Day surgery: an evidenced-based practice

Jakobsson, Jan

doi:10.1097/aco.0b013e3282f01da9

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2008

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“…In recent years, shorter hospital stay and day surgery procedures have seen a signifi cant increase since they are demonstrated to be safe and costeffective [1,2] . As for neurosurgery, it has been shown that outpatient brain tumour surgery can be accomplished safely and effectively without the necessity of general anaesthesia [3 -7] .…”

Section: Introductionmentioning

confidence: 99%

Day Surgery Awake Craniotomy for Removing Brain Tumours: Technical Note Describing a Simple Protocol

Carrabba

Venkatraghavan

Bernstein

2008

Minim Invasive Neurosurg

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Day surgery awake craniotomy has been recently proposed for patients harbouring supratentorial brain tumours. This technique has been demonstrated to be safe and effective in a large cohort of patients operated by one neurosurgeon at the University of Toronto. The aim of this paper is to present a technical description of the protocol that has been adopted for these patients and a discussion of relevant practical issues which may arise. In particular, patient eligibility criteria are briefly discussed and intra- and post-operative management are presented. Key messages for those who are going to start to perform day surgery awake craniotomies include the preparation of a fast, simple and standardized protocol for the treatment of these patients and cooperation among patients and their care-givers (surgeon, anesthetist, nurses, family members).

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Section: Introductionmentioning

confidence: 99%