General anaesthesia for day care surgery patients

Forbes, Robert B.

doi:10.1007/bf03007094

Cited by 6 publications

(5 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Repeat SaO 2 and PEFR measures were recorded in the same way as pre-operatively. Patients were also evaluated according to a modified clinical streetfit assessment (Forbes, 1983). This latter measure was used to determine the patients general status following surgery, specifically relating to their ability to go home (Table III).…”

Section: Per-operative Assessmentmentioning

confidence: 99%

“…We used recommended simple measures of respiratory function, peak expiratory flow rate (PEFR) and oxygen saturation (SaO 2 ) as our objective measures (Hanning and Alexander-Williams, 1995). Our subjective assessments of the patients were based on simple clinical measures of patient status and included the street-fitness assessment (Forbes, 1983).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A prospective evaluation of the feasibility of day-case microlaryngeal surgery

et al. 1998

View full text Add to dashboard Cite

An increasing number of surgical procedures are being performed on a day-case basis. In the UK otolaryngologists have been reluctant to introduce same day discharge in microlaryngeal surgery (MLS). The reason for this is the perceived risk to the airway from bleeding and oedema after MLS. The aim of this study was to investigate the feasibility of establishing a same day discharge service for MLS patients. One hundred consecutive patients under the care of one consultant otolaryngologist were recruited. A clinical street-fit assessment and objective measures of peak expiratory flow rate (PEFR) and oxygen saturation (SaO2) were recorded pre- and post-operatively. Results indicate that the PEFR and SaO2 did not change significantly during the course of the study. The street-fit criteria for discharge were satisfied in 80 per cent of patients following surgery. By combining the ASA score (American Society of Anaesthesiologists) with street-fitness 63 per cent of our patients were eligible for same day discharge.

show abstract

Section: Per-operative Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A prospective evaluation of the feasibility of day-case microlaryngeal surgery

et al. 1998

View full text Add to dashboard Cite

show abstract

“…Later recovery is, within fairly wide limits, less de- Fentanyl I s o f l u r a n e 8 0 I * * pendent on the skill of the anaesthetist than on the elimination or metabolism of the anaesthetic agents used. Clinical assessment is probably still the best way to judge "street fitness" (8), but it is not sensitive enough to differentiate minor differences in the degree of recovery (although a general trend towards "completely awake" is discernible for both anaesthetics).…”

Section: Discussionmentioning

confidence: 99%

Isoflurane v Fentanyl for Outpatient Laparoscopy

Rising

Dodgson

Steen

1985

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

Isoflurane and fentanyl have been compared as anaesthetic agents for outpatient laparoscopy. In 50 female patients anaesthesia was induced with thiopentone and maintained with nitrous oxide 66% in oxygen combined with either isoflurane 1-2% or fentanyl 0.3 mg according to a randomized list. Suxamethonium was used to facilitate intubation and for further muscle relaxation. Immediate recovery from anaesthesia was assessed by eye opening and time before giving the date of birth. Additional observations made hourly for 4 h were: nausea or vomiting; clinical assessment of wakefulness; psychic or motor agitation; antiemetic or analgesic drugs given; reaction time; respiratory depression. Immediate recovery was more rapid in the fentanyl group (P less than 0.05). Reaction times in the isoflurane patients returned to control by 3 h, whereas the fentanyl patients were 10% slower than control at 4 h (P less than 0.05 at 2 h, 3 h, 4 h). Nausea and vomiting were more frequent in the fentanyl group, and four of the fentanyl patients required naloxone. Both anaesthetic techniques provided satisfactory operating conditions, but isoflurane appeared to provide a better recovery with less side effects than fentanyl.

show abstract

“…38 Short-acting general anaesthesia is administered in the majority of paediatric oncology departments in Europe to children who are undergoing BMA, 39 but it is used on a much more limited basis in the USA, in only a few of the larger paediatric oncology centres. 40,41 More specifically, the safety and low incidence of the negative side-effects of halothane have been well documented.…”

Section: Pharmacological Strategies For Management Of Procedure-relatmentioning

confidence: 99%

Management of paediatric procedure-related cancer pain

Liossi¹

1999

Pain Reviews

View full text Add to dashboard Cite

Paediatric malignancy is not always painful in its own right; however, young patients with cancer undergo numerous painful procedures for diagnosis, therapy and supportive care, including limbar puncture, bone marrow aspiration and biopsy. Children with cancer consider painful procedures to be the most difficult part of their illness and the frequent repetition of procedures does not desensitize them to the distress. This review provides a brief overview of the state of the art with regard to procedure-related pain in children, and presents some methods and strategies for assessing it and managing it effectively. The first section briefly identifies the dimensions of procedure-related pain and describes the most commonly used methods for its assessment. This followed by an examination of the pharmacological strategies for pain management, including local anaesthesia, conscious sedation and general anaesthesia. In the next section, psychological interventions for the management of procedure-related pain, such as preparation, cognitive-behavioural therapy and hypnosis, are reviewed. The review concludes with recommendations for clinical practice.

show abstract

General anaesthesia for day care surgery patients

Cited by 6 publications

References 14 publications

A prospective evaluation of the feasibility of day-case microlaryngeal surgery

A prospective evaluation of the feasibility of day-case microlaryngeal surgery

Isoflurane v Fentanyl for Outpatient Laparoscopy

Management of paediatric procedure-related cancer pain

Contact Info

Product

Resources

About