Prähabilitation

Die Prähabilitation widmet sich der präoperativen Phase, in der der Patient optimal auf einen großen chirurgischen Eingriff vorbereitet werden soll. In einem multimodalen Konzept, welches Ernährungs- und Bewegungstherapie, psychologische Unterstützung und ein Patient Blood Management einbezieht, werden so Voraussetzungen gesetzt, den Patienten postoperativ schnell wieder fit zu machen und in die Häuslichkeit zu entlassen.

Kernaussagen

• Die Prähabilitation nutzt die mehrwöchige präoperative Phase, um den Patienten vor einem großen abdominalchirurgischen Eingriff optimal auf die Operation vorzubereiten.

• Dabei werden modifizierbare Risikofaktoren adressiert, wie Mangelernährung, eine Eisenmangelanämie, Sarkopenie, verringerte funktionelle Kapazität.

• Eine multimodale Prähabilitation besteht aus Ernährungs- und Bewegungstherapie, psychologischer Unterstützung und ggf. einem Patient Blood Management.

• Anhand der derzeitigen Evidenzlage können keine eindeutigen Empfehlungen gegeben werden, welche Maßnahmen in welcher Intensität und in welchem Zeitraum durchzuführen sind.

Schlüsselwörter

Prähabilitation - Viszeralchirurgie - präoperative Ernährungs- und Bewegungstherapie

Publication History

Article published online:
26 September 2022

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