Postoperative instructions: good compliance but is the advice sound?

Smith, Ian

doi:10.1046/j.1365-2044.2001.02086.x

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…The relationship between POCD, identified on the basis of change in cognitive function, post-operative ADL and instrumental activities of daily living (IADL), and recovery of function is not well understood [26,27]. Activities of daily living refer to personal care issues such as continence, dressing, and grooming while activities such as preparing meals, performing housework, and using a telephone are more central to independent living and considered to be IADL [28].…”

Section: The Conceptualization Of Pocdmentioning

confidence: 99%

Statistical and conceptual issues in defining post-operative cognitive dysfunction

Lewis

Maruff

Silbert

2004

Neuroscience & Biobehavioral Reviews

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Section: The Conceptualization Of Pocdmentioning

confidence: 99%

Statistical and conceptual issues in defining post-operative cognitive dysfunction

Lewis

Maruff

Silbert

2004

Neuroscience & Biobehavioral Reviews

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“…Sie verbringen die Zeit vor und nach dem Eingriff in gewohnter Umgebung mit ihrem spezifischen Komfort (Fernsehen, Zeitung, gewohntes Essen usw.). Gerade für ältere Menschen und Kinder ist dieser Aspekt in Hinblick auf mögliche psychische Alterationen durch den temporären Verlust der vertrauten Umgebung und der Bezugsperson wesentlich [12,49,87]. Des Weiteren wird das geringere Risiko nosokomialer Infektionen als Vorteil ambulanter Operationen angesehen [6,107].Organisatorische Vorteile ergeben sich in der geringeren Wartezeit auf den Eingriff und der größeren Zuverlässigkeit der Operationsterminierung.Kurzfristige Verschiebungen, beispielsweise durch zwischengeschobene Notfallbehandlungen oder nicht verfügbare Betten, wie dies im stationären Bereich leider an der Tagesordnung ist,treten beim elektiven Patientengut einer ambulanten Operationseinrichtung eher nicht auf.…”

Section: Ambulante Und Tageschirurgische Eingriffeunclassified

Ambulante und tageschirurgische Eingriffe

Schäfer

Wittenmeier

2003

Der Anaesthesist

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Ambulatory surgical care is intended to save healthcare expenditure from the economical viewpoint. From the patients point of view significant advantages as well as specific disadvantages of ambulatory surgery are known. The increase in the volume and complexity of procedures provided in an ambulatory setting are driven by improvements in anesthesia and surgical technique as well as by changes in financing and reimbursement. Therefore careful quality control and scientific evidence for the safety of increasingly used complex surgical procedures for higher risk patients is essential. Reducing the surgical trauma by minimally invasive surgical techniques and very good controllability by modern anesthesia concepts is making the management of the postoperative period crucial for successful ambulatory surgery. Most of the complications and common problems during the postoperative period, such as pain, nausea and vomiting, are not specific for ambulatory surgery, but management places an increasing burden of responsibility not only on general and specialised physicians, but also on other health professionals, patients, and family members.

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“…Such data should be useful in evaluating the common advice that complex tasks should not be attempted until 24 hours after the operation (e.g. Smith, 2001).…”

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confidence: 99%

Delayed recovery of working memory following day‐case surgery

Stollery¹

2006

Applied Cognitive Psychology

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Post-operative recovery of cognitive function is an important outcome measure following surgical anaesthesia. This study examined the influence of task complexity in 12 patients undergoing elective day-case surgery using reaction time tasks that differed in their stimulus-response mapping rules (compatible, incompatible, working memory). Tasks were administered at baseline, and at 1, 4 and 24 hours post-surgery. Compared to a reference group of 18 non-anaesthetised volunteers, the patient group showed considerable slowing one hour post-operatively. This slowing remained at the time of discharge (4-hours), was absent the next day, and did not vary as a function of task complexity. Only attentional lapses in the working memory task were sensitive to the recovery process and residual impairment remained the next day. The findings indicate that tasks requiring efficient access to working memory are impaired for longer than tasks simply requiring access to information passively retained in short-term memory.

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Postoperative instructions: good compliance but is the advice sound?

Cited by 5 publications

References 23 publications

Statistical and conceptual issues in defining post-operative cognitive dysfunction

Statistical and conceptual issues in defining post-operative cognitive dysfunction

Ambulante und tageschirurgische Eingriffe

Delayed recovery of working memory following day‐case surgery

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