Perioperative treatment

Perioperative management in patients who are to undergo a surgical operation is extremely important to achieve the optimum outcome of surgery. The effective reduction of postoperative mortality and postoperative morbidity for all age classes is connected to improvements in surgical and anesthesiology techniques as well as in advanced perioperative management (Fast- Track) [1]. Perioperative activity can be broken down into procedures carried out: - before the operation (intestinal preparation, pre-operative nutrition, antibiotic prophylaxis, antithrombotic prophylaxis, bladder catheter); - during the operation (insertion of nasogastric probe (NGP), fluid therapy, abdominal drainage); - after the operation (early oral feeding, NRS pain control (Numeric Pain Intensity Scale), early mobilization). Improvements in perioperative activity have meant a reduction of hospitalization and with it an improvement in the outcome of the patient, guaranteeing a lower degree of operative and preoperative stress, excellent pain control, and a reduction in organ dysfunction, as well as a saving of hospital resources [2].