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Postoperatives Vorgehen

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Book cover Fast Track in der operativen Medizin

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Obwohl die Bemühungen um eine optimale Rekonvaleszenz der Patienten wie in den vorangegangenen Kapiteln ausführlich erläutert bereits präoperativ, am besten sogar bereits vor der stationären Aufnahme beginnen müssen, kommt der postoperativen Phase natürlich eine entscheidende Bedeutung zu. Nach der Operation muss die präoperativ vereinbarte Zusammenarbeit von Patient, Pflegepersonal, Physiotherapie und Ärzten konsequent umgesetzt werden. Während die gesteckten Ziele bei kleinen Eingriffen in der Regel sehr leicht erreicht werden, sind bei mittelgroßen bis großen Operationen der Tag der Operation und der erste postoperative Tag von entscheidender Bedeutung für die weitere Rekonvaleszenz der Patienten. Fehler und Versäumnisse, die innerhalb der ersten 36–48 postoperativen Stunden auftreten, verzögern die weitere Genesung der Patienten in erheblichem Maß. Daher sind die Anforderungen an Patienten und medizinisches Personal innerhalb der ersten postoperativen Stunden besonders hoch. Der Operateur muss dabei als Arzt einschätzen, welches Ausmaß der Belastung dem Patienten zugemutet werden kann.

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Authors and Affiliations

  1. Universitätsklinik für Allgemein, Visceral-, Gefäß- und Thoraxchirurgie, Universitätsmedizin Berlin-Charité, Campus Mitte Charitéplatz 1, 10117, Berlin

    W. Raue Dr. med. & W. Schwenk Prof. Dr. med.

  2. Park-Klinik Weissensee Anästhesiologie, Intensivmedizin, Schönstraße 80, 13086, Berlin

    M. Hensel Priv.-Doz. Dr. med.

  3. Universitätsklinik für Anästhesiologie und operative Intensivmedizin, Universitätsmedizin Berlin-Charité, Campus Mitte Charitéplatz 1, 10117, Berlin

    C. Spies Prof. Dr. med.

Authors
  1. W. Raue Dr. med.
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  2. W. Schwenk Prof. Dr. med.
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  3. M. Hensel Priv.-Doz. Dr. med.
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  4. C. Spies Prof. Dr. med.
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© 2009 Springer Medizin Verlag Heidelberg

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Raue, W., Schwenk, W., Hensel, M., Spies, C. (2009). Postoperatives Vorgehen. In: Fast Track in der operativen Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-39709-0_5

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  • DOI: https://doi.org/10.1007/978-3-540-39709-0_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-39708-3

  • Online ISBN: 978-3-540-39709-0

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