Total Daycare Shoulder Surgery

Abstract

Background There is continued interest in day surgery. Arthroscopic shoulder surgery may be performed on a daycase basis. Historically, daycase shoulder surgery has been limited by peri‐operative pain and anaesthetic issues; and to date there are no reports of daycase shoulder arthoplasty in the literature. Methods A prospective study of 112 patients having shoulder therapeutic arthroscopy or arthroplasty managed according to the total daycare pathway, which includes balanced anaesthesia and simple analgesia. Results One hundred and eight patients (96%) were discharged home by 17.00 hours without complications. However the remaining five cases required overnight admission for medical or anaesthetic reasons. Conclusion This study demonstrates that, with the correct infrastructure and a multidisciplinary approach: the full spectrum of shoulder surgery may be performed on a daycase basis using interscalene block and simple analgesia.

Transition to total one-stop wideawake hand surgery service-audit: a retrospective review

“…1 There are continuing efforts to optimize the link between GPs and orthopaedic services. 2,3 Efficiency and cost-effectiveness are increasingly important.…”

“…With the evolution of healthcare provision there is increasing interest in daycase surgery, non-hospital surgical services and alternative treatment pathways. 1 There are continuing efforts to optimize the link between GPs and orthopaedic services. 2 , 3 Efficiency and cost-effectiveness are increasingly important.…”