Unplanned admission after ambulatory anaesthesia in France: analysis of a database of 36,584 patients

Cabaton, J.; Thy, Michaël; Sciard, Didier; Paulis, Damien De; Beaussier, Marc

doi:10.1016/j.accpm.2020.100794

Cited by 6 publications

(3 citation statements)

References 21 publications

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“…Here, enhanced recovery pathways may offer a basis for handling the complex ambulatory patient, but rely on a well-functioning multidisciplinary approach [13 ▪ ,14]. Unplanned admissions after ambulatory surgery are still frequent and attributed to surgical complications and medical reasons, but also to organizational concerns [15 ▪ ]. Increased risk was especially identified for patients older than 50 years, with greater American Society of Anesthesiologists physical status, and undergoing general anesthesia [15 ▪ ,16].…”

Section: Why Do We Assess Risk – Who Needs What?mentioning

confidence: 99%

“…Unplanned admissions after ambulatory surgery are still frequent and attributed to surgical complications and medical reasons, but also to organizational concerns [15 ▪ ]. Increased risk was especially identified for patients older than 50 years, with greater American Society of Anesthesiologists physical status, and undergoing general anesthesia [15 ▪ ,16]. Thus, advances in regional anesthesia have contributed to an improved management of ambulatory patients [17,18].…”

Section: Why Do We Assess Risk – Who Needs What?mentioning

confidence: 99%

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Modern preoperative evaluation in ambulatory surgery – who, where and how?

Filipovic

Schwenter

Luedi

et al. 2022

Current Opinion in Anaesthesiology

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Purpose of reviewAmbulatory surgery is increasingly performed in medically complex patients. This dynamic environment requires new approaches to ensure cost-effective, efficient, and ultimately safe preoperative evaluation of the patient. This review investigates recent advances in the assessment of ambulatory patients, with a special focus on patient screening, digital communication, and multidisciplinary team evaluation.Recent findingsIdentifying suitable candidates for ambulatory surgery relies on a variety of medical, surgical, and institutional factors. Identification of high-risk patients and optimization of their treatment can be achieved through multidisciplinary protocols specific to the local institution and in line with current guidelines. Virtual assessment may be sufficient for most patients and provide an efficient evaluation strategy and high patient satisfaction. Prescreening can be supported by preoperative nursing teams.SummaryThe increasing complexity of treatment provided in day surgery offers a unique opportunity to highlight the importance of anesthesiology staff as perioperative caregivers. Preoperative evaluation serves as a central junction to integrate a variety of surgical, medical, and institutional factors to provide safe, satisfactory, and efficient care for patients. Implementing technological innovation to streamline and facilitate this process is paramount.

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Section: Why Do We Assess Risk – Who Needs What?mentioning

confidence: 99%

Section: Why Do We Assess Risk – Who Needs What?mentioning

confidence: 99%

Modern preoperative evaluation in ambulatory surgery – who, where and how?

Filipovic

Schwenter

Luedi

et al. 2022

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

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“…Mortality and major morbidity associated directly with ambulatory surgery have a very low incidence and there are several important advantages of ambulatory surgery when compared with inpatient surgeries, such as reductions in waiting times, hospital costs, and the risk of nosocomial infection [1,3]. With the migration of medically complex patients undergoing more extensive surgical procedures to the ambulatory setting, selecting the appropriate patient becomes vital as it may directly impact patient safety and outcome.…”

Section: Introductionmentioning

confidence: 99%

Medical disease and ambulatory surgery, new insights in patient selection based on medical disease

Fuchs‐Buder¹,

Rosenberg

2022

Current Opinion in Anaesthesiology

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Purpose of reviewImprovements in perioperative care contributed to enlarge the eligibility criteria for day case surgery and more and more patients with comorbidities may be concerned. However, underlying medical diseases may influence postoperative outcomes, and therefore, must be considered when selecting patients to undergo ambulatory surgery. Recent findingsTo limit postoperative complications, rigid patient selection criteria are often applied in ambulatory surgery. In practice, however, most of these criteria predict the occurrence of treatable perioperative adverse events but not the need for unanticipated admission or readmission.

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