Outcomes After Regional Anesthesia

Outcomes in day surgery

“…The incidence of unanticipated hospital admission reflects the occurrence of perioperative complications while in the ambulatory facility that require admission to hospital. Hospital admission not only adds to the cost of healthcare, but it is also disruptive for patients and families [50 ]. The rate of unexpected admissions varies between 0.28 and 9.5% depending on the definitions and reporting mechanisms of the different studies [27,28,51,52].…”

Use of spinal anaesthesia in day surgery

“…Pain can delay discharge home or even cause an unplanned hospital admission after ambulatory surgery [23,45 ]. A recent meta-analysis showed significantly lower visual analogue scale (VAS) pain scores and a reduced need for postoperative analgesics when surgery was performed under spinal anaesthesia compared with general anaesthesia [42 ].…”

“…A recent meta-analysis showed significantly lower visual analogue scale (VAS) pain scores and a reduced need for postoperative analgesics when surgery was performed under spinal anaesthesia compared with general anaesthesia [42 ]. Orthopaedic procedures, associated with high postoperative pain scores [45 ], might benefit from prolonged postoperative pain relief following spinal anaesthesia.…”

Perspectives on ambulatory anesthesia: the patient’s point of view

“…Despite being well suited to tackle the deficiencies of current pain management, regional anesthesia techniques remain underutilized in ambulatory surgery. 55,56 Renewed interest in intrathecal 2-chloroprocaine and prilocaine has made spinal anesthesia an attractive option for ambulatory lower-limb surgery by allowing faster motor recovery 57 and possibly shortening the time needed to ambulate, which is considered clinically more relevant for safe patient discharge than Bromage scale ratings. 57,58 Similarly, waiting for voiding after short-duration spinal anesthesia for surgical procedures that are unlikely to cause urinary problems might not be needed.…”