An overview of anesthetic procedures, tools, and techniques in ambulatory care

Messieha, Zakaria

doi:10.2147/aa.s53279

Cited by 1 publication

(3 citation statements)

References 45 publications

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“…These agents carry better induction and recovery profiles with improved margins of safety. [ 19 ] It is possible to monitor depth of anaesthesia based on their end-tidal concentration (there is no 'practical' equivalent in TIVA). [ 4 ]…”

Section: Options For Anaesthesia For Day-care Surgerymentioning

confidence: 99%

“…Sevoflurane is an agent of choice in patients with chronic obstructive airway disease and bronchial asthma because of the marked bronchodilatation it produces. [ 19 ] It compares favourably with other agents in regard to reduction in peripheral vascular resistance in a dose-dependent manner. Halothane, with its obvious limitations related to myocardial depression and arrhythmogenicity, is used in very few centres in India and is replaced by sevoflurane in many, with its better pharmacokinetic and pharmacodynamics profile for mask induction and maintenance of anaesthesia.…”

Section: Sevofluranementioning

confidence: 99%

“…Patient- and procedure-specific protocols may be followed, with a combination of inhalation and intravenous (IV) techniques for superior outcomes. [ 19 ]…”

Section: Use Of Vital Capacity Induction In Day-care Surgeriesmentioning

confidence: 99%

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Consensus statement on anaesthesia for day care surgeries

et al. 2017

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The primary aim of day-care surgery units is to allow for early recovery of the patients so that they can return to their familiar 'home' environment; the management hence should be focused towards achieving these ends. The benefits could include a possible reduction in the risk of thromboembolism and hospital-acquired infections. Furthermore, day-care surgery is believed to reduce the average unit cost of treatment by up to 70% as compared to inpatient surgery. With more than 20% of the world's disease burden, India only has 6% of the world's hospital beds. Hence, there is an immense opportunity for expansion in day-care surgery in India to ensure faster and safer, cost-effective patient turnover. For this to happen, there is a need of change in the mindset of all concerned clinicians, surgeons, anaesthesiologists and even the patients. A group of nine senior consultants from various parts of India, a mix of private and government anaesthesiologists, assembled in Mumbai and deliberated and discussed on the various aspects of day-care surgery. They formulated a consensus statement, the first of its kind in the Indian scenario, which can act as a guidance and tool for day-care anaesthesia in India. The statements are derived from the available published evidence in peer-reviewed literature including guidelines of several bodies such as the American Society of Anesthesiologists, British Association of Day Surgery and International Association of Ambulatory Surgery. The authors also offer interpretive comments wherever such evidence is inadequate or contradictory.

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Section: Options For Anaesthesia For Day-care Surgerymentioning

confidence: 99%

Section: Sevofluranementioning

confidence: 99%