Anesthesia In Day Care Surgery

This book features a collection of guidelines for anesthesia in day care surgery, covering all medical specialties that may look to venture into the ambulatory surgery domain. It provides various practical tips that can be used in day-to-day practice by anesthetists and surgeons alike, and covers various anesthetic protocols used by the stalwarts of the industry to illustrate the ideal techniques for anesthesia in day care surgery.

This book discusses the provision of anaesthesia for day case patients from the preoperative period until discharge and patient follow-up. Provides information on patient selection, management of pain and sickness, the recovery process and problems which may occur after surgery. All forms of anaesthesia are covered, including local anaesthesia and nerve blocks, general anaesthesia (with inhaled and injected drugs) and the use of sedatives to supplement local anaesthesia. The special needs of the child are also addressed.

Over the past decade, the percentage of elective surgical procedures performed on a day case basis has increased from 55% to over 70%. The current interest and focus on day surgery is a result of public demand and government-imposed targets. This concise handbook provides the practising day surgery professional with a modern overview of current practice to act as both a reference and a practical guide to everyday challenges. The last ten years has seen major advances in day case anaesthesia with the introduction of new equipment, multimodal techniques, and new anaesthetic agents specifically designed for ambulatory surgery. The rapid expansion of minimally invasive surgery has enabled many more procedures to be performed on a short stay basis and the development of new processes and patient pathways requires expert pre-assessment, nurse-led discharge and outreach follow-up. This book covers the ambulatory process throughout the entire patient pathway offering extensive and authoritative evidence and opinion to the many stakeholders in this multidisciplinary subject.

Ambulatory care can be a challenging setting in which to provide anesthesia – not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.

The use of ambulatory or 'day case' surgery has grown tremendously in Western countries in recent years at the expense of more traditional in-hospital surgical care. In the US, up to 70-80% of all surgical procedures are currently performed on an ambulatory basis. The adaptation of day case surgery still varies considerably between countries and even within countries in Europe. The transition from traditional in-hospital care to day case surgery or ambulatory procedure calls for vigilant planning of steps in preoperative care and a team effort to optimise all parts of patient care as well as care logistics. Drug selection, drug combination, drug administration and preparation of patients are all substantially different in the day case surgery setting than in the traditional in-hospital care setting. It is therefore crucial that anaesthetists, surgeons and other clinicians involved in administering day case surgery are aware of these differences to ensure safe and effective delivery of care. Part of the Oxford Anaesthesia Library, this practical pocketbook provides an overview of the scope of day surgical anaesthesia and features simple and ready-to-use suggestions for the selection of drugs, techniques, and protocols to follow in everyday day-case surgical clinical practice.

This second edition of the Handbook of Ambulatory Anesthesia has been completely updated and expanded to reflect current practice guidelines and trends in ambulatory anesthesia. This practical manual covers preoperative evaluation, patient and procedure selection, anesthetic techniques, postoperative management, and quality assurance. Additionally, the editors have included all new information on anesthesia for minimally invasive surgery as well as office-based procedures. Written and edited by experts who have developed successful practices at the world's leading institutions, Handbook of Ambulatory Anesthesia includes a broad representation of perspectives and approaches for practitioners in every ambulatory setting.

An evidence-based board review book, organized according to the ABA keyword list, with concise discussion and clinical review questions and answers.