scholarly journals Day-case surgery for total hip and knee replacement

2018 ◽  
Vol 3 (4) ◽  
pp. 130-135 ◽  
Author(s):  
Stefan Lazic ◽  
Oliver Boughton ◽  
Catherine F. Kellett ◽  
Deiary F. Kader ◽  
Loïc Villet ◽  
...  
Keyword(s):  
Blood Loss ◽  
Patient Selection ◽  
Clinical Pathway ◽  
Pain Control ◽  
Healthcare Systems ◽  
Day Case ◽  
Day Case Surgery ◽  
Iatrogenic Complications ◽  
Proper Patient Selection ◽  
Case Surgery

Multimodal protocols for pain control, blood loss management and thromboprophylaxis have been shown to benefit patients by being more effective and as safe (fewer iatrogenic complications) as conventional protocols. Proper patient selection and education, multimodal protocols and a well-defined clinical pathway are all key for successful day-case arthroplasty. By potentially being more effective, cheaper than and as safe as inpatient arthroplasty, day-case arthroplasty might be beneficial for patients and healthcare systems.Cite this article: EFORT Open Rev 2018;3:130-135. DOI: 10.1302/2058-5241.3.170031

Patient selection for day case surgery

2019 ◽  
Vol 20 (2) ◽  
pp. 105-108 ◽  
Author(s):  
Alexandra Humphreys ◽  
Mary Stocker
Keyword(s):  
Patient Selection ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
Selection For

scholarly journals Age as a Predictive Factor for In-Patient Admission Following Day-Case Shoulder Arthroscopic Sub-Acromial Decompression – A District General Hospital Audit

2008 ◽  
Vol 90 (1) ◽  
pp. 62-64 ◽  
Author(s):  
NPM Jain ◽  
L Ogonda ◽  
NP Trimmings
Keyword(s):  
Postoperative Pain ◽  
Health Service ◽  
Predictive Factor ◽  
Pain Control ◽  
District General Hospital ◽  
Postal Questionnaire ◽  
Patient Admission ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery

INTRODUCTION Admission following day-case surgery can be problematic for both the patient and the health service. The purpose of this study was to identify any factors predictive of admission following arthroscopic sub-acromial decompression (ASAD) of the shoulder planned as day-case procedures. PATIENTS AND METHODS A postal questionnaire provided data for 27 patients undergoing ASAD as a day-case procedure between June 2002 and June 2004. RESULTS Eighteen (66.7%) questionnaires were returned. Of respondents, 38.9% (mean age, 58 years) felt the procedure required in-patient admission due to postoperative pain. These patients had an older mean age than those (61.1%) content with a day-case procedure (mean age, 49 years; P = 0.04). Of patients 55 years and older, 67% felt that the procedure should have an in-patient admission due to postoperative pain compared to 11% of patients under the age of 55 years (P = 0.04). CONCLUSIONS Patient age may be useful as a predictor of the likelihood of postoperative admission for pain control following day-case shoulder surgery and should be taken into account when planning day case lists.

scholarly journals Pain control in day-case surgery

Anaesthesia ◽  
2003 ◽  
Vol 58 (1) ◽  
pp. 100-101
Author(s):  
D. S. Earl ◽  
S Grimes ◽  
S. M. Kinsella
Keyword(s):  
Pain Control ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery

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.

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.

scholarly journals Overnight in-hospital observation following tonsillectomy: retrospective study of post-operative intervention

2017 ◽  
Vol 132 (1) ◽  
pp. 46-52 ◽  
Author(s):  
S Morris ◽  
E Hassin ◽  
M Borschmann
Keyword(s):  
Patient Characteristics ◽  
University Hospital ◽  
Evidence Based ◽  
Airway Compromise ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
American Society ◽  
Evidence Based Guidelines ◽  
Critical Intervention

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.

scholarly journals COMPARISON BETWEEN MIDAZOLAM AND THIOPENTONE-BASED BALANCED ANAESTHESIA FOR DAY-CASE SURGERY

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