Ambulante und tageschirurgische Eingriffe

Schäfer, Markus; Wittenmeier, Eva

doi:10.1007/s00101-003-0595-7

Cited by 9 publications

(4 citation statements)

References 91 publications

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“…Entlassungsfähigkeit In der Literatur fi nden sich diverse Scores und Testverfahren, um die Entlassungsfähigkeit eines ambulanten Patienten zu beurteilen [19]. Der Großteil wurde niemals auf ausreichende Validität und Reliabilität überprüft [5,31].…”

Section: Anforderungen An Das Anästhesieteamunclassified

“…Auch tödliche Verläufe waren keine Seltenheit [18]. ▶ Starke Schmerzen und/oder PONV (postoperative nausea and vomiting) waren so häufi g, dass sie als normale postoperative Zustände galten, denen selten weitere Bedeutung im Sinne einer vermeidbaren Komplikation zugemessen wurde [19]. Beim Einsatz von modernen Anästhesie-und Überwachungsverfahren sind Beeinträchtigungen der im Aldrete-Score erhobenen Parameter erfreulicherweise nur von kurzer Dauer.…”

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Kann man messen, wie gut eine Narkose ist? - Ein kritischer Überblick über Recovery-Scores und andere Verfahren zur Beurteilung der Ergebnisqualität

Schellhaaß

Boldt²

2008

Anästhesiol Intensivmed Notfallmed Schmerzther

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Patients, general public and health insurance funds focus more and more on the quality of medical performance. Anaesthesia related severe morbidity and mortality are unsuitable to judge the quality of an anaesthesia procedure. Other aspects like rapid and comfortable postoperative recovery or satisfaction of the patients with the anaesthesia procedure experience therefore rising attention. With this critical review we aim to give support for appraisal of already published studies and for design and realization of future trials.

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Section: Anforderungen An Das Anästhesieteamunclassified

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Kann man messen, wie gut eine Narkose ist? - Ein kritischer Überblick über Recovery-Scores und andere Verfahren zur Beurteilung der Ergebnisqualität

Schellhaaß

Boldt²

2008

Anästhesiol Intensivmed Notfallmed Schmerzther

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“…Outpatient surgery is expanding over the last decade due to inclusion of surgical procedures increasingly complex [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Anesthetic Approach in Ambulatory Vitrectomy: Peribulbar Block vs. Balanced General Anesthesia

Gouveia

Ferreira

Maia

2022

Anesthesiology Research and Practice

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Background. Vitrectomy is one of the most common outpatient ophthalmic surgeries. The anesthetic technique used in outpatient surgery should contribute to a faster functional recovery, better pain control, and fewer complications. The aim of this study was to compare peribulbar block and balanced general anesthesia, in patients undergoing outpatient vitrectomy. Methods. A prospective cohort study was carried out, including adult patients undergoing ambulatory vitrectomy, between January and February 2018. Peribulbar block or balanced general anesthesia was the independent variable analyzed. Clinical and perioperative variables were evaluated, namely, postoperative pain, nausea, and vomiting in the postoperative period, intraoperative hypotension, patient satisfaction with the anesthetic technique, time to oral diet introduction and to hospital discharge, operating room occupancy time, and pharmacological costs. SPSS® 27 was used for statistical analyses. Results. Twenty-one patients were evaluated, 11 of whom underwent peribulbar block and 10 underwent balanced general anesthesia. Patients undergoing peribulbar block did not experience postoperative pain when compared to patients undergoing balanced general anesthesia ( p = 0.001 ). Intraoperative hypotension occurred in 18.2% of patients undergoing peribulbar block and in 70% of those undergoing balanced general anesthesia ( p = 0.03 ). Time to oral diet introduction (<1 hour vs. > 2 hours; p < 0.05 ), operating room occupancy time (70 vs. 90 minutes; p = 0.027 ), time to hospital discharge (17 vs. 22.5 hours; p = 0.004 ), and pharmacological costs (4.65 vs. 12.09 euros; p < 0.05 ) were lower in patients undergoing peribulbar block versus balanced general. Conclusions. Peribulbar block seems to meet the criteria of an ideal anesthetic technique in outpatient vitrectomy surgery.

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“…In outpatient surgery, methods to obtain safe and efficacious pain relief after discharge are demanded, not the least to allow early mobilisation [16, 23]. A multi‐modal analgesic approach has become more or less the golden standard perioperatively.…”

Section: Introductionmentioning

confidence: 99%

Pain after elective arthroscopy of the knee: a prospective, randomised, study comparing conventional NSAID to coxib

Jacobson

Assareh

Cannerfelt

et al. 2006

Knee Surg Sports Traumatol Arthrosc

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Although outpatient knee arthroscopy is probably by far the most frequently performed orthopaedic procedure, there are limited guidelines or consensus concerning the peroral postoperative pain management. A diversity of analgesics both in potency and action is prescribed. The purpose of the present investigation was to grade the pain and need for rescue medication during the first 4 days after the knee arthroscopy, comparing a conventional nonsteroidal anti-inflammatory drug (NSAID) with a selective cox-II-inhibitor (coxib) as postoperative pain medication. One hundred and twenty-two patients scheduled for primary elective knee arthroscopy in general anaesthesia were randomised to either a NSAID (lornoxicam) or a selective cox-II-inhibitor (rofecoxib) postoperatively. Pain ratings and the need for rescue medication were followed for four consecutive days. Side effects were also registered. The need for rescue analgesics was highest the evening after surgery, when 42% of patients required one, or more, oral additional analgesics. The use of rescue medication decreased with time and 30, 25, 16 and 11% of the patients required additional analgesics for day 1 to 4, respectively, still 50% of all patients required at some point one or more rescue analgesics. Overall pain ratings were low, and showed similar pattern with evening and day, 50% of all patients required at some point one or more rescue analgesics. We found, however, no differences in pain ratings, or need for rescue analgesics between the two groups, conventional NSAID and coxib as well as no difference in side-effect profile. In conclusion, patients do require proper pain management also after minor outpatient surgical procedures such as knee arthroscopy. The traditional NSAIDs seem to be the first choice for analgesic and anti-inflammatory effects, when needed after elective arthroscopy of the knee.

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Ambulante und tageschirurgische Eingriffe

Cited by 9 publications

References 91 publications

Kann man messen, wie gut eine Narkose ist? - Ein kritischer Überblick über Recovery-Scores und andere Verfahren zur Beurteilung der Ergebnisqualität

Kann man messen, wie gut eine Narkose ist? - Ein kritischer Überblick über Recovery-Scores und andere Verfahren zur Beurteilung der Ergebnisqualität

Anesthetic Approach in Ambulatory Vitrectomy: Peribulbar Block vs. Balanced General Anesthesia

Pain after elective arthroscopy of the knee: a prospective, randomised, study comparing conventional NSAID to coxib

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