Guidelines for day‐case surgery 2019

Day case surgery continues to proliferate and is intended to be the method of choice in the majority of surgeries. It’s self-evident meaning should not be confused with 23-hour stay in the US.

This updated free paper from the Association of Anaesthetists in Britain/Ireland provides an excellent overview of the practice of ambulatory surgery.

Topics include the need for organization, leadership and governance involving physicians and non-physicians in pre-admission clinics, and selection of patients. Discussion around specific issues like obesity and obstructive sleep apnea occurs. Spinal anesthesia need not be a barrier. ‘Fitness for a procedure should relate to the patient’s functional status as determined at pre‐anaesthetic assessment, and not by ASA physical status, age or body mass index’.

Multimodal analgesia techniques including regional nerve blocks should be the norm.

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