The Prevalence of Postoperative Pain in a Cross-sectional Group of Patients After Day-case Surgery in a University Hospital

AbstractObjective:The safety of day-case tonsillectomy is widely documented in the literature; however, there are no evidence-based guidelines recommending patient characteristics that are incompatible with day-case tonsillectomy. This study aimed to identify which patients should be considered unsafe for day-case tonsillectomy based on the likelihood of needing critical intervention.Method:Retrospective review of 2863 tonsillectomy procedures performed at University Hospital Geelong from 1998 to 2014.Results:Of the patients, 7.81 per cent suffered a post-tonsillectomy complication and 4.15 per cent required intervention. The most serious complications, haemorrhage requiring a return to the operating theatre and airway compromise, occurred in 0.56 per cent and 0.11 per cent of patients respectively. The following patient characteristics were significantly associated with poorer outcomes: age of two years or less (p < 0.01), tonsillectomy indicated for neoplasm (p < 0.01) and quinsy (p < 0.05).Conclusion:The authors believe that all elective tonsillectomy patients should be considered for day-case surgery, with the following criteria necessitating overnight observation: age of two years or less; an indication for tonsillectomy of neoplasm or quinsy; and an American Society of Anesthesia score of more than 2.

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Paediatric day-stay myringoplasty: a review of 74 consecutive cases

The Journal of Laryngology & Otology ◽

10.1258/00222150260369408 ◽

2002 ◽

Vol 116 (11) ◽

pp. 899-902 ◽

Cited By ~ 5

Author(s):

C. Ryan ◽

R. Harris ◽

T. Hung ◽

J. Knight

Keyword(s):

Traditional Method ◽

Day Surgery ◽

University Hospital ◽

Day Case ◽

Day Case Surgery ◽

Safe Environment ◽

The Family ◽

Case Surgery ◽

Family Home ◽

Operative Recovery

Day-case surgery is particularly attractive for children, allowing post-operative recovery in the safe environment of the family home. Myringoplasty using the traditional method of underlay temporalis fasia is usually performed as an in-patient. From 1995 to 2000, 74 myringoplasties were performed in a dedicated paediatric day surgery unit at the Mayday University Hospital. We have retrospectively reviewed the outcome results of these procedures and reported them here. Only three patients required admission overnight (four per cent) and six grafts failed (8.5 per cent) complying with accepted standards. This series suggests that day-case surgery is a safe and desirable practice for children undergoing myringoplasty. However, there should be the facility for admission if required.

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Current practice of preoperative fasting for pediatric day case surgery in a tertiary care university hospital in Egypt

10.26226/morressier.58f5b033d462b80296c9de71 ◽

2017 ◽

Author(s):

Heba Nassar

Keyword(s):

Current Practice ◽

Tertiary Care ◽

University Hospital ◽

Preoperative Fasting ◽

Day Case ◽

Day Case Surgery ◽

Case Surgery

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The Cost of Day-Case Surgery for Varicose Veins

Phlebology The Journal of Venous Disease ◽

10.1177/026835559100600404 ◽

1991 ◽

Vol 6 (4) ◽

pp. 223-225 ◽

Cited By ~ 1

Author(s):

A. Price ◽

G. S. Makin

Keyword(s):

Varicose Veins ◽

University Hospital ◽

Day Case ◽

Day Case Surgery ◽

Case Surgery ◽

The Cost

A methodology is described to calculate the cost of day-case surgery at University Hospital, Nottingham during 1988/89, which may be suitable for use elsewhere. Day-case surgery for varicose veins is cheaper than the corresponding inpatient surgery.

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An Audit of Postoperative Pain and Nausea in Day Case Surgery

Survey of Anesthesiology ◽

10.1097/00132586-199904000-00003 ◽

1999 ◽

Vol 43 (2) ◽

pp. 60-61

Author(s):

A. STOCKDALE ◽

M. BELLMAN

Keyword(s):

Postoperative Pain ◽

Day Case ◽

Day Case Surgery ◽

Case Surgery

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Risk-based targeting of adjuvant pregabalin treatment in laparoscopic cholecystectomy: a randomized, controlled trial

Scandinavian Journal of Pain ◽

10.1515/sjpain-2018-0330 ◽

2019 ◽

Vol 19 (2) ◽

pp. 309-317 ◽

Cited By ~ 1

Author(s):

Hanna von Plato ◽

Kristiina Mattila ◽

Satu Poikola ◽

Eliisa Löyttyniemi ◽

Katri Hamunen ◽

...

Keyword(s):

Risk Factors ◽

Laparoscopic Cholecystectomy ◽

Postoperative Pain ◽

Positive Association ◽

Day Case ◽

Day Case Surgery ◽

Multiple Risk Factors ◽

Item Questionnaire ◽

Case Surgery ◽

Multiple Risk

Abstract Background and aims Pain is the most common reason for delayed discharge after day-case laparoscopic cholecystectomy. This study investigates a simple five-item questionnaire in evaluating the risk of postoperative pain in day-case cholecystectomy and the efficacy and safety of single-dose preoperative pregabalin on patients with multiple risk factors for pain. There are no previous studies on targeting adjuvant pain treatment based on the individual risk factors like the preoperative state of anxiety, acute or chronic pain, and the expectation of pain in day-case surgery. Methods One hundred and thirty patients scheduled for day-case laparoscopic cholecystectomy were evaluated with a five-item questionnaire assessing the risk for postoperative pain. The patients with multiple risk factors (n=60) were randomized to receive either pregabalin 150 mg or placebo, 1 h before surgery. The primary outcome was abdominal pain intensity on numerical rating scale (NRS) 1 h after surgery. Pain, analgesic consumption and adverse effects during first three postoperative days, and the length of hospital stay were also recorded. Results Pregabalin 150 mg given as an adjuvant analgesic preoperatively did not decrease postoperative abdominal pain or opioid consumption in the first hour after surgery compared to placebo in a preselected group of patients with multiple risk factors for postoperative pain (p=0.31). Preoperative anxiety assessed with a scale of 0–10 had a positive association with postoperative pain (p=0.045). Conclusions and implications This was the first trial on systematically selecting patients with a high-risk factor profile for postoperative pain as a target for a preventive adjuvant analgesic intervention. Although numerous previous studies have identified various risk factors, including those used in the current trial, it seems to be challenging to use these risk factors as predictive tools for targeting adjuvant analgesics in day-case surgery. Preoperative anxiety has a positive association with postoperative pain in day-case laparoscopic cholecystectomy, and this should be taken into account when treating these patients.

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