What Is the Driving Performance of Ambulatory Surgical Patients after General Anesthesia?

Chung, Frances; Kayumov, Leonid; Sinclair, David R.; Edward, R.; Moller, Henry J.; Shapiro, Colin M.

doi:10.1097/00000542-200511000-00008

Cited by 47 publications

(28 citation statements)

References 20 publications

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“…In a prospective study of 20 patients undergoing knee arthroscopy under GA, patients demonstrated lower alertness levels and impaired driving skills preoperatively and two hours postoperatively. 120 These parameters returned to normal within 24 hr, providing objective evidence that it is reasonable for patients to resume driving 24 hr after surgery. One reservation with interpreting studies addressing post-operative cognitive dysfunction is that most studies do not address the component of cognitive function most likely being altered by sedative or general anesthetic drugs.…”

Section: Driving Issuesmentioning

confidence: 78%

Factors affecting recovery and discharge following ambulatory surgery

Awad

Chung

2006

Can J Anesth/J Can Anesth

Self Cite

142

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Section: Driving Issuesmentioning

confidence: 78%

Factors affecting recovery and discharge following ambulatory surgery

Awad

Chung

2006

Can J Anesth/J Can Anesth

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142

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“…The participants recovered their performance in the Number Connecting Test and driving simulator two hours after the procedure. Chung et al [26] demonstrated that the recovery assessed with a driving simulator, polysomnography, and subjective scales allowed safe driving only after at least 24 hours following anaesthesia with fentanyl, midazolam, and propofol. The choice of a drug used during anaesthesia is crucial to fast recovery afterwards, and this means that there is a need for further studies comparing the effectiveness of cognitive recovery after the administration of different anaesthetic schemes.…”

Section: Discussionmentioning

confidence: 99%

Non-word reading test vs anaesthesia. How do anaesthetised patients decode the contents without referring to the meaning?

Płotek¹,

Cybulski²,

Łockiewicz³

et al. 2014

Anaesthesiol Intensive Ther

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Background: The aim of this study was to examine the phonological functioning (reading speed and accuracy) of hospital patients under general anaesthesia administered during colonoscopy. Methods: In this study the 'Łatysz' non-word reading test was used to measure the impact of selected anaesthetics on the phonological aspect of language processing (defined as decoding without referring to the meaning) in a group of 22 anaesthetised patients compared to 23 non-anaesthetised patients from university clinics. Results: Compared to the preoperative performance, a decrease in reading accuracy and reading speed was observed only in the Anaesthesia Group -AG (in the subjects aged ≥ 35 years) 1.5 h after the administration of anaesthetics. Postoperatively, the AG were significantly slower and less accurate than the Control Group -CG -after 1.5 h. After 3 h, the AG had regained their baseline values both in reading accuracy and reading speed. During the last assessment session, the AG pronounced 82% of the words correctly, while the CG pronounced 74% correctly. Moreover, subjects aged ≥ 35 years performed worse than younger subjects in their reading accuracy and speed. Conclusions: The patients who underwent colonoscopy under general anaesthesia manifested impaired phonological functioning shortly after the procedure, both in the speed and accuracy of reading non-words. However, the accuracy problems subsided relatively quickly.

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“…Chung et al 21 compared the driving performance (in a simulator) in patients who had their surgery performed under general anesthesia with healthy, nonanesthetized controls. Under these more realistic circumstances, simulated driving in patients was impaired both pre-and postoperatively.…”

Section: Driving After Ambulatory Surgerymentioning

confidence: 99%

Car Accidents After Ambulatory Surgery in Patients Without an Escort

Chung

Assmann

2008

Anesthesia &Amp; Analgesia

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Occasionally, ambulatory surgical patients present without an escort for their procedure. This creates a dilemma for caregivers, and allowing patients to drive may have an impact on their safety. The Canadian Medical Protective Association is a mutual defense organization for 95% of Canadian physicians. The national database is a unique and extensive repository of medico-legal data. We scanned this database for malpractice patients who were discharged after an ambulatory surgery procedure and allowed to drive home with a poor outcome. From this database, two malpractice cases of patients who were discharged without an escort after an ambulatory surgical procedure were reported. Both had a car accident and sustained serious injuries. Based on this we do not recommend discharge without an escort after general anesthesia, regional anesthesia, monitored anesthesia or sedation. Driving after ambulatory surgery cannot be considered safe and caregivers need to verify a safe ride home.

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What Is the Driving Performance of Ambulatory Surgical Patients after General Anesthesia?

Abstract: Patients showed lower alertness levels and impaired driving skills preoperatively and 2 h postoperatively. Based on driving simulation performance and subjective assessments, patients are safe to drive 24 h after general anesthesia.

Cited by 47 publications

References 20 publications

Factors affecting recovery and discharge following ambulatory surgery

Factors affecting recovery and discharge following ambulatory surgery

Non-word reading test vs anaesthesia. How do anaesthetised patients decode the contents without referring to the meaning?

Car Accidents After Ambulatory Surgery in Patients Without an Escort

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