scholarly journals Impact of Local Infiltration Anesthesia on Postopertive Pain Management after Rhinoplasty in Day Care Surgery

2019 ◽  
Author(s):  
Tomica Bagatin
Keyword(s):  
Pain Management ◽  
Day Care ◽  
Local Infiltration ◽  
Day Care Surgery ◽  
Local Infiltration Anesthesia ◽  
Care Surgery ◽  
Infiltration Anesthesia

scholarly journals Efficacy of different concentrations of lidocaine and association of vasoconstrictor in local infiltration anesthesia in adults

2021 ◽  
Author(s):  
Lury Bueno Wako Kitahara ◽  
Vanessa Paula da Silva ◽  
Gabriel Peres ◽  
Hélio Amante Miot ◽  
Juliano Vilaverde Schmitt
Keyword(s):  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Infiltration Anesthesia

scholarly journals Day-Care Surgery for Pilonidal Sinus

2006 ◽  
Vol 88 (7) ◽  
pp. 656-658 ◽  
Author(s):  
AKM Abdul-Ghani ◽  
AN Abdul-Ghani ◽  
CL Ingham Clark
Keyword(s):  
Pilonidal Sinus ◽  
Day Care ◽  
Day Surgery ◽  
Complete Healing ◽  
Sinus Surgery ◽  
Potential Cost ◽  
Day Care Surgery ◽  
Ambulatory Treatment ◽  
Wound Breakdown ◽  
Care Surgery

INTRODUCTION The surgical approach to symptomatic pilonidal sinus is open to debate. Many techniques have been described and no single technique fulfils all the requirements of an ideal treatment. Ambulatory treatment with minimal morbidity and rapid return to activity is desirable. The aim of this work was to study the feasibility of day-care surgery for excision and primary asymmetric closure of symptomatic pilonidal sinus. PATIENTS AND METHODS All patients referred electively over 2 years were assessed in a single-consultant, colorectal clinic and booked for day-care surgery. All patients had excision and primary asymmetric closure under general anaesthesia in the left lateral position. Whenever possible, they were discharged on the same day according to the day-surgery protocol. Patients were subsequently seen in the out-patient clinic for removal of stitches and were followed up further if there was any wound breakdown. RESULTS Fifty-one patients were operated on electively for pilonidal sinus over the 2 years. Two patients were excluded as the final diagnosis was not pilonidal sinus. At 4 weeks following operation, 43 (88%) had complete healing and 6 (12%) had dehiscence of the wound. Recurrence rate was 8% (4 patients) for follow-up of 12–38 months. There was no admission from the day-surgery unit and no unplanned re-admissions. The cost for day-care pilonidal sinus surgery was estimated to be £672.00 per patient compared with in-patient cost of £2405.00. CONCLUSIONS Excision and primary asymmetric closure for pilonidal sinus is safe and feasible as day-care surgery and is associated with potential cost saving.

scholarly journals Adult tonsillectomy and day care surgery

2007 ◽  
Vol 59 (4) ◽  
pp. 341-345 ◽  
Author(s):  
Ashok Verma ◽  
Sharifa Al Nabhani ◽  
Mazin Al-Khabori
Keyword(s):  
Day Care ◽  
Day Care Surgery ◽  
Care Surgery ◽  
Adult Tonsillectomy

scholarly journals SPECTRAL ENTROPY FOR ASSESSING THE PATIENT RESPONSIVENESS DURING PROPOFOL/FENTANYL SEDATION IN DAY CARE SURGERIES

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr Shalendra Singh ◽  
Dr Priya Taank
Keyword(s):  
Day Care ◽  
Objective Assessment ◽  
Primary Objective ◽  
Sedation Scale ◽  
Depth Of Anaesthesia ◽  
Anesthetic Care ◽  
Mean Values ◽  
Day Care Surgery ◽  
Monitoring Of Sedation ◽  
Care Surgery

Background: For day care surgery under monitored anesthetic care, precise monitoring of sedation depth facilitates optimization of dosage and prevents adverse complications from over sedation. Conventionally subjective sedation scales, such as the Modified observer’s assessment of alertness/ sedation scale (MOAA/S) have been widely utilized for sedation monitoring. The newer monitoring called entropy is considered to be beneficial for objective assessment with combined use of opioids and hypnotics if applied. The primary objective is to determine measurement of entropy as a marker for measuring depth of anaesthesia. Methods: Two groups P and PF ( with 25 patients each) received either propofol 1mg/kg followed by maintenance infusion of 250 mic/ kg/hr whereas “PF”group received additional single dose of fentanyl 2 mic/kg respectively. The values of response entropy (RE) and state entropy (SE) corresponding to each MOAA/S (5 to 0) were determined. Results: The patient’s demographic profile and clinical characteristics were comparable in both the groups. No difference observed in duration of anaesthesia and surgery in both groups. No difference observed in MOAA/S in both groups.  The results shows a highly significant differences in the observed means of SE, RE, MAP and HR with considerably higher mean values in group P (p<0.0001). However other parameter such as SPO2, ETCO2 and RR were almost comparable in both groups. Conclusion: The mean value of SE and RE in group P and PF indicates that deeper plane of anaesthesia is observed in PF group. It is concluded that in assessing the level of hypnosis during intra-operative sedation in MAC, entropy corresponds to MOAA/S and increases or decreases proportionately depending upon increase or decrease level of sedation. Hence from these results it is proposed that entropy monitoring is a reliable monitoring index of anaesthesia depth in MAC. Keywords: Entropy, Propofol, Sedation, Day care surgery, Observer’s assessment of alertness/ sedation scale, Monitored anaesthesia Care

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