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Video Interview

Professor Henrik Kehlet




How important are the enhanced recovery programmes like rapid recovery for the future of orthopaedics?

I think that fast track surgery or rapid recovery or enhanced recovery after surgery is very important, not only in Europe, but accross the world. Major surveys in different countries have shown that the treatment, the overall treatement in many procedures (including orthopaedic surgery) is not according to existing evidence and furthermore, to have enhanced programme that wil not only reduces length of stay, reduce mobility and risk of surgery and also better pain relief is then involved in the programme, so it is very important and it will develop really in the next couple of years.


How do you think we can speed up the implementation of results from scientific clinical studies?

There are two ways to do it; firstly every clinic should know their own data, which is not often the case. They then have to be educated about what do we know from other places and then you simply compare the data which will serve as a stimulus to improve your practice. Also we need to have meetings where all the aspects, all the factors that are involved in the Rapid Recovery programme are discussed because we have to ensure that this is not a fixed programme, it is in continuous development until we have programmes that secure patients to go home the same day of surgery.


Do you think it is time to introduce mandatory pathway efficiency in Europe?

We need to have some sort of control, I wouldn’t like to say we should have mandatory programmes for rapid recovery because their still in development, continuous development. We need to have some control over practice in different hospitals to secure they are doing what they should, as in most cases the government pay for the healthcare and if I was the health minister I would definitely like to know what is going on, so that is a type of mandatory monitoring of practice.   

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Video Information

Interview with Henrik Kehlet, Professor of Perioperative therapy

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