Discharge Criteria and Complications After Ambulatory Surgery

Marshall, Scott; Chung, Frances

doi:10.1213/00000539-199903000-00008

Cited by 210 publications

(107 citation statements)

References 120 publications

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“…In orthopaedic surgery, post-operative pain is known to be higher than in other surgeries 18 . In our study, the primary analgesic requirement time was similar in both groups, being approximately 6 h, demonstrating that the anesthesia method applied here provided efficacious postoperative analgesia.…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors for urinary retention include a history of post-operative urinary retention, spinal/epidural anesthesia, pelvic or urologic operation, and peri-operative catheterization 18 . In our study, while urination time did not differ significantly between the groups, it was shorter in women as compared to men.…”

Section: Discussionmentioning

confidence: 99%

“…Urination time may vary depending on the dose of the local anesthetic used in spinal anesthesia. In spinal anesthesia with 15 mg of bupivacaine, urination time has been reported to be as long as 428 min 18 . Our results, however, revealed a much shorter urination time.…”

Section: Discussionmentioning

confidence: 99%

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Efeitos da inclinação de agulha peridural e diferentes velocidades de injeção na distribuição de anestesia peridural

Şen¹,

Donmez²,

Ornek³

et al. 2012

Rev. Bras. Anestesiol.

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Background and objectives:This prospective, randomised study examined the effect of injection speeds for unilateral epidural anesthesia on block characteristics, hemodynamic parameters, and discharge criteria in 60 patients. Levobupivacaine 5% was administered to Group F over 1 min (fast) and to Group S over 3 min (slow) (n = 30 each) with the needle angulated at 5°-10° from the midline. Unilateral epidural block was significantly more successful in Group S than in Group F (70.3% vs. 16%; p < 0.001). On the non-operated sides in group S, the maximal sensorial block time was shorter and the regression time for 2 segments was longer (p < 0.05). And the walk-out time was longer in group F (p < 0.05). We consider that the slow administration of local anesthetic in unilateral epidural anesthesia is more effective than rapid administration.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Efeitos da inclinação de agulha peridural e diferentes velocidades de injeção na distribuição de anestesia peridural

Şen¹,

Donmez²,

Ornek³

et al. 2012

Rev. Bras. Anestesiol.

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“…3,4 Early recovery occurs when a patient emerges from anesthesia; intermediate recovery occurs when a patient has satisfied criteria for discharge; and late recovery occurs when the patient has returned to their preoperative physiological state. Following surgery, patients are discharged home when they have satisfied discharge criteria, 5,6 but not necessarily back to their preoperative physiological state. Various studies have shown that there is significant psychomotor and cognitive impairment after anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Frequency and implications of ambulatory surgery without a patient escort

Chung

Imasogie

et al. 2005

Can J Anesth/J Can Anesth

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“…1 This process is divided into three phases: early recovery, from the discontinuation of anesthetic agents until recovery of protective reflexes and motor function; intermediate recovery, when the patient achieves criteria for discharge; and late recovery, when the patient returns to his/her preoperative physiological state. The success of ambulatory surgery depends, in part, on the appropriate and timely discharge of patients who have been anesthetized.…”

Section: Definition Of Recoverymentioning

confidence: 99%