2009
DOI: 10.1097/aco.0b013e328331d498
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Escort accompanying discharge after ambulatory surgery: a necessity or a luxury?

Abstract: Both clinicians and patients may have underestimated the risks associated with discharging patients without an escort after ambulatory anesthesia. There should be greater awareness of this problem. Patient discharge without an escort after ambulatory surgery under general anesthesia, sedation or premedication can potentially be dangerous and is not recommended.

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Cited by 36 publications
(26 citation statements)
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“…The responsible adult must be able to show understanding of the discharge instructions, aware of signs and symptoms of problems or complications, and capable of obtaining medical assistance if adverse events occur. 30 Preoperatively, patients are required to identify a responsible adult to take them home after surgery for phase II discharge. Failure to do so contributes to extended recovery stays and day-of-surgery cancellations.…”
Section: Patient Discharge Teachingmentioning
confidence: 99%
See 1 more Smart Citation
“…The responsible adult must be able to show understanding of the discharge instructions, aware of signs and symptoms of problems or complications, and capable of obtaining medical assistance if adverse events occur. 30 Preoperatively, patients are required to identify a responsible adult to take them home after surgery for phase II discharge. Failure to do so contributes to extended recovery stays and day-of-surgery cancellations.…”
Section: Patient Discharge Teachingmentioning
confidence: 99%
“…30 The postoperative nurse must reassure the patient and responsible adult that a perception of weakness or malaise is expected during the immediate postoperative period and provide education on specific clinical manifestations that necessitate physician or hospital intervention. The next day, patients frequently tell nurses during the postoperative follow-up phone call that they had no idea they would "feel this bad, and wish they had been able to stay a day in the hospital."…”
Section: Patient Discharge Teachingmentioning
confidence: 99%
“…Discharge with an accompanying person who will eventually stay with the patient overnight is required [21]. The absence of escort that occurs in less than 1% of cases (if preoperative information is correct) can be potentially dangerous [22] and may induce discharge delays. These specific points need to be carefully checked during the preoperative visit.…”
Section: Discharge Criteriamentioning
confidence: 99%
“…Czasami, ze względów prawnych, powraca się jednak do sformalizowanych testów oceny pacjenta, do których należą punktowe skale oceny gotowości pacjenta do opuszczenia placówki (np. skala Aldretta lub PADS [Post-Anesthesia Discharge Scoring System]) [5,7,[42][43][44][45][46]. Ich stosowanie nie zwalnia lekarza z oceny klinicznej chorego.…”
Section: Komentarzunclassified