Fast-Track Colorectal Surgery in Senior Patients

Summary

Fast-track (FT) surgery is a multimodal, multidisciplinary-team approach to reduce perioperative surgical stress and injury after colorectal surgery, resulting in lower morbidity and enhanced recovery. As fast-track approach could probably be the most beneficial for senior patients to reduce postoperative morbidity and better preserve independency, only scarce information is available in senior population. Therefore a randomized controlled trial is initiated in our institution compare a senior dedicated fast-track approach to modern standard care after colorectal surgery.

Conditions

• Colorectal Disorders

Interventions

DIETARY_SUPPLEMENT

Preoperative Carbohydrate load

oral intake in the evening before surgery and 2-3h before intubation

PROCEDURE

individualized i.v fluids therapy

by Transoesophageal aortic US-Doppler done intraoperatively

BEHAVIORAL

Fasting state after midnight

No preoperative glucose load

BEHAVIORAL

No Nasogastric tube postoperatively

Withdrawal after complete awakening in operating room

BEHAVIORAL

urinary catheter removal

at POD 1

BEHAVIORAL

Oral liquids

0.3-0.5L oral liquids at 6h postoperatively on POD 0

BEHAVIORAL

Stimulation of inspirex utilization

using 6-8 times/day to prevent pulmonary atelectasis

BEHAVIORAL

Mobilization

First active mobilization 6h after surgery (2h on chair or 45° sitting in bed), \>4h out of bed on POD1, \>6h on POD2, complete at POD3

OTHER

Preanesthetic medication

Preanesthetic oral medication before surgery

Sponsors & Collaborators

• University Hospital, Geneva

  lead OTHER

Principal Investigators

• Sandrine Ostermann, MD, PhD · University Hospital, Geneva

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

70 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2009-12-31

Primary Completion

2013-12-31

Completion

2013-12-31

Countries

• Switzerland

Study Locations