Hernia in Ambulatory Surgery Centre

Šeparović, Ivan; Augustin, Goran

doi:10.5772/intechopen.69414

Cited by 1 publication

(14 citation statements)

References 35 publications

(49 reference statements)

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“…As a socioeconomically favourable model, the popularity of AA for patients and their families, healthcare providers, hospitals, and healthcare funders is associated with, but not limited to the following potential benefits [1,4,6,8,10,11].…”

Section: The Pros and Cons Of Ambulatory Anaesthesia And Surgerymentioning

confidence: 99%

“…Anaesthetic techniques include: general anaesthesia (GA) techniques (inhalational anaesthesia, and total intravenous anaesthesia); regional anaesthesia techniques (neuraxial block and Bier 's block), and local anaesthesia with sedation [1,5,10].…”

Section: B Intraoperative Anaesthetic Techniques and Medicationsmentioning

confidence: 99%

“…Nevertheless, prolonged recovery time for the complete regression of the block lengthens the postoperative care period. The most frequently used regional anaesthesia techniques include: neuraxial anaesthesia, Bier's block, and ultrasound-guided peripheral nerve blocks [1,10].…”

Section: Regional Anaesthesia (Ra)mentioning

confidence: 99%

“…Increasing use of spinal needles with smaller guage and concept of unilateral, and low-dose spinal anaesthesia have proved similar anaesthesia and recovery characteristics when compared with GA using desflurane, sevoflurane and nitrous oxide. Use of spinal needles with guage smaller than 25 has significantly reduced the incidence of postdural puncture headaches (PDPH) in AA patients [1,5,10].…”

Section: Neuraxial Anaesthesiamentioning

confidence: 99%

“…In 1899, James H. Nicoll in Glasgow Royal Hospital for Sick Children operated 460 children for cleft palate and lip using general anaesthesia. These children were discharged on the same day [10]. Though ambulatory surgery went unnoticed initially, it started gaining grounds alongside AA in general hospital in the 1960s.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Technology, Anaesthesia and Pain Medicine, Ambulatory Anaesthesia for Outpatient Surgery

2020

JAPM

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Owing to burgeoning improvements in surgical technology, anaesthesia and pain medicine, ambulatory anaesthesia for outpatient surgery has become commonplace, with a proportion of 66% in the United States of America, 50% in the United Kingdom, 11%-23% in India and an ambitious 75% in the next decade. Its advent was driven by financial and economic issues which it adequately abates by 25%-75% lesser than an inpatient procedure. Among other benefits to patients, healthcare providers, insurance companies and hospitals, outpatient anaesthesia decreases costs, minimises respiratory failure, enhances early hospital discharge, contributes to the economic growth of the nation, and decreases exposure to nosocomial infections. The growing complexity of surgical methods and number of comorbidities these days have increased the indications for ambulatory anaesthesia. In order for it to be safe and successful, the appropriate selection of patients, surgical and anaesthetic methods as well as postoperative management should be considered simultaneously. Nevertheless, ambulatory anaesthesia is still hindered by limited resources, inadequate expertise, and poor coordination between medical and organisational aspects of care in some countries. This problem can be minimized by providing resources and the training of healthcare providers on better organisation and the use and manipulation of these equipment through seminars and conferences. Furthermore, the global burden of disease study projects an increase in future anaesthesia demands due to the ever rising disease burden worldwide. This can be resolved by adequately managing the challenges of ambulatory anaesthesia and creating more centers either within or without hospitals. By and large, safe and convenient cost-effective methods to ensure patient’s quick return to function and recovery are necessary in ambulatory anaesthesia. Still and all, many challenges are being confronted daily, and numerous barriers have to be broken before ambulatory anaesthesia and surgery can make its concrete place and establishment in the clinical society.

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Section: The Pros and Cons Of Ambulatory Anaesthesia And Surgerymentioning

confidence: 99%

Section: B Intraoperative Anaesthetic Techniques and Medicationsmentioning

confidence: 99%

Section: Regional Anaesthesia (Ra)mentioning

confidence: 99%

Section: Neuraxial Anaesthesiamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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