Ambulatory Surgery最新文献

Bacterial gene expression analysis using microarrays. 利用芯片进行细菌基因表达分析。

IF 1.2

Ambulatory Surgery Pub Date : 2007-01-01 Epub Date: 2007-05-28 DOI: 10.3791/206

Sinem Beyhan, Fitnat Yildiz

引用次数: 0

Informed consent for anesthesia in ambulatory surgery: A South African perspective 门诊手术麻醉的知情同意:一个南非的视角

Ambulatory Surgery Pub Date : 2006-07-01 DOI: 10.1016/j.ambsur.2006.03.001

J.A. Malcolm de Roubaix

{"title":"Informed consent for anesthesia in ambulatory surgery: A South African perspective","authors":"J.A. Malcolm de Roubaix","doi":"10.1016/j.ambsur.2006.03.001","DOIUrl":"https://doi.org/10.1016/j.ambsur.2006.03.001","url":null,"abstract":"<div><p><span>The nature and practice of anesthesiology problematises informed consent, particularly in the ambulatory setting. Timing and time-constraints counter an interactive free flow of information; access to understandable, contextual information forms the basis of free choice by empowering the patient to engage in an interactive conversation with the anesthesiologist, and broadens the base for further discussions and questions. Separate informed consent in anesthesiology is philosophically mandated by the requirement of rationality in choice and respect for personal autonomy, and legally to prevent litigation. The paradigmatic cascade model of consent entails determining competence, supplying information and promoting free choice. Particular measures to counteract the difficulties of anesthesiological informed consent in </span>ambulatory surgery include measures to increase anesthesiologist–patient contact time, and wider use of pre-op clinics. Pre-printed forms are useful but do not replace an interview, tapered to the needs and requirements of the particular patient. Appropriate illustrative material and aids are advised.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 4","pages":"Pages 199-205"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2006.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136838450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Ambulatory surgery in Germany 2004 and historical aspects 门诊手术在德国2004年和历史方面

Ambulatory Surgery Pub Date : 2006-07-01 DOI: 10.1016/j.ambsur.2005.11.005

Jost Brökelmann

引用次数: 4

Paediatric ENT day surgery 儿科耳鼻喉科日间手术

Ambulatory Surgery Pub Date : 2006-07-01 DOI: 10.1016/j.ambsur.2005.06.001

Saad Mohamad Asiri , Yasser A. Abu-Bakr , Fatmia Al-Enazi

{"title":"Paediatric ENT day surgery","authors":"Saad Mohamad Asiri , Yasser A. Abu-Bakr , Fatmia Al-Enazi","doi":"10.1016/j.ambsur.2005.06.001","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.06.001","url":null,"abstract":"<div><p>Day-case surgery is convenient and safe allowing patients to have the appropriate medical service without long waits. The issue of safety has been extensively studied and presented in the literature. In this paper, the Security Forces Hospital experience with otolaryngology day-surgery cases is presented.</p></div><div><h3>Objective</h3><p>To evaluate the rate of complications and their timing and to assess the safety of day-surgery procedures.</p></div><div><h3>Methods</h3><p><span><span><span><span>A total of 300 children undergoing tonsillectomy, </span>adenotonsillectomy, </span>adenoidectomy, </span>myringotomy<span><span>, and other minor surgeries (e.g. reduction of fracture nasal bone, foreign body removal, </span>etc.) were observed. Post-operatively after recovery from anaesthesia, a number of parameters were recorded at intervals of 15</span></span>     <!-->h (six following adenoidectomy and three following tonsillectomies) after day-surgery procedures, while six cases bled after 3 days (2%). Results were compared with post-operative haemorrhage after operations done in the main OR and there it was reported in 11 out of 101 cases in whom adenotonsillectomy was performed: only one patient (1%) needed control in the OR.</p></div><div><h3>Conclusion</h3><p>Post-operative complications after day-surgery procedures are comparable to that after main OR procedures. The common paediatric ENT procedures, e.g. adenoidectomy, tonsillectomy, adenotonsillectomy, and myringotomy, can be done safely as day-case procedures in a busy hospital.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 4","pages":"Pages 147-149"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136838505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Blocks at the wrist using nerve stimulation for ambulatory hand surgery 在门诊手外科中使用神经刺激阻滞手腕

Ambulatory Surgery Pub Date : 2006-07-01 DOI: 10.1016/j.ambsur.2006.01.001

Elisabeth Ternisien , Marc E. Gentili , Carole Orain , Eric Wodey , Claude Ecoffey

{"title":"Blocks at the wrist using nerve stimulation for ambulatory hand surgery","authors":"Elisabeth Ternisien , Marc E. Gentili , Carole Orain , Eric Wodey , Claude Ecoffey","doi":"10.1016/j.ambsur.2006.01.001","DOIUrl":"https://doi.org/10.1016/j.ambsur.2006.01.001","url":null,"abstract":"<div><p><span>One hundred and fifty-five patients were included in this prospective, open, multicenter study to examine the use of nerve stimulation to locate the median and ulnar nerves in ambulatory hand surgery. A sensory response was obtained in 65% of cases and a motor response in 65% with median nerve: the failure to elicit a motor response during median nerve stimulation was related to a higher failure rate of blocks (</span><em>P</em>  <span>0.041). A sensory response was reported in 63% and a motor response in 70% of the cases concerning the ulnar blocks: a sensory response was associated with greater success in the ulnar nerve (</span><em>P</em>  =0.075). This technique does not impair the organization of the surgical theatre (4±3min, mean±S.D. block performance time) and 96% of patients were satisfied with the technique.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 4","pages":"Pages 187-190"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2006.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136838448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

The impact of pediatric obstructive sleep apnea on ambulatory surgery 小儿阻塞性睡眠呼吸暂停对门诊手术的影响

Ambulatory Surgery Pub Date : 2006-07-01 DOI: 10.1016/j.ambsur.2006.01.002

Karen A. Brown

引用次数: 1

Use of paracervical analgesia for outpatient hysteroscopic surgery: A randomized, double-blind, placebo-controlled study 门诊宫腔镜手术使用宫颈旁镇痛:一项随机、双盲、安慰剂对照研究

Ambulatory Surgery Pub Date : 2006-07-01 DOI: 10.1016/j.ambsur.2005.11.004

Jeong-Yeon Hong , Joomyung Kim

引用次数: 4

Day surgery for gynaecological laparoscopy: Clinical results from an RCT 妇科腹腔镜日间手术:一项随机对照试验的临床结果

Ambulatory Surgery Pub Date : 2006-07-01 DOI: 10.1016/j.ambsur.2005.10.001

Claire Gudex , Jan Sørensen , Ingo Clausen

{"title":"Day surgery for gynaecological laparoscopy: Clinical results from an RCT","authors":"Claire Gudex , Jan Sørensen , Ingo Clausen","doi":"10.1016/j.ambsur.2005.10.001","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.10.001","url":null,"abstract":"<div><p>This randomized controlled trial compared the clinical outcome from inpatient and ambulatory laparoscopy for benign gynaecological conditions. While 658 consecutive patients were considered for inclusion into the study, data from 26 inpatients and 40 ambulatory cases were analysed. Inpatient surgery was undertaken by more senior surgeons (<em>p</em>  <0.05) than inpatient surgery. Both inpatient and ambulatory patients reported significant improvements (<em>p</em>  <span><span><span>0.01) in immediate postoperative pain; similar proportions (64% and 74%, respectively) experienced postoperative nausea; 39% of inpatients and 58% of ambulatory patients reported problems after hospital discharge. Severity of </span>pelvic pain was lower for both groups 1 month after operation in comparison to preoperative levels (inpatients: from 8.0 to 5.0, ambulatory: 6.0 to 3.0; on a 0–10 VAS). It was concluded that clinical and patient outcome was similar for the patients undergoing inpatient and </span>ambulatory surgery for gynaecological laparoscopy.</span></p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 4","pages":"Pages 151-157"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136838504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

True day surgery or 23-hour admission for unselected elective laparoscopic cholecystectomy? 非选择性腹腔镜胆囊切除术是真正的日间手术还是23小时住院?

Ambulatory Surgery Pub Date : 2006-07-01 DOI: 10.1016/j.ambsur.2005.11.001

H.M. Paterson , R. McMillan , S.J. Nixon

{"title":"True day surgery or 23-hour admission for unselected elective laparoscopic cholecystectomy?","authors":"H.M. Paterson , R. McMillan , S.J. Nixon","doi":"10.1016/j.ambsur.2005.11.001","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.11.001","url":null,"abstract":"<div><h3>Background</h3><p><span><span>Day case laparoscopic cholecystectomy in the UK is reported in selected patient groups but its role in managing the majority of patients with symptomatic </span>gallstones is unclear. We examined use of the </span>ambulatory surgery unit (ASU) for unselected elective laparoscopic cholecystectomy.</p></div><div><h3>Methods</h3><p><span>Data were collected for 1 year. High-risk patients with known bile duct calculi, BMI</span>   <span><span>h of admission including 62 patients (23%) discharged on the day of surgery. There were 16 (5%) </span>conversions to open surgery and 10 (4%) unplanned readmissions to inpatient beds. Forty ‘high-risk’ patients underwent laparoscopic cholecystectomy from inpatient beds of which 29 (73%) were discharged within 23</span> <!-->h.</p></div><div><h3>Conclusion</h3><p>The ASU is the optimal location for elective laparoscopic cholecystectomy to maximize day case throughput and minimize impact on inpatient bed occupancy.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 4","pages":"Pages 177-180"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136838447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Use of the substitution index to identify improvement opportunities in major ambulatory surgery 使用替代指数来确定大门诊手术的改进机会

Ambulatory Surgery Pub Date : 2006-07-01 DOI: 10.1016/j.ambsur.2005.11.003

José E. Calle , Pedro Parra , Rafael Gomis , Teresa Ramón , Fernando San Eustaquio

引用次数: 5