Chapter

The recovery process and follow-up after day case 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/9780199652969.003.0009

Series: Oxford Anaesthesia Library

The recovery process and follow-up after day case anaesthesia

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• Information and preparation of all aspects of the recovery process following discharge must be adequately secured in advance; anaesthesia and surgical stress as such cause profound inabilities in retrieving information after completion of the procedure. • The goal is not only to ascertain adequate intraoperative quality, patient- and surgeon-wise, but also to have a rapid and safe recovery. The use of a multi-modal analgesic and anaesthetic technique aims to facilitate the recovery process, enabling patients to become eligible for discharge within hours after the end of surgery. • Pain management and avoidance of postoperative nausea and vomiting (PONV) and general fatigue is of utmost importance; it is of huge importance that all personnel have the mindset to facilitate the recovery and coach the early mobilization process. • Patient information, written and oral, covering all aspects of the postoperative course should be provided. • Postoperative medications should be prescribed preoperatively and available at home. • Transport and escort for the journey home should be planed. Generally, patients should not be discharged without an escort after general anaesthesia, regional anaesthesia, monitored anaesthesia or sedation; caregivers need to verify a safe ride home. • Driving after ambulatory surgery in general anaesthesia cannot be considered safe until the next day, 24 hr postoperatively. • Information about what to do in the case of complications or questions should be provided. • Some form of quality assurance programme and follow-up should be present; evaluation of major morbidity, return to hospital visits, and patients’ satisfaction with the programme are all quality measures that should be evaluated on a regular basis.

Chapter.  1998 words.  Illustrated.

Subjects: Anaesthetics ; Peri-operative Care

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