Les facteurs influençant la récupération et la sortie après une opération en chirurgie ambulatoire

A prospective observational study comparing a physiological scoring system with time-based discharge criteria in pediatric ambulatory surgical patients

“…Whereas time-based criteria typically vary from institution to institution, physiological scoring systems have the potential to standardize discharge criteria across institutions and have been shown to reduce time spent in the PACU without compromising safety in adults. [2][3][4] One of the earliest reported physiological scoring systems for use in adults was devised by Aldrete and Kroulik. 5 This score was designed as a simple and reproducible tool to determine fitness for discharge from the PACU based on respiration, circulation, level of consciousness, and activity.…”

“…7 A modified version has been used in a number of studies to fast-track ambulatory adult patients from the operating room to the ward or directly home, bypassing the PACU. 4,8,9 A more recent physiological scoring system, the PostAnesthetic Discharge Scoring System (PADDS), 10 and its modification 11 include an assessment of bleeding at the surgical site not seen in other scores.…”

Analgesia with Low-Dose S(+)-ketamine in Laparoscopic Cholecystectomy: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

“…modified Aldrete-Kroulik scoring system [7]. Data were collected by the authors and by the anesthesiology and nursing teams, blinded to group assignment, at the unit where the study was conducted.…”

Office-based anesthesia

“…The ASA 11 and CAS standard is monitoring for all patients, regardless of the type of anesthesia. 4 Several discharge/postanesthesia recovery scores are available [22][23][24] for use in documenting appropriate recovery. It is important to recognize the difference between discharge from the traditional postanesthesia care unit (PACU) and discharge to ''street fitness'', as these represent two different stages in the recovery continuum.…”