Chapter

Patient selection and preparation for day surgical procedures

Jan Jakobsson

in Anaesthesia for Day Case Surgery

Published on behalf of Oxford University Press

Published in print May 2012 | ISBN: 9780199652969
Published online October 2012 | e-ISBN: 9780191742972 | DOI: http://dx.doi.org/10.1093/med/9780199652969.003.0003

Series: Oxford Anaesthesia Library

Patient selection and preparation for day surgical procedures

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• The day case patient must be discharged from hospital care within hours after the end of anaesthesia; thus special attention must be given to proper patient selection, preparation, and information. • All patients scheduled for day case anaesthesia should be assessed preoperatively and reviewed for risk factors prior to the start of anaesthesia. • Preoperative questionnaires that can be filled in by the patient before coming to hospital are often of great help and can help facilitate the assessment process. • Information (oral and, whenever feasible, written) regarding the anaesthesia administered and the postoperative course including pain management should be provided and signed by responsible anaesthetist. • Patients should give informed consent. • Routine preoperative testing is not mandatory in the typical case on ASA scale 1–2 patients; preoperative investigations and tests should be performed on an individual basis on the information retrieved during the preoperative assessment. • Preparation and information should be provided well in advance in order to avoid late cancellation or delays. • Planning of the “list for the day” should be done on the basis of preoperative information about the patient, taking into account the type of procedure and eventual special needs (e.g. position, equipment, etc.). • Well-informed and motivated patients help to facilitate rapid patient turnover.

Chapter.  2695 words.  Illustrated.

Subjects: Anaesthetics ; Communication Skills

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