To strengthen the clinical study of ambulatory surgery anesthesia and improve the quality of ambulatory surgery
10.3760/cma.j.issn.1008-1372.2018.04.001
- VernacularTitle:加强日间手术麻醉临床研究,提高日间手术医疗质量
- Author:
Zhigang CHENG
1
;
Qulian GUO
;
Yunjiao WANG
Author Information
1. 中南大学湘雅医院麻醉科
- Keywords:
Ambulatory surgery;
Anesthesia;
Pain,postoperative;
Postoperative nausea and vomiting
- From:
Journal of Chinese Physician
2018;20(4):481-486
- CountryChina
- Language:Chinese
-
Abstract:
Ambulatory surgery is widely practiced in developed countries Since it was first proposed by Dr.James Nicoll.There are significant differences in anesthesia management between ambulatory surgery and hospital surgery.With the development of minimally invasive surgical and anaesthetic techniques,short-acting anesthetics,the use of ambulatory surgery has grown rapidly.Anesthesiologist is a necessary condition for the safety of perioperative patients and the implementation of ambulatory surgery.Anesthesiologist participates in preoperative evaluation and choice of patients,intraoperative anesthesia,safe discharge after operation,as well as the management of postoperative pain and complications in the perioperative period.For successful ambulatory anesthesia,the anesthesiologist must consider various factors relating to the patient and surgery.Patient selection is a particularly important factor.Appropriate surgical and anesthetic techniques shoull be used to minimize postoperative complications,especially postoperative pain,nausea,and vomiting.It has become increasingly important to identify patients at risk of perioperative complications and to use appropriate methods to decrease these risks.Future studies should be focus on data derived from ambulatory surgery patients and prospective,randomized,double -blind studies in a large population of patients in order to first identify the patient at risk and the quality system of ambulatory surgery anesthesia,subsequently to use drugs and techniques that reduce these perioperative risks and perioperative complications,allow quick recovery from anesthesia and improve the quality of ambulatory surgery.
