Chapter

Anaesthesia equipment and monitoring in day surgery anaesthesia

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/9780199652969.003.0005

Series: Oxford Anaesthesia Library

Anaesthesia equipment and monitoring in day surgery anaesthesia

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• The day surgical patient should become eligible for discharge within hours after the end of anaesthesia. • Intravenous induction with propofol followed by maintenance with either of the third- generation inhaled anaesthetics, sevoflurane or desflurane, or propofol infusion is equally effective. • Avoiding higher doses of opioid and muscle relaxation maintaining spontaneous respiration enables better titration of anaesthetic, facilitates rapid recovery, and decreases the risk for PONV. • The depth of anaesthesia monitoring may facilitate dosing and reduce the amount of the main anaesthetic and emergence in patients receiving muscle relaxants • Selective spinal anaesthesia with low-dose bupivacaine and fentanyl has become an interesting alternative for surgery on the lower limb. • Regional anaesthetic techniques may be an option in centres with skill in performing blocks and especially where chloroprocaine is available. Regional techniques combining intraoperative anaesthesia and postoperative analgesia by the use of catheter techniques have shown most reassuring results for more extensive surgery.

Chapter.  5990 words.  Illustrated.

Subjects: Anaesthetics ; Operating Department Practice

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