▾ Propofol in day-case anaesthesia

1990 ◽  
Vol 28 (5) ◽  
pp. 19-20

The increase in day-case surgery means that many patients go home from hospital having had a general anaesthetic on the same day. Propofol (Diprivan - ICI) is a short-acting intravenous anaesthetic for which the manufacturer claims recovery is faster and better than after other intravenous anaesthetic drugs, making it especially suitable for day cases. It can be used alone for induction and maintenance, or combined with standard maintenance anaesthetics.

1990 ◽  
Vol 28 (21) ◽  
pp. 81-82

Many patients now have surgery as day cases, being admitted and discharged from hospital on the day of the operation; most have a general anaesthestic (GA). Serious complications are rare if day case surgery is confined to short, minor procedures in fit patients. However, both the patient and the GP need to be aware of the complications of anaesthesia which may arise after discharge from hospital. A future article will discuss other aspects of day case surgery.


1983 ◽  
Vol 21 (15) ◽  
pp. 58-60

Intravenous anaesthetic drugs are often used alone in brief procedures such as cardioversion, endoscopy, realignment of fractures, reduction of dislocated joints, electroconvulsive therapy, ‘day-case’ surgery, and dentistry. Many hospital doctors besides anaesthetists should therefore be familiar with the individual actions and unwanted effects of these drugs.


1987 ◽  
Vol 15 (4) ◽  
pp. 389-393 ◽  
Author(s):  
W. M. Weightman ◽  
M. Zacharias

Thiopentone and propofol were used for the induction and maintenance of anaesthesia in unpremedicated patients undergoing minor gynaecological procedures. There were no significant differences in the induction and maintenance characteristics except for a high incidence of pain on injection and a greater fall in the mean systolic blood pressure associated with propofol in comparison with thiopentone. Propofol was associated with a quicker early recovery as well as a faster psychomotor recovery, as tested by a peg-board. However, complete psychomotor recovery was not achieved for up to three hours in some patients receiving propofol and so caution is advised regarding the early street fitness of patients receiving repeated doses of the drug for day case surgery.


2017 ◽  
Vol 132 (1) ◽  
pp. 46-52 ◽  
Author(s):  
S Morris ◽  
E Hassin ◽  
M Borschmann

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.


1984 ◽  
Vol 56 (2) ◽  
pp. 165-169 ◽  
Author(s):  
M.E. CRAWFORD ◽  
P. CARL ◽  
R.S. ANDERSEN ◽  
B.O. MIKKELSEN

Author(s):  
Harold Ellis

In 1971, some of the new advances that were set to change the field of general surgery included theories about the development of peptic ulcers, new treatments for varicose veins and pioneering work in the introduction of day case surgery.


Sign in / Sign up

Export Citation Format

Share Document