FAST TRACK CONCEPT IN MODERN NEUROANESTHESIOLOGY

Abstract The concept of fast-track is one of the most discussed trends in the development of modern surgery. According to supporters of this ideology, the use of fast-track leads to the reduction ofhospital stay without increasing in readmission, reducing the frequency of postoperative complications, which is reflected in the decrease in the cost of the treatment and social expenses, due to earlier return of patients to normal life. The authors of this review discuss different anesthetic issues of fast-track approach (early awakening, postoperative analgesia, prevention of PONV; neuromuscular block reversion). The paper contains also valuable reasons for using fast-track in neurosurgery, as well as contraindications to the use of this approach.