JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow CME: Take the course for this article:
Role of the Anesthesiologist in Fast-Track Surgery
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (20)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by White, P. F.
Right arrow Search for Related Content
PubMed
Right arrow Articles by White, P. F.
Related Collections
Right arrow Ambulatory
Right arrow Anesthesia Practice

Anesth Analg 2007;104:1380-1396
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000263034.96885.e1


AMBULATORY ANESTHESIA

The Role of the Anesthesiologist in Fast-Track Surgery: From Multimodal Analgesia to Perioperative Medical Care

Paul F. White, PhD, MD*, Henrik Kehlet, MD, PhD{dagger}, Joseph M. Neal, MD{ddagger}, Thomas Schricker, MD, PhD§, Daniel B. Carr, MD||¶, Franco Carli, MD, MPhil§, and the Fast-Track Surgery Study Group

From the *Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center at Dallas, Texas; {dagger}Section for Surgical Pathophysiology, The Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark; {ddagger}Department of Anesthesia, Virginia Mason Medical Centre, Seattle, Washington; §Department of Anesthesia, McGill University Health Centre, Montreal, Canada; ||Department of Anesthesia, Tufts-New England Medical Center, Boston, Massachusetts; and ¶Javelin Pharmaceuticals, Cambridge, Massachusetts.

Address correspondence and reprint requests to Paul F. White, PhD, MD, Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center at Dallas, Texas. Address e-mail to paul.white{at}utsouthwestern.edu.

BACKGROUND: Improving perioperative efficiency and throughput has become increasingly important in the modern practice of anesthesiology. Fast-track surgery represents a multidisciplinary approach to improving perioperative efficiency by facilitating recovery after both minor (i.e., outpatient) and major (inpatient) surgery procedures. In this article we focus on the expanding role of the anesthesiologist in fast-track surgery.

METHODS: A multidisciplinary group of clinical investigators met at McGill University in the Fall of 2005 to discuss current anesthetic and surgical practices directed at improving the postoperative recovery process. A subgroup of the attendees at this conference was assigned the task of reviewing the peer-reviewed literature on this topic as it related to the role of the anesthesiologist as a perioperative physician.

RESULTS: Anesthesiologists as perioperative physicians play a key role in fast-track surgery through their choice of preoperative medication, anesthetics and techniques, use of prophylactic drugs to minimize side effects (e.g., pain, nausea and vomiting, dizziness), as well as the administration of adjunctive drugs to maintain major organ system function during and after surgery.

CONCLUSION: The decisions of the anesthesiologist as a key perioperative physician are of critical importance to the surgical care team in developing a successful fast-track surgery program.




This article has been cited by other articles:


Home page
Anesth. Analg.Home page
C. L. Wu and S. S. Liu
Intravenous Lidocaine for Ambulatory Anesthesia: Good to Go or Not So Fast?
Anesth. Analg., December 1, 2009; 109(6): 1718 - 1719.
[Full Text] [PDF]


Home page
Anesth. Analg.Home page
N. Eipe and J. Penning
Bowel Surgery and Multimodal Analgesia: Same Game, New Team?
Anesth. Analg., November 1, 2009; 109(5): 1703 - 1704.
[Full Text] [PDF]


Home page
Anesth. Analg.Home page
P. F. White, J. Tang, R. H. Wender, R. Yumul, O. J. Stokes, A. Sloninsky, R. Naruse, R. Kariger, E. Norel, S. Mandel, et al.
Desflurane Versus Sevoflurane for Maintenance of Outpatient Anesthesia: The Effect on Early Versus Late Recovery and Perioperative Coughing
Anesth. Analg., August 1, 2009; 109(2): 387 - 393.
[Abstract] [Full Text] [PDF]


Home page
Anticancer ResHome page
S. S. CHOPRA, S. C. SCHMIDT, C. FOTOPOULOU, J. SEHOULI, and G. SCHUMACHER
Evidence-based Perioperative Management: Strategic Shifts in Times of Fast Track Surgery
Anticancer Res, July 1, 2009; 29(7): 2799 - 2802.
[Abstract] [Full Text] [PDF]


Home page
Contin Educ Anaesth Crit Care PainHome page
A. J. Kitching and S. S. O'Neill
Fast-track surgery and anaesthesia
CEACCP, April 1, 2009; 9(2): 39 - 43.
[Full Text] [PDF]


Home page
Anesth. Analg.Home page
I. Gilron, E. Orr, D. Tu, C. D. Mercer, and D. Bond
A Randomized, Double-Blind, Controlled Trial of Perioperative Administration of Gabapentin, Meloxicam and Their Combination for Spontaneous and Movement-Evoked Pain After Ambulatory Laparoscopic Cholecystectomy
Anesth. Analg., February 1, 2009; 108(2): 623 - 630.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
K. S. Christensen, A. E. Cohen, F. H. Mermelstein, D. A. Hamilton, E. McNicol, N. Babul, and D. B. Carr
The Analgesic Efficacy and Safety of a Novel Intranasal Morphine Formulation (Morphine plus Chitosan), Immediate Release Oral Morphine, Intravenous Morphine, and Placebo in a Postsurgical Dental Pain Model
Anesth. Analg., December 1, 2008; 107(6): 2018 - 2024.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
P. F. White, J. F. O'Hara, C. R. Roberson, R. H. Wender, K. A. Candiotti, and The POST-OP Study Group
The Impact of Current Antiemetic Practices on Patient Outcomes: A Prospective Study on High-Risk Patients
Anesth. Analg., August 1, 2008; 107(2): 452 - 458.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
P. F. White, O. Sacan, N. Nuangchamnong, T. Sun, and M. R. Eng
The Relationship Between Patient Risk Factors and Early Versus Late Postoperative Emetic Symptoms
Anesth. Analg., August 1, 2008; 107(2): 459 - 463.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
B. Tufanogullari, P. F. White, M. P. Peixoto, D. Kianpour, T. Lacour, J. Griffin, G. Skrivanek, A. Macaluso, M. Shah, and D. A. Provost
Dexmedetomidine Infusion During Laparoscopic Bariatric Surgery: The Effect on Recovery Outcome Variables
Anesth. Analg., June 1, 2008; 106(6): 1741 - 1748.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
R. S. Twersky, S. Sapozhnikova, and B. Toure
Risk Factors Associated with Fast-Track Ineligibility After Monitored Anesthesia Care in Ambulatory Surgery Patients
Anesth. Analg., May 1, 2008; 106(5): 1421 - 1426.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
P. F. White
Reengineering Fast-Track Anesthesia: The Expanding Role of Anesthesiologists in Perioperative Medical Care Meeting in Abano Terme, Padova, Italy, on June 19-20, 2007
Anesth. Analg., April 1, 2008; 106(4): 1250 - 1251.
[Full Text] [PDF]


Home page
Anesth. Analg.Home page
T. Sun, O. Sacan, P. F. White, J. Coleman, R. J. Rohrich, and J. M. Kenkel
Perioperative Versus Postoperative Celecoxib on Patient Outcomes After Major Plastic Surgery Procedures
Anesth. Analg., March 1, 2008; 106(3): 950 - 958.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
P. F. White and H. Kehlet
Improving Pain Management: Are We Jumping from the Frying Pan into the Fire?
Anesth. Analg., July 1, 2007; 105(1): 10 - 12.
[Full Text] [PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2007 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.