Abstract
Ambulatory surgery is continually evolving, with more complex procedures being performed on patients with increasing comorbidities. Recently, more emphasis has been placed on patient recovery and discharge to ensure patient safety and an efficient running of the service.
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References
Marshall SI, Chung F. Discharge criteria and complications after ambulatory surgery. Anesth Analg. 1999;88:508–517.
Aldrete JA, Kroulik DA. Postanesthetic recovery score. Anesth Analg. 1970;49: 924–934.
Aldrete JA. The post anesthesia recovery score revisited [letter]. J Clin Anesth. 1995;7:89–91.
White PF, Song D. New criteria for fast-tracking after outpatient anesthesia: a comparison with the modified Aldrete’s scoring system. Anesth Analg. 1999;88: 1069–1072.
Dexter F, Tinker J. Analysis of strategies to decrease postanesthesia care unit costs. Anesthesiology. 1995;82:94–101.
Apfelbaum JL, Walawander CA, Grasela TH, et al. Eliminating intensive postoperative care in same-day surgery patients using short-acting anesthetics. Anesthesiology. 2002;97:66–74.
Williams BA, Kentor ML, Williams JP, et al. Process analysis in outpatient knee surgery: Effects of regional and general anesthesia on anesthesia-controlled time. Anesthesiology. 2000;93:529–538.
Williams BA, Kentor ML, Williams JP, et al. PACU bypass after outpatient knee surgery is associated with fewer unplanned hospital admissions but more phase II nursing interventions. Anesthesiology. 2002;97:981–988.
Song D, Chung F, Ronayne M, et al. Fast-tracking (bypassing the PACU) does not reduce nursing workload after ambulatory surgery. Br J Anaesth. 2004;93: 968–974.
Millar J. Fast-tracking in day surgery. Is your journey to the recovery room really necessary? Br J Anaesth. 2004;93:756–758.
Kortilla KT. Post-anaesthesia psychomotor and cognitive function. Eur J Anaesthesiol Suppl. 1995;12:43–46.
Chung F, Chan V, Ong D. A post-anesthetic discharge scoring system for homereadiness after ambulatory surgery. J Clin Anesth. 1995;7:500–506.
Chung F. Discharge criteria-a new trend. Can J Anaesth. 1995;42:1056–1058.
Awad IT, Chung F. Factors affecting recovery and discharge following ambulatory surgery. Can J Anesth. 2006;53:858–872.
Lichtor JL, Alessi R, Lane BS. Sleep tendency as a measure of recovery after drugs used for ambulatory surgery. Anesthesiology. 2002;96:878–883.
Schreiner MS, Nicholson SC, Martin T, et al. Should children drink before discharge from day surgery? Anesthesiology. 1992;76:528–533.
Kearney R, Mack C, Entwistle L. Withholding oral fluids from children undergoing day surgery reduces vomiting. Paediatr Anaesth. 1998;8:331–336.
Jin FL, Norris A, Chung F. Should adult patients drink fluids before discharge from ambulatory surgery? Can J Anaesth. 1998;87:306–311.
Practice Guidelines for Postanesthetic Care. A report by the American Society of Anesthesiologists Task Force on Postanesthetic Care. Anesthesiology. 2002;96: 742–752.
Lau H, Lam B. Management of postoperative urinary retention: a randomized trial of in-out versus overnight catheterization. ANZ J Surg. 2004;74:658–661.
Pavlin DJ, Rapp SE, Polissar NL, et al. Factors affecting discharge time in adult outpatients. Anesth Analg. 1998;87:816–826.
Pavlin DJ, Pavlin EG, Gunn HC, et al. Voiding in patients managed with or without ultrasound monitoring of bladder volume after outpatient surgery. Anesth Analg. 1999;89:90–97.
Rosseland LA, Stubhaug A, Breivik H. Detecting postoperative urinary retention with an ultrasound scanner. Acta Anaesthesiol Scand. 2002;46:279–282.
Mulroy MF, Salinas FV, Larkin KL, et al. Ambulatory surgery patients may be discharged before voiding after short-acting spinal and epidural anesthesia. Anesthesiology. 2002;97:315–319.
ASA Guidelines for Ambulatory Anesthesia and Surgery, last affirmed Oct. 25, 2003. Available at: http://www.asahq.org/publicationsAndServices/standards/04.pdf. Accessed July 9, 2007.
Apfelbaum JL, Lichtor JL, Lane BS, et al. Awakening, clinical recovery and psychomotor effects after desflurane and propofol anesthesia. Anesth Analg. 1996;83: 721–725.
Grant SA, Murdoch J, Millar K, et al. Blood propofol concentration and psychomotor effects on driving skills. Br J Anaesth. 2000;85:396–400.
Sinclair D, Chung F, Smiley A. Recovery and simulated driving after ambulatory anesthesia. Can J Anesth. 2003;50:238–245.
Chung F, Imasogie N, Prahbu A, et al. A follow up of ambulatory surgical patients with no escorts. Can J Anesth. 2005;52:1022–1026.
Correa R, Menzes RB, Wong J, et al. Compliance with postoperative instructions: a telephone survey of 750 day surgery patients. Anaesthesia. 2001;56:481–484.
Korttila K, Tammisito T, Ertama P, et al. Recovery, psychomotor skills, and simulated driving after brief inhalational anesthesia with halothane, or enflurane combined with nitrous oxide and oxygen. Anesthesiology. 1977;46:20–27.
Korttila K, Linnoila M, Ertama P, et al. Recovery and simulated driving after intravenous anesthesia with thiopental, methohexital, propanidid, or alphadione. Anesthesiology. 1975;43:291–299.
Sinclair DR, Chung F, Smiley A. General anesthesia does not impair simulator driving skills in volunteers in the immediate recovery period—a pilot study. Can J Anaesth. 2003;50:238–245.
Chung F, Kayumov L, Sinclair DR, et al. What is the driving performance of ambulatory surgical patients after general anesthesia? Anesthesiology. 2005;103: 951–956.
Amid PK. Driving after repair of groin hernia. BMJ. 2000;321:1033–1034.
Tzabar Y, Asbury AJ, Millar K. Cognitive failures after general anaesthesia for daycase surgery. Br J Anaesth. 1996;76:194–197.
Canet J, Raeder J, Rasmussen LS, et al. Cognitive dysfunction after minor surgery in the elderly. Acta Anaesth Sand. 2003;47:1204–1210.
Hadzic A, Arliss J, Kerimoglu B, et al. A comparison of infraclavicular nerve block versus general anesthesia for hand and wrist day-case surgeries. Anesthesiology. 2004;101:127–132.
Hadzic A, Karaca PE, Hobeika P, et al. Peripheral nerve blocks result in superior recovery profile compared with general anesthesia in outpatient knee arthroscopy. Anesth Analg. 2005;100:976–981.
Ritchie ED, Tong D, Chung F, et al. Suprascapular nerve block for pain relief after arthroscopic shoulder surgery: is it effective? Anesth Analg. 1997;84:1306–1312.
Liu SS, Strodtbeck WM, Richman JM, et al. A comparison of regional versus general anesthesia for ambulatory anesthesia: a meta-analysis of randomized controlled trials. Anesth Analg. 2005;101:1634–1642.
Ben-David B, Levin H, Solomon E, et al. Spinal bupivacaine in ambulatory surgery: the effect of saline dilution. Anesth Analg. 1996;83:716–720.
Santanen U, Rautoma P, Luurila H, et al. Comparison of 27-gauge (0.41-mm) Whitacre and Quincke spinal needles with respect to post-dural puncture headache and nondural puncture headache. Acta Anaesthesiol Scand. 2004;48:474–479.
Gold BS, Kitz DS, Lecky JH, et al. Unanticipated admission to the hospital following ambulatory surgery. JAMA. 1989;262:3008–3010.
Fortier J, Chung F, Su J. Unanticipated admission after ambulatory surgery-a prospective study. Can J Anaesth. 1998;45:612–619.
Mattila K, Toivonen J, Janhunen L, et al. Postdischarge symptoms after ambulatory surgery: first week incidence, intensity, and risk factors. Anesth Analg. 2005;101: 1643–1650.
Myles PS, Weitkamp B, Jones K, et al. Validity and reliability of a postoperative quality of recovery score: the QoR-40. Br J Anaesth. 2000;84:11–15.
Laffey JG, Carroll M, Donnelly N, et al. Instructions for ambulatory surgery-patient comprehension and compliance. Ir J Med Sci. 1998;167:160–163.
Zvara DA, Mathes DD, Brooker RF, et al. Video as a patient teaching tool: does it add to the preoperative anesthetic visit? Anesth Analg. 1996;82:1065–1068.
Chew LD, Bradley KA, Flum DR, et al. The impact of low health literacy on surgical practice. Am J Surg. 2004;188:250–253.
Fung D, Cohen MM. Measuring patient satisfaction with anesthesia care: a review of current methodology. Anesth Analg. 1998;87:1089–1098.
Ware JEJ, Snyder MK, Wright WR. Defining and measuring patient satisfaction with medical care. Eval Program Plan. 1983;6:247–263.
Meterko M, Rubin H, Ware JE Jr. Patient judgements of hospital quality questionnaire. Med Care. 1990;9(suppl):S1–44. As cited in Ref 51. Fung D, Cohen MM. Measuring patient satisfaction with anesthesia care: a review of current methodology. Anesth Analg. 1998;87:1089–1098.
Klock PA, Roizen M. More or better: educating patients about the anesthesiologist’s role as perioperative physician. Anesth Analg. 1996;83:671–672.
Dexter F, Aker J, Wright J. Development of a measure of patient satisfaction with monitored anesthesia care. Anesthesiology. 1997;87:865–873.
Whitty PM, Shaw IH, Goodwin DR. Patient satisfaction with general anesthesia. Anaesthesia. 1996;51:327–332.
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Chung, F., Lermitte, J. (2008). Discharge process. In: Twersky, R.S., Philip, B.K. (eds) Handbook of Ambulatory Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-0-387-73329-6_13
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DOI: https://doi.org/10.1007/978-0-387-73329-6_13
Publisher Name: Springer, New York, NY
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