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.

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

Regional Anaesthesia for Day Case Surgery- Anaesthetistsʼ Views from Three Regions in the UK

2008 ◽  
Vol 33 (Sup 1) ◽  
pp. e240
Author(s):  
R. Vennila ◽  
P. Dimitrov ◽  
P. Patil ◽  
S. Rutter ◽  
M. Shalabhy
Keyword(s):  
Regional Anaesthesia ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
The Uk

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.

292: Regional Anaesthesia for Day Case Surgery- Anaesthetists' Views from Three Regions in the UK

2008 ◽  
Vol 33 (5) ◽  
pp. e240-e240
Author(s):  
R VENNILA ◽  
P DIMITROV ◽  
P PATIL ◽  
S RUTTER ◽  
M SHALABHY
Keyword(s):  
Regional Anaesthesia ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
The Uk

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.

292. Regional Anaesthesia for Day Case Surgery- Anaesthetists' Views from Three Regions in the UK

2008 ◽  
Vol 33 (Suppl 1) ◽  
pp. e240.1-e240
Author(s):  
R. Vennila ◽  
P. Dimitrov ◽  
P. Patil ◽  
S. Rutter ◽  
M. Shalabhy
Keyword(s):  
Regional Anaesthesia ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
The Uk

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.

Parental satisfaction with paediatric day-case ENT surgery

1999 ◽  
Vol 113 (12) ◽  
pp. 1072-1075 ◽  
Author(s):  
L. Hicklin ◽  
P. M. J. Tostevin ◽  
M. E. Wyatt
Keyword(s):  
General Practitioner ◽  
Specific Area ◽  
Day Surgery ◽  
Parental Satisfaction ◽  
Day Case ◽  
Audit Commission ◽  
Quality Of Patient Care ◽  
Degree Of Satisfaction ◽  
Case Surgery

AbstractDay surgery is increasing to improve the efficient use of NHS resources and it is vital that the quality of patient care is not compromised. The Audit Commission has recommended that there should be a systematic appraisal of the patient's views to monitor quality of day care. A survey of parental satisfaction with paediatric day-case surgery provides valuable information for those providing day surgery. A specific area of dissatisfaction previously identified is inadequate pain control following discharge. It is also suggested that day surgery may incur higher costs for the general practitioner.A retrospective study to investigate parental satisfaction with 100 paediatric otorhinolaryngology cases was performed. This study found 96 per cent of parents were happy with the treatment their child received, 89 per cent were satisfied with self-administered simple analgesia and no patients visited their general practitioner on the day following surgery. It is concluded that with careful selection and adequate support the degree of satisfaction with day surgery is high for a wide variety of procedures.

scholarly journals General paediatric surgery for patients aged under 5 years: a 5-year experience at a district general hospital

2016 ◽  
Vol 98 (7) ◽  
pp. 479-482 ◽  
Author(s):  
C-S Kwok ◽  
AC Gordon
Keyword(s):  
District General Hospital ◽  
Complication Rates ◽  
Paediatric Surgery ◽  
Day Case ◽  
Day Case Surgery ◽  
Surgical Trainees ◽  
Case Surgery ◽  
The Uk ◽  
Training Opportunities ◽  
Electronic Hospital

Introduction The gradual shift of general paediatric surgery (GPS) provision from district general hospitals (DGH) to specialised units is well recognised in the UK. The consequences of centralisation include a reduction in exposure to GPS for current surgical trainees. The GPS practice of a DGH is examined here. Methods All operations performed on children aged under 5 years over a 5-year period were identified using the local electronic operation database. Electronic hospital records and clinic letters were accessed to collect data on demographics, operations performed and outcome measures. Results 472 GPS operations were performed on children between the age of 22 days and 5 years between 2009 and 2014, of which 43 were on an emergency basis and 105 were performed on patients aged less than 1 year. Three patients were admitted following day case surgery. Six patients were readmitted within 30 days. Complication rates for all procedures and the four most common procedures were similar to those found in published literature. Conclusions GPS for patients aged less than 5 years is comparatively safe in the DGH setting. The training opportunities available at DGHs are invaluable to surgical trainees and vital for sustaining the future provision of GPS by such hospitals.

Sign in / Sign up

Export Citation Format

Share Document