Clinical practice and routines for day surgery in Sweden: results from a nation‐wide survey

Segerdahl, Märta; Warrén-Stomberg, Margareta; Rawal, Narinder; Brattwall, Metha; Jakobsson, Jan

doi:10.1111/j.1399-6576.2007.01472.x

Cited by 73 publications

(64 citation statements)

References 35 publications

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“…Provision of analgesia after ambulatory surgery remains poor. In two Swedish nationwide surveys of ambulatory surgery, pain was the most common problem at follow-up after discharge in a general (Segerdahl et al, 2008a Level IV) and a paediatric population (Segerdahl et al, 2008b Level IV). Another survey from a single institution found that even at 3 and 4 days after day-stay surgery, 10% and 9% of patients respectively reported moderate to severe pain (Greengrass & Nielsen, 2005 Level IV).…”

Section: Day-stay or Short-stay Surgerymentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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Objectives: This study aimed to assess analgesia provided by acupuncture, alone or in combination with pharmacotherapy, to patients presenting to emergency departments with acute low back pain, migraine or ankle sprain. Design: A pragmatic, multicentre, randomised, assessor‐blinded, equivalence and non‐inferiority trial of analgesia, comparing acupuncture alone, acupuncture plus pharmacotherapy, and pharmacotherapy alone for alleviating pain in the emergency department. Setting, participants: Patients presenting to emergency departments in one of four tertiary hospitals in Melbourne with acute low back pain, migraine, or ankle sprain, and with a pain score on a 10‐point verbal numerical rating scale (VNRS) of at least 4. Main outcome measures: The primary outcome measure was pain at one hour (T1). Clinically relevant pain relief was defined as achieving a VNRS score below 4, and statistically relevant pain relief as a reduction in VNRS score of greater than 2 units. Results: 1964 patients were assessed between January 2010 and December 2011; 528 patients with acute low back pain (270 patients), migraine (92) or ankle sprain (166) were randomised to acupuncture alone (177 patients), acupuncture plus pharmacotherapy (178) or pharmacotherapy alone (173). Equivalence and non‐inferiority of treatment groups was found overall and for the low back pain and ankle sprain groups in both intention‐to‐treat and per protocol (PP) analyses, except in the PP equivalence testing of the ankle sprain group. 15.6% of patients had clinically relevant pain relief and 36.9% had statistically relevant pain relief at T1; there were no between‐group differences. Conclusion: The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. Acupuncture is a safe and acceptable form of analgesia, but none of the examined therapies provided optimal acute analgesia. More effective options are needed. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12609000989246.

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Section: Day-stay or Short-stay Surgerymentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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“…After that time, with the development of newer and safer anesthetic techniques, and with the modern intravenous anaesthetic agents like propofol, midazolam, and fentanyl, thyroidectomy was performed exclusively under general anaesthesia and in inpatient settings. The current trend now favors minimally invasive thyroid surgery techniques, ambulatory approach, shortening of hospital stay and once more utilizes preferably Local anaesthesia + Monitored Anaesthesia Care (LA + MAC) (1)(2)(3)(4)(5)(6). However, the complexity of the procedure may vary from excision of a single nodule to removal of the entire thyroid gland with lymph dissection to treat cancer, or extirpation of a retrosternal goitre to relieve tracheal compression.…”

Section: Introductionmentioning

confidence: 99%

General or Local Anaesthesia in One-Day Thyroid Surgery-Does It Matter?

Belitova¹,

Pandev²,

Karadimov³

2012

Balkan Med J

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Objective: We aimed to determine the safety and feasibility of general anaesthesia (GA) compared with local anaesthesia + Monitored Anaesthesia Care (LA+MAC) for One-Day Thyroid Surgery (ODTS); to assess patient and operator satisfaction with either of the anesthetic approaches. Material and Methods:We reviewed prospectively 130 patients who underwent ODTS from 2008 to 2011. 64 patients were operated on under GA and 62 -under LA+MAC. All variables of patient demographic characteristics, duration and type of operation, postoperative complications, difficulty in airway management and postoperative opiate consumption were recorded and analyzed.Results: There is no difference in respect to length of stay, discharge time and major/minor complications rate between two groups, but in the LA+MAC group, pain appears earlier and is more severe (56min; VAS 6, 5) than in GA patients (223 min; VAS 1, 5; p<0.001). Patient satisfaction was similar but the operator preference was greater for GA. Conclusion:In experienced hands LA with MAC for Thyroidectomy is a safe and wise choice, but GA is even more so!

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“…Several surgeries have been transferred from in-hospital to day surgical procedures (e.g. laparoscopic cholecystectomy, anterior cruciate ligament repair, hernia repair in the elderly, shoulder surgery as well as minor procedures for gynaecological prolapse and urine incontinency) (Segerdahl et al, 2007). Day surgery implies admittance, surgery and discharge without an overnight stay (Toftgaard and Parmentier, 2006), and minimal disruption of ordinary life (Mottram, 2010).…”

Section: Introductionmentioning

confidence: 99%

Postoperative recovery from the perspective of day surgery patients: A phenomenographic study

Berg

Årestedt

Kjellgren

2013

International Journal of Nursing Studies

113

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Clinical practice and routines for day surgery in Sweden: results from a nation‐wide survey

Abstract: In Sweden, a high degree of standardised regime for day surgical practice was found. Post-operative pain is the most common complaint after discharge.

Cited by 73 publications

References 35 publications

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

General or Local Anaesthesia in One-Day Thyroid Surgery-Does It Matter?

Postoperative recovery from the perspective of day surgery patients: A phenomenographic study

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