThis study aimed to examine application of fast-track surgery (FTS) in the perioperative period of laparoscopic partial nephrectomy for renal tumors, and to discuss its effects and safety.MethodsEighty patients who received laparoscopic partial nephrectomy in urinary surgery from January 2016 to December 2017 were selected and randomly classified as the observation group (n = 40) and control group (n = 40). Traditional treatments were performed in the control group, while FTS was applied in the observation group. The complication rate after the operation was recorded.ResultsThe duration of the operation and intraoperative blood loss were not different between the groups. The duration of anesthesia and fluid transfusion volume on the day of the operation were significantly less in the observation group than in the control group. The rates of infection of the incisional wound, nausea and vomiting, and anastomotic stomal bleeding were not significantly different between the groups. However, the rates of postoperative urinary tract infection, abdominal distension, thirst, hypothermia, and pulmonary infection were significantly lower in the observation group than in the control group.ConclusionApplication of FTS in laparoscopic partial nephrectomy contributes to postoperative recovery and reduction of postoperative complications.

Application of fast track surgery in surgical treatment of distal radius fractures in the elderly

Objective To investigate the clinical efficacy of fast track surgery in surgical treatment of internal fixation for the elderly patients with distal radius fractures. Methods From January 2014 to December 2015, 121 elderly patients (age≥65 years) with distal radius fractures who treated with internal fixation by anatomic locking plate through volar approach were retrospectively analyzed. 64 cases were treated by fast track surgery (group A) and 57 cases received routine treatment during perioperative period (group B). The perioperative complications, hospitalization time and wrist function of the two groups were compared, and the short-term clinical effects of the two groups were observed. Results In group A, the incidence of central nervous system disease, the incidence of nausea and vomiting, VAS score at 48 hours after the operation and the time of postoperative hospitalization were lower than those in group B (P=0.006,P=0.014,P=0.000,P=0.000). At 12 weeks postoperatively, wrist Gartland-Werley score in group A was significantly better than that in group B. Conclusion The application of fast track surgery in the elderly with distal radius fractures can promote early rehabilitation, shorten hospitalization time and reduce related complications. Key words: Radius fractures; Treatment outcome; Fast track surgery; Elderly; Perioperative period

Application of early cold compress after ankle peripheral fracture based on fast track surgery

Objective To explore the effects of early cold compress post injury and operation for patients with ankle peripheral fracture. Methods From January 2015 to January 2016, we selected 152 selective operation patients with ankle peripheral fracture from Xi'an Honghui Hospital, the Affiliated Hospital of Xi'an Jiaotong University. All of the patients were randomly divided into control group and observation group, 76 cases in each group. Patients of observation group accepted continuous cold compress around ankle and routine orthopaedics treatment post injury and 24 hours after operation. Patients of control group were treated with routine orthopaedics treatment. We compared the degree of swelling, Face Rating Scale (FRS) , hospital days, incidence of tension blister and the score of ankle hindfoot scale of American Orthopaedic Foot & Ankle Society (AOFAS) of patients between two groups after injury and operation. Results The added value of limb circumference of patients of observation group one day before surgery and the third day after surgery was (17.1±5.7) mm and (14.1±5.9) mm respectively lower than those of control group (t=8.566, 5.065; P<0.01) . The score of FRS the first after surgery was (2.8±0.9) in observation group and (3.3±1.1) in control group with a significant difference (t=3.067, P<0.01) . There were three patients with tension blister in observation group and 13 patients in control group with a significant difference (χ2=6.985, P<0.01) . The difference in hospital days between observation group [ (6.8±1.3) days]and control group [ (8.9±2.6) days]was significant (t=6.298, P<0.01) . There was a significant difference in the score of ankle hindfoot scale of AOFAS three months after surgery between observation group (80.5±15.1) and control group (74.2±11.8) (t=2.866, P<0.01) . Conclusions The early cold compress post ankle peripheral fracture and operation has advantages in reducing fracture and surgery injury complications, shortening average hospital stay, speeding up postoperative rehabilitation and so on. It is the practical application of fast track surgery in nursing of traumatology orthopaedics. Key words: Fractures, bone; Cold compress; Ankle joint; Enhanced recovery after surgery

Application of fast track surgery in Ttonsillectomy or adenoidectomy perioperative nursing

Objective To explore the application effect of fast track surgery in tonsillectomy or adenoidectomy perioperative nursing. Methods Totally 123 Patients with tonsillectomy or adenoidectomy were selected as study group to receive the nursing care under the guidance of the concept of fast track surgery. 74 patients with the same surgery from early clinical data who were treated by traditional nursing care were selected as control group. Postoperative pain score, length of hospital stay, the incidence of complications and the families of children with satisfaction were compared between the two groups. Results The average hospital stay was (4.56±1.28) d in the study group and (6.32±1.56) d in the control group. The difference was statistically significant (t=2.35, P 0.05), and there were statistically significant differences in the satisfaction of children and their families (χ2=23.05, P<0.01) . Conclusion Application of fast track surgery concept in the perioperative care of pediatric tonsil adenoidectomy can relieve postoperative pain, shorten the length of hospital stay, improve the satisfaction degree of the patients and their families and is worth of being generalized. Key words: Tonsillectomy; Adenoidectomy; Nursing care; Fast track surgery

Application of fast track surgery in perioperative period of laparoscopic cholecystectomy

目的 探讨快速康复护理在腹腔镜胆囊切除术的围手术期中的临床应用价值。 方法 选取胆囊结石伴胆囊炎患者80例，采用随机数字表法分为对照组(n＝40)和观察组(n＝40)。对照组患者进行常规护理干预，观察组应用快速康复护理干预，比较两组患者术后首次下床时间、排气时间、住院时间、疼痛评分、患者肩部疼痛发病率、满意度。 结果 观察组的术后首次下床时间、排气时间、住院时间均优于对照组[(12.55±2.05)h比(6.88±1.42)h，t＝14.40，P<0.01；(32.40±2.91)h比(21.80±2.36)h，t＝17.92，P<0.01；(7.52±1.24)d比(5.08±0.94)d，t＝9.94，P<0.01]；术后6 h、12 h、24 h的疼痛评分低于对照组[(1.63±0.81)分比(2.05±0.99)分，t＝2.11，P＝0.04；(1.45±0.78)分比(1.90±0.93)分，t＝2.34，P＝0.02；(1.27±0.75)分比(1.65±0.80)分，t＝2.16，P＝0.03]；肩部疼痛发生率低于对照组(7.5%比25.0%，χ2＝4.51，P＝0.03)；满意度高于对照组(100.0%比92.5%，χ2＝5.53，P＝0.02)。 结论 腹腔镜胆囊切除术的围手术期中应用快速康复护理，有利于患者减轻疼痛，促进术后早期恢复，缩短住院时间，提高患者满意度。

Application of fast track surgery in routine nursing for patient with colorectal cancer.

Objective: To investigate the clinical effect of fast track surgery (FTS) in perioperative nursing of colorectal cancer surgery. Background: In recent years, many complicated surgery began to develop in the direction of low invasion and short hospital time, which provides an unprecedented opportunity for the development of fast track surgery (FTS). Methods: According to different nursing measures, 156 cases of colorectal cancer patients treated in our hospital were divided into FTS nursing group (86 cases) and traditional nursing group (70 cases). FTS nursing care and traditional nursing care were respectively employed to analyze and compare postoperative recovery and complications of the two groups. Results: FTS nursing group was significantly shorter than the traditional care group in terms of the first postoperative exhaust time, the first defecation time, the first eating time, ambulation time and postoperative hospital time, with statistical significance (P < .05); compared with the conventional nursing group, FTS group significantly had lower incidence of postoperative intestinal obstruction, lower limb vein thrombus formation and gastrointestinal discomfort, with statistical significance (P < .05); FTS group has less situations of nausea and vomiting, incision infection, pulmonary infection, urinary tract infection and anastomotic leakage compared to the conventional nursing group. Conclusion: FTS nursing can effectively promote the postoperative recovery of intestinal function for patients with colorectal cancer and reduce the occurrence of postoperative complications, which will relieve postoperative pain and shorten the length of stay, giving patients increased rehabilitation quality.

Application and prospect of fast-track surgery in gastric cancer

Fast-track surgery is the basis for the use of new medical evidence to optimize the management of perioperative patients. The surgeon forms a set of perioperative treatments by integrating and applying these new evidences to reduce the physical and psychological stress response of patients, and to speed up the rehabilitation of patients. Fast-track Surgery has been used in the treatment of a variety of diseases, including cardiac surgery, total knee replacement, and colorectal surgery. Gastric cancer was the fourth in the most common cancer sorts and the second in death rate in the world. Surgery is a milestone in the treatment of gastric cancer, and is the only effective means to cure. Fast-track surgery in the treatment of gastric cancer is still constantly improving. This article reviews the application of fast-track surgery in gastric cancer surgery. Key words: Fast track surgery; Stomach neoplasms; Gastrectomy; Surgical procedures; operative; Review

Clinical application of fast track surgery in patients with vaginal hysterectomy for non-prolapsed uterus

Objective To investigate the safety and feasibility of fast track surgery (FTS) in patients with vaginal hysterectomy for non-prolapsed uterus. Methods 110 cases of vaginal hysterectomy for non-prolapsed uterus with benign uterine disease were randomly divided into two groups: fast track group (n=55) and conventional group (n=55).The operative time, intraoperative blood loss, postoperative nausea and vomiting, anal exhaust time, postoperative hospital stay, medical cost and perioperative complications were compared between the two groups. Results In FTS group, the incidence rate of postoperative nausea and vomiting, the postoperative anal exhaust time, hospital stay, cost of hospitalization were 16.4%, (13.73±2.41)h and (4.38±1.08)d, (7 541.00±253.17)yuan, respectively, which in the control group were 36.4%, (18.56±1.54)h, (4.89±1.26)d, (8 155.15±495.89)yuan, the differences were statistically significant between the two groups (χ2=5.67, t=-12.53, -2.28, -8.17, all P 0.05). Conclusion FTS has good security.It can short the hospitalization time, reduce medical costs and improve the quality of life in patients who underwent vaginal hysterectomy for non-prolapsed uterus with benign uterine disease. Key words: Hysterectomy, vaginal; Rehabilitation; Postoperative complications

Feasibility of Fast-Track Surgery in Elderly Patients with Gastric Cancer

BackgroundThe aim of this study was to investigate the role of the fast-track surgery (FTS) program in elderly patients (aged ≥75 years) who underwent open surgery for gastric cancer (GC) in China. MethodsA total of 256 patients with GC were randomly assigned to four groups, each of which consisted of 64 cases: the 45–74-year-old age group was subdivided into the FTS-1 group and the conventional care (CC)-1 group, and the 75–89-year-old age group was subdivided into the FTS-2 group and the CC-2 group. All patients underwent open gastrectomy by the same experienced surgical team. We compared the differences between the pairs of groups in different age ranges with respect to the postoperative recovery index, complications, and medical costs. ResultsCompared with the CC-1 group, the FTS-1 group exhibited earlier postoperative flatus, a shorter postoperative hospital stay, lower medical costs, and a decreased incidence of sore throat (P = 0.010, P = 0.000, P = 0.000, and P = 0.019, respectively). Compared with the CC-2 group, the FTS-2 group had more nausea and vomiting, stomach retention, and intestinal obstruction, as well as a higher readmission rate (P = 0.015, P = 0.011, P = 0.041, and P = 0.013, respectively). ConclusionThe application of FTS can significantly speed up postoperative rehabilitation, shorten the hospitalization time, and lower the medical costs for 45–74-year-old GC patients, but this procedure does not show the same benefits for elderly patients. These findings suggest that we should carefully consider whether the FTS program should be applied to elderly patients with GC.

Research on nursing effect of fast track surgery used in colon cancer surgery in a primary hospital

Objective The study aimed to explore the application of fast track surgery in nursing of patients with colon cancer in a primary hospital. Methods The 60 colon cancer patients were identified with numbers to indicate randomization into the fast tract surgery group (group A) and the conventional treatment group (group B) with 30 cases in each group. Group A used the concept of fast track surgery(FST) perioperative nursing care, whereas traditional perioperative nursing care for colon cancer was used in group B . Patients in both groups were observed for postoperative time for passage of gas by anus, time for first food intake, length of stay in hospital, fee for hospitalization as well as incidence of postoperative complications, and comparative analysis was carried out. Results Time for passage of gas by anus(t value was 3.571), time for first food intake (t value was 8.944), length of stay in hospital (t value was 3.397), fee for hospitalization (t value was 3.950) as well as incidence of postoperative complication in group A were lower than those of group B. The satisfaction degree of group A was 96.67%(29/30) while 83.33%(25/30) in group B and the satisfaction degree between the two groups was statistically significant. Conclusions In the primary hospital, the fast track surgery care used in colon cancer can not only speed up the recovery process of the patients, shorten hospital stay, reduce hospital cost and the incidence of postoperative complications, but also can reduce the workload of nurses and improve the satisfaction degree of patients. Key words: Colonic neoplasms; Perioperative nursing; Rehabilitation nursing

Perioperative standardized management under the guidance of fast track surgery in gastric cancer patients

Fast track surgery is referred as the integration of different medical intervention actively during peri-operative period to accelerate the rehabilitation of patients undergoing operation. The propose of fast track surgery has brought about great changes in the treatment mode of many diseases, and the concept has been used in a variety of operations, especially the gastrointestinal surgery. Fast track surgery covers the preoperative appropriate preparation and assessment, sophisticated operative manipulation, and the standardization of postoperative treatment and nursing care. According to clinical trials, fast track surgery is associated with reduced post-operative complications, hospital stay and cost in patients with gastric cancer undergoing surgery. However, some problems exist in the application of fast track surgery in clinical practice, including the multidisciplinary coordination and higher readmission rates etc. A large number of evidence-based clinical trials have confirmed the efficacy of fast track, so we believe that the fast track surgery will be applied more widely.

Application of fast track surgery in colorectal cancer patients

Application of fast track surgery in colorectal cancer patients

Application of fast track surgery in the perioperative nursing of patients with abdominal operation

Objective To analyze the application effect of fast track surgery in the perioperative nursing of patients with abdominal operation .Methods Ninety-one patients with abdominal operation were chosen and divided into the control group （n=45） and the observation group （n=46） according the stratified randomization grouping method.The control group received the routine nursing , and the observation group received the fast track surgery.The preoperative discomfort , postoperative pain, time of gastrointestinal function recovery and the incidence rate of complications after operation were compared between two groups .Results Compared with the control group , the cases of patients with the sensation of thirst , hunger , anxiety in the observation group were significantly less than those in the control group , and the differences were statistically significant （χ2 =3.965, 11.984,17.036, respectively;P〈0.05）.The time of bowel movement after operation was （50.79 ±2.52） h in the observation group, and was （57.25 ±2.57） h in the control group, and the difference was statistically significant （t=1.795,P〈0.05）.The degree of postoperative pain in the observation group was lower than that of the control group, and the difference was statistically significant （Z=-4.768,P〈0.01）.The incidence rate of complications after operation in the observation group was 8.7%, and was lower than 28.9% in the control group, and the difference was statistically significant （χ2 =6.106,P〈0.05）.Conclusions Compared with conventional nursing , the nursing intervention of fast track surgery has obvious advantage to promote early recovery of patients with abdominal operation . Key words: Surgical operation Perioperative nursing Fast track surgery

Application of fast-track surgery in perioperative nursing of patients with percutaneous nephrolithotomy lithotomy with upper-pole access

Objective To explore the effectiveness of fast-track surgery （ FTS） in perioperative nursing of patients with percutaneous nephrolithotomy lithotomy with upper-pole access （PCNL）.Methods Seventy-six kidney stone （ KS） patients with PCNL in our hospital from November 2011 to December 2013 were chosen and randomly divided into the control group and the intervention group , each with 38 cases.The control group received the routine nursing , and the intervention group received the FTS nursing intervention .The hospital stays, the costs of treatment , the score of BI index of living scale and the incidence of complication were recorded and the patients ’ satisfaction were investigated at the end of nursing in two groups .Results The hospital stays, the costs of treatment, the score of BI index of living scale were respectively （8.8 ±2.3） d, （10 980.6 ±966.3）yuan and （84.6 ±9.4） in the intervention group, and were better than （12.4 ±3.0）d, （14 315.3 ±1 537.3） yuan and （68.9 ±7.3） in the control group, and the differences were statistically significant （t =4.682, 9.473, 6.741, respectively;P 〈0.05）.The incidence rate of complication in the intervention group was 10.5% including 2 cases of postoperative fever and 2 cases of postoperative pain , and was better than 31.6% including 4 cases of severe bleeding , 6 cases of postoperative fever , and 2 cases of postoperative pain in the control group , and the difference was statistically significant （χ2 =5.067, P〈0.05）. The patients’ satisfaction was 94.7%in the intervention group, and was high than 78.9%in the control group, and the difference was statistically significant （χ2 =4.145,P〈0.05）.Conclusions FTS nursing intervention adopted in KS patients with PCNL during perioperative period can effectively reduce the incidence of complications , and be accepted by the patients , and which is worthy of further promotion in clinical practice . Key words: Kidney stone; Perioperative nursing; Fast-track surgery; Percutaneous nephroscope ultrasonic lithotripsy

Application of fast track surgery in nursing care for elderly patients with hip replacement surgery

Objective To analyze the security and feasibility of fast track surgery (FTS) concept applied to the elderly hip replacement perioperative period nursing.Methods Using controlled clinical studies,we selected 60 patients in our hospital orthopaedic implement hip replacement surgery in elderly patients with femoral neck fracture,including nursing during the period from January to December 2010 30 patients in the control group (traditional group),according to the traditional methods for treatment and care; operation during the period from January to December 2011 30 cases as the observation group,perioperative fast channel treatment and nursing care,postoperative according to 3 m,6 m,9 m and 12 m of four period follow-up,applied to evaluate Harris scale,we compared two groups of patients with postoperative complication rate of 2 w and the hip joint function rehabilitation process.Results Compared with the control group,observation group significantly reduced the incidence of postoperative complications of 2 w,the hip joint function rehabilitation process was accelerated,the comparative difference was statistically significant (P ＜ 0.05).Conclusion Applying the idea of FTS in elderly patients with hip replacement surgery nursing is safe and feasible,and it can reduce the complications,and accelerate the process. Key words: Fast track surgery; Hip replacement; Gerontism

Application of fast track surgery in donor in liver transplantation

Objective To investigate the clinical value of fast track surgery (FTS) in donor in liver transplantation.Methods The clinical data of 214 donors for liver transplantation at the Renji Hospital of Shanghai Jiaotong University from January 2006 to November 2011 were retrospectively analyzed.All donors were divided into FTS group and conventional group.From January 2006 to May 2009,73 donors who received conventional perioperative management were in the conventional group,and 141 donors who received FTS from May 2009 to November 2011 were in the FTS group.The recovery of the donors in the 2 groups was compared.All data were analyzed using the chi-square test or t test.Results The operation time,time to out-of-bed activity,time to postoperative exsufflation,time to bowel movement,and duration of postoperative hospital stay were (178 ±37) minutes,(1.6 ± 1.0) days,(2.9 ± 1.6) days,(3.1 ± 1.5) days and (5.9 ± 1.9) days in the FTS group,which were significantly shorter than (167 ± 33) minutes,(3.6 ± 1.4) days,(4.6 ± 2.3) days,(4.5 ± 1.4) days and (7.6 ± 1.5) days in the conventional group (t =2.115,77.138,6.504,6.913,6.970,P ＜ 0.05).The hospital costs of the FTS group and the conventional group were (1.8 ±0.6) × 104 yuan and (2.2 ±0.4) x 104 yuan,respectively,with a significant difference between the 2 groups (t =73.038,P ＜ 0.05).The volumes of operative blood loss of the FTS group and the conventional group were (130 ± 47)ml and (138 ± 46)ml,with no significant difference between the 2 groups (t =1.251,P ＞ 0.05).The rate of satisfaction of the donors in the FTS group and conventional group were 98.6％ (139/141) and 89.2％ (74/83),respectively,with a significant difference between the 2 groups (x2 =9.94,P ＜ 0.05).Conclusion FTS is safe,economical and can reduce stress,decrease hospital costs and promote early recovery of donors in liver transplantation. Key words: Fast track surgery; Liver transplantation, living donor; Donor

Fast-track surgery: procedure-specific aspects and future direction

Fast-track (FT) surgery can be defined as a coordinated perioperative approach aimed at reducing surgical stress and facilitating postoperative recovery. The objective of this review was to examine the literature on the procedure-specific application of FT surgery. The concept of FT rehabilitation has been applied mainly in colorectal surgery, but positive data have appeared also in other areas such as orthopedic, hepatopancreaticobiliary, urological, upper gastrointestinal, gynecological, thoracic, vascular, endocrine, breast, and pediatric surgeries. There is very little experience with comprehensive FT programs in cardiac surgery or trauma. Quantitative analysis from randomized trials and cohort studies suggest that FT is effective in reducing hospital stay without increased adverse events. Other benefits of the FT approach include a reduction in complications, ileus, fatigue, pain, and hospital expenses. However, despite clear benefits of FT care, implementation in daily practice has been slow. Further efforts must be undertaken to secure implementation in routine clinical practice. Standardized FT protocols should be provided on a procedure-specific basis.