Clinical Ambulatory Anesthesia

Abstract

Ambulatory care can be a challenging setting in which to provide anesthesia – not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.

Women's experience of acute and chronic pain following breast cancer surgery

“…After some days at home, they took a few pills. An early, aggressive and systematic multimodal pain treatment, which is recommended in the acute phase after surgery (Breivik et al 2006, NMA 2009, Elvir-Lazo & White 2010, Raeder 2010, therefore became brief. This type of treatment is supposed to decrease nociceptive impulses and tissue inflammation and may reduce the risk of developing chronic pain after breast cancer surgery (Kehlet et al 2006, Poleshuck et al 2006, Vadivelu et al 2008.…”

An empirical study: Would carrying out day surgery reduce waiting time for admission?

“…[1] In 2003, International Association of Ambulatory Surgery(IAAS) defines ambulatory surgery as: "An operation/procedure ,excluding an office or outpatient operation/procedure, where the patient is discharged on the same working day" . [2] On usually, day surgery is defined as a process in which a patient undergoes surgery and stays in the hospital for less than 24 hours. [3] As an innovative form of medical practice, it is growing increasingly popular globally.…”

Dosering av faste legemidler før elektive operasjoner

“…Denne oversikten omtaler praksis ved elektive operasjoner, inkludert dagkirurgi, samt inngrep eller prosedyrer som krever regional eller generell anestesi (tab 1) (1 -3). Selv om temaet omtales i de fleste laerebøker, er det rom for en viss bruk av skjønn, da det er gjort få studier (1)(2)(3).…”