Day case surgery

1991 ◽  
Vol 29 (6) ◽  
pp. 23-24 ◽  
Keyword(s):  
Day Surgery ◽  
Waiting Lists ◽  
Day Case ◽  
Day Case Surgery ◽  
Surgical Services ◽  
Case Surgery ◽  
Working Day

Long waiting lists, shortage of nurses and lack of resources bedevil surgical services. One solution has been the use of day surgery, patients being admitted and discharged within the working day. Day surgery, balanced by a corresponding reduction in inpatient surgical beds, helps hospital finances1 but do patients benefit and how do day units work? These questions have recently been addressed in two national reports.2,3

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

2002 ◽  
Vol 116 (11) ◽  
pp. 899-902 ◽  
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.

scholarly journals Day Case Surgery: The Way Forward for Elective Surgery in Developing Countries

2021 ◽  
pp. 133-141
Author(s):  
Richard Wismayer
Keyword(s):  
Developing Countries ◽  
Developing World ◽  
Elective Surgery ◽  
Developed Countries ◽  
Day Surgery ◽  
Economic Benefits ◽  
Day Case ◽  
Day Case Surgery ◽  
Scarce Resources ◽  
Case Surgery

The established principle of ambulating surgical patients as early as possible lies behind the concept of day case surgery currently being practised worldwide. There is a lag in day surgery practise between the developed and the developing world. In the last decades, freestanding and autonomous day surgery units have been established in the developed world however the developing world still tends to practise hospital based day case surgery. This article reviews the evolution, organization and infrastructure for day case surgery and evaluates this practise in developing countries. There is increasing need to develop the potential and relevance of day case surgery in developing countries which may result in substantial economic benefits. The health sectors in developing countries are coping with scarce resources and therefore day case surgery is an economically better option providing more advantages to patients as well as stakeholders. Surgical societies in developing countries should work closely with the Associations of Surgery in developed countries to establish infrastructure and guidelines to promote day case surgery in developing countries in East Africa.

Standardised Analgesia Packs after Day Case Orthopaedic Surgery

2007 ◽  
Vol 17 (7) ◽  
pp. 340-346 ◽  
Author(s):  
Rachel Townsend ◽  
Felicia Cox
Keyword(s):  
Severe Pain ◽  
Orthopaedic Surgery ◽  
Significant Proportion ◽  
Anaesthetic Techniques ◽  
Day Surgery ◽  
Patient Experiences ◽  
Day Case ◽  
Day Case Surgery ◽  
Discharge Home ◽  
Case Surgery

Two of the advantages of day surgery are less disruption to patients’ lives and the comfort of recovering at home. However, despite advances in analgesic and anaesthetic techniques, pain following day surgery is not well managed: recent studies have shown that between 30–60% of patients suffer moderate to severe pain during the first 24 hours after discharge home following day surgery (Beauregard et al 1998, McGrath et al 2004, Pavlin et al 2004). A significant proportion of patients (25–30%) continue to report pain of this severity at seven days following day surgery (Beauregard et al 1998, Watt-Watson 2004). This article reviews published studies of patient experiences of pain and analgesia consumption after day case surgery and provides a model for the introduction of standardised take-home analgesic packs.

Day case surgery

2021 ◽  
pp. 941-960
Keyword(s):  
Day Surgery ◽  
Day Case ◽  
Day Case Surgery ◽  
Hospital Acquired Infection ◽  
Case Surgery ◽  
History Of ◽  
The Common ◽  
Definition Of ◽  
Hospital Acquired ◽  
Stay Hospital

This chapter studies day case surgery. The definition of day case surgery is the planned day admission of a patient to hospital for a surgical procedure, after which there is subsequent successful and safe discharge back home on the same day. The main rationale behind day surgery is to get patients discharged home following their operations in a safe and timely manner instead of spending prolonged periods within the hospital as an inpatient. This has significant implications, including reducing hospital stay, hospital-acquired infection, and healthcare-related costs while also improving patient experience and service efficiency. Surgical, anaesthetic, and patient factors should be considered for successful day case surgery. The chapter then traces the history of day case surgery, before detailing the common day surgery procedures.

Setting up Pre-Admission Visits for Children Undergoing Day Surgery: A Practice Development Initiative

2010 ◽  
Vol 20 (6) ◽  
pp. 203-206 ◽  
Author(s):  
Maria O'Shea ◽  
Ann Cummins ◽  
Ann Kelleher
Keyword(s):  
Negative Emotions ◽  
Day Surgery ◽  
Negative Effects ◽  
Day Case ◽  
Day Case Surgery ◽  
Hospital Experience ◽  
Case Surgery ◽  
Practice Development

The hospital experience can bring about a range of negative emotions for children. The literature clearly states that children who are prepared for surgery recover faster and have fewer negative effects. Pre-admission programmes seek to prepare children (and their parents) for surgery. This paper describes in detail how a pre-admission programme was established for children and their families who were scheduled for day case surgery.

scholarly journals The Feasibility and Applications of Non-invasive Cardiac Monitoring in Obese Patients Undergoing Day-case Surgery: Results of a Prospective Observational Study

2020 ◽  
Vol 14 (1) ◽  
pp. 80-89
Author(s):  
P. Sansone ◽  
L.G. Giaccari ◽  
U. Colella ◽  
F. Coppolino ◽  
M.C. Pace ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Observational Study ◽  
Day Surgery ◽  
Normal Weight ◽  
Cardiac Output Monitoring ◽  
Obese Patients ◽  
Day Case ◽  
Day Case Surgery ◽  
Non Invasive ◽  
Case Surgery

Aims: This prospective observational study evaluates the utility of non-invasive cardiac monitoring in obese patients in the day-surgery case, considering factors, such as Body Mass Index (BMI) and anaesthesia technique. Background: Obese patients are more likely to be admitted to hospital or to get hospitalized because they are more prone to concomitant diseases and obesity itself is not a contraindication to day surgery. Obese patients are a high-risk patient population that may particularly benefit from monitoring perioperative haemodynamic variations. Methods: In this observational study, we compared haemodynamic variations between overweight or obese and normal weight patients undergoing day-case surgery. We adopted NICOM® as a non-invasive cardiac output monitoring. Objective: The aim of the current study was to investigate the haemodynamic impact of BMI and anaesthesia technique during day-case surgery procedures. The other goal was to evaluate the feasibility and applications of non-invasive cardiac output monitoring among the obese population in day-surgery. Results: 74 patients were included in the study. 34 were overweight or obese (weight 84 ± 10 kg, height 160 ± 10 cm, BMI ≈ 30 kg/m2), 40 were normal weight (weight 63 ± 15 kg, height 160 ± 10 cm, BMI ≈ 22 kg/m2). Compared to normal-weight patients, obese patients show an increase in blood pressure with a return to baseline values at the end of surgery (p < 0.05). The Cardiac Output (CO) shows a similar trend, whereas the heart rate is normal. A decrease in the Cardiac Index (CI) during the operation was noticed in both groups, the one in obese patients (p = 0.24) being greater. In the same way, the Stroke Volume Index (SVI) was lower in obese patients during surgery (p < 0.05). In spinal anaesthesia, the Total Peripheral Resistance Index (TPRI) was not statistically different between the groups of study. As for the TPRI in obese patients, we reported values similar to the ones in non-obese patients in spinal anaesthesia. In local anesthesia, TPRI was higher in obese patients than in non-obese. Conclusion: Cardiovascular alterations in relation to obesity include an increase in blood pressure, CO and SV. An inadequate monitoring of haemodynamic parameters is a risk factor for perioperative complications. NICOM® provides a continuous, non-invasive haemodynamic measurement.

Day-case surgery

2019 ◽  
pp. 265-272
Author(s):  
Steve Roberts
Keyword(s):  
Patient Selection ◽  
Day Surgery ◽  
Children And Families ◽  
Day Case ◽  
Day Case Surgery ◽  
Anaesthetic Practice ◽  
Case Surgery

Day surgery is an immensely important aspect of any hospital’s workload, with innovations in both surgery and anaesthesia allowing a greater array of procedures to be delivered in this manner. The benefits to children and families is huge, particularly in avoiding the psychological upset of an overnight admission. This chapter describes the facilities and resources required to safely deliver day surgery for children, as well as the general principles of patient selection and anaesthetic practice.

Adult ENT day surgery: a case for expansion of services

2006 ◽  
Vol 88 (9) ◽  
pp. 314-317 ◽  
Author(s):  
MF Bhutta
Keyword(s):  
Day Surgery ◽  
Day Case ◽  
Day Case Surgery ◽  
The Past ◽  
Department Of Health ◽  
Audit Commission ◽  
Case Surgery ◽  
Commission Report ◽  
Gradual Expansion ◽  
The Uk

Day case surgery is acknowledged to have many advantages over inpatient surgery, including greater efficiency, reduced risk of infection, reduced waiting lists and lower costs. 1 Although in the past two decades day surgery has experienced a gradual expansion of services in the UK, the 2001 Audit Commission report on day surgery showed that there was still far more potential for expansion 2 and the Department of Health launched the 'day surgery strategy' in January 2002 with the specific aim of increasing and improving day surgery in the NHS.

scholarly journals Comparison of Propofol and Thiopentone Anaesthesia (with Special Reference to Recovery Characteristics)

1987 ◽  
Vol 15 (4) ◽  
pp. 389-393 ◽  
Author(s):  
W. M. Weightman ◽  
M. Zacharias
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Day Case ◽  
Early Recovery ◽  
Day Case Surgery ◽  
Pain On Injection ◽  
High Incidence ◽  
Case Surgery ◽  
Repeated Doses ◽  
The Mean

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.

Sign in / Sign up

Export Citation Format

Share Document