Postoperative Discharge Scoring Criteria After Outpatient Anesthesia: A Review of the Literature

Fang, Liangyu; Wang, Qianmi; Xu, Yinchuan

doi:10.1016/j.jopan.2022.11.008

Cited by 11 publications

(7 citation statements)

References 35 publications

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“…This is commonly used for discharge criteria from the post-anesthesia care unit to postsurgical wards, to measure the ability for discharge from the OR. [16,17] In the remimazolam group, 5 of the 20 patients did not achieve full recovery of consciousness despite the administration of flumazenil (0.5 mg), whereas no significant difference was observed between the 2 groups regarding WFTS. In addition, no apparent adverse events, such as respiratory depression or further loss of consciousness, occurred after returning to the ward.…”

Section: Discussionmentioning

confidence: 99%

Remimazolam-based anesthesia with flumazenil allows faster emergence than propofol-based anesthesia in older patients undergoing spinal surgery: A randomized controlled trial

Toyota,

Kondo,

Oshita

et al. 2023

Medicine

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Background: Remimazolam is a novel, ultrashort-acting benzodiazepine that can be antagonized by flumazenil. This study aimed to determine whether remimazolam-based anesthesia with flumazenil provides a more rapid emergence than propofol-based anesthesia in older patients undergoing spinal surgery. Methods: This was a prospective, single-blind, randomized controlled trial. Forty-four patients > 75 years old who had undergone spinal surgery were enrolled in this study. They were randomly assigned to the remimazolam or propofol group (1:1) using a computer randomization system stratified by age and body weight. For anesthesia induction and maintenance, remifentanil was administered at a defined dose in both groups, and remimazolam or propofol was adjusted to maintain the bispectral index or state entropy monitoring within 40–60. All anesthetics were discontinued simultaneously after the postoperative X-ray and 0.5 mg flumazenil was administered to the remimazolam group. The primary outcome was extubation time after discontinuing anesthesia, and the secondary outcomes were time to eye opening, obeying commands, and achieving a white fast-track score (WFTS) of 12. Results: Thirty-nine patients were finally analyzed: remimazolam group (n = 20), propofol group (n = 19). There were no significant differences in intraoperative variables, such as operative time, anesthesia time, and patient background, between the 2 groups. Extubation times were significantly shorter in the remimazolam group than in the propofol group (4 vs 8 minutes, P < .001). The time to eye opening, obeying commands, and achieving a WFTS of 12 were significantly shorter in the remimazolam group (P < .001, for all comparisons). Conclusion: Remimazolam-based anesthesia with flumazenil resulted in a faster emergence than propofol-based anesthesia in older patients undergoing spinal surgery.

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Section: Discussionmentioning

confidence: 99%

Remimazolam-based anesthesia with flumazenil allows faster emergence than propofol-based anesthesia in older patients undergoing spinal surgery: A randomized controlled trial

Toyota,

Kondo,

Oshita

et al. 2023

Medicine

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“…Following the completion of the endoscopy, patients were transferred to the recovery room, where their vital signs were monitored until they naturally regained consciousness. Subsequently, patients were required to remain under observation for 30 minutes, until their Postanesthesia discharge scoring system score (PADSS) was ≥ 9 and their vital signs were stable, before he could leave accompanied by his family members or caregivers [21,22] .…”

Section: Study Protocolmentioning

confidence: 99%

Developing a nomogram for predicting patients’ 24h-fatigue after digestive endoscopy with anesthesia assistance: a cross-sectional study

Wu,

Fang,

Jia

et al. 2024

Preprint

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Background Postoperative fatigue (POF) widely exists in patients underwent digestive endoscopy under anesthesia, seriously affecting patients’ postoperative rehabilitation and quality of life, there is few predicted tools for POF. We aim to identify predictors of 24 hours-postoperative fatigue (24h-POF) in patients underwent digestive endoscopy with anesthesia assistance and develop a nomogram. Methods This cross-sectional study involved 1306 patients underwent digestive endoscopy in The Second Affiliated Hospital Zhejiang University School of Medicine from May to November in 2023. Christensen Fatigue Scale was used to evaluate POF. Multiple linear regression analysis was utilized to ascertain independent predictors, and a nomogram was developed based on these findings. The area under the curve (AUC), calibration curve and decision curve analysis (DCA) were employed to evaluate the predictive model’s performance. Results 528 patients (40.43%) reported experiencing 24h-POF. Five modifiable factors (preoperative anxiety, average dosage of propofol, change rates of heart rate, fatigue 30 min after endoscopy, intraoperative hypotension) and nine non-modifiable factors (age, gender, drinker, numbers of comorbidities, degree of education, marital, Buddhist, endoscopic treatment, intraoperative tracheal intubation) were independently associated with 24h-POF in patients undergoing digestive endoscopy. The model exhibited good discrimination with an AUC of 0.865 and 0.891 in training cohort and validation cohort, respectively. The calibration curves and DCA curves demonstrated excellent calibration and clinical practicability. Conclusion The nomogram can effectively predict 24h-POF of digestive endoscopic patients, providing valuable assistance for early intervention to expedite patient recovery.

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“…Die spontane Miktion ist eines der Standardkriterien für die Entlassung nach ambulanter Chirurgie 1 . Der postoperative (postspinale) Harnverhalt (PH) ist eine der häufigsten Komplikationen neben hämodynamischen Nebenwirkungen nach einer Spinalanästhesie 2 3 .…”

Section: Postspinaler (Postoperativer) Harnverhaltunclassified

Behandlung eines postspinalen Harnverhalts mit Akupunktur

Usichenko

2023

AkupunkturPraxis

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Postoperative Discharge Scoring Criteria After Outpatient Anesthesia: A Review of the Literature

Cited by 11 publications

References 35 publications

Remimazolam-based anesthesia with flumazenil allows faster emergence than propofol-based anesthesia in older patients undergoing spinal surgery: A randomized controlled trial

Remimazolam-based anesthesia with flumazenil allows faster emergence than propofol-based anesthesia in older patients undergoing spinal surgery: A randomized controlled trial

Developing a nomogram for predicting patients’ 24h-fatigue after digestive endoscopy with anesthesia assistance: a cross-sectional study

Behandlung eines postspinalen Harnverhalts mit Akupunktur

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