Ambulatory SurgeryPub Date : 2005-05-01DOI: 10.1016/j.ambsur.2005.02.001
P. Holmér Pettersson , A. Hein , A. Öwall , R.E. Anderson , J.G. Jakobsson
{"title":"Early bioavailability in day surgery: a comparison between orally, rectally, and intravenously administered paracetamol","authors":"P. Holmér Pettersson , A. Hein , A. Öwall , R.E. Anderson , J.G. Jakobsson","doi":"10.1016/j.ambsur.2005.02.001","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.02.001","url":null,"abstract":"<div><h3>Purpose:</h3><p>Compare early bioavailability of rectal, effervescent oral, and i.v. paracetamol.</p></div><div><h3>Scope:</h3><p>Five groups of <em>N</em> <!-->=<!--> <!-->7 patients received 1 or 2<!--> <!-->g paracetamol orally or rectally or 1<!--> <span>g i.v. immediately after day surgery. Paracetamol concentrations taken after 20, 40 and 80</span> <!-->min. Median plasma paracetamol concentrations for 1 versus 2<!--> <!-->g effervescents were 78 (25–114) versus 108 (95–146)<!--> <!-->μmol<!--> <!-->L<sup>−1</sup> at 80<!--> <!-->min and 16 (9–30) versus 17 (10–30)<!--> <!-->μmol<!--> <!-->L<sup>−1</sup> for 1 versus 2<!--> <!-->g suppositories. Paracetamol i.v. gave median 97 (77–135)<!--> <!-->μmol<!--> <!-->L<sup>−1</sup> after 40<!--> <!-->min.</p></div><div><h3>Conclusion:</h3><p>Only intravenously and 2<!--> <!-->g effervescent paracetamol gave therapeutic concentrations during the period studied.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 1","pages":"Pages 27-30"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138387041","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}
Ambulatory SurgeryPub Date : 2005-05-01DOI: 10.1016/j.ambsur.2004.02.001
E.O. Duque-Estrada, M. Duarte, M.D Rodrigues, R. Petto
{"title":"Pediatric ambulatory surgery and wound infection: a review study of 812 operations in a Brazilian university hospital","authors":"E.O. Duque-Estrada, M. Duarte, M.D Rodrigues, R. Petto","doi":"10.1016/j.ambsur.2004.02.001","DOIUrl":"https://doi.org/10.1016/j.ambsur.2004.02.001","url":null,"abstract":"<div><p><em>Introduction</em><span>: The pediatric ambulatory surgery results in less wound infections, although there is little good evidence for this. </span><em>Objective</em>: To obtain evidence of the influence of ambulatory surgery on the post-operative wound infection results in pediatric day-surgery. <em>Methods</em><span>: A total of 753 patients underwent 812 ambulatory surgery operations; elective general, vascular, and urological minor surgery included. No operations involving infected patients were reviewed in our study, and all operations were performed in the operating room with the patient under general anesthesia at Teresópolis School of Medicine Hospital, Hospital das Clinicas de Teresópolis Constantino Otaviano (HCTCO). Hematoma, wound infection, and recurrence rates were analyzed. </span><em>Results</em>: The wound infection incidence rate was 2.2% in pediatric ambulatory patients. <em>Conclusion</em>: Pediatric ambulatory surgery reduces the post-operative morbidity of incidence of wound infection rates, and increases the pediatric quality care.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 1","pages":"Pages 19-22"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2004.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138387042","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}
Ambulatory SurgeryPub Date : 2005-05-01DOI: 10.1016/j.ambsur.2004.09.001
Scott S. Reuben , Srinivasa B. Gutta , Holly Maciolek , Joseph Sklar
{"title":"A comparison of local intraarticular anesthesia versus general anesthesia for ambulatory arthroscopic knee surgery","authors":"Scott S. Reuben , Srinivasa B. Gutta , Holly Maciolek , Joseph Sklar","doi":"10.1016/j.ambsur.2004.09.001","DOIUrl":"https://doi.org/10.1016/j.ambsur.2004.09.001","url":null,"abstract":"<div><p><span><span>Various anesthetic techniques including local, regional, and general anesthesia have been utilized for ambulatory arthroscopic knee surgery. The choice of anesthetic technique for this surgical procedure can have a significant impact on </span>postoperative recovery<span>, side effects, and patient satisfaction. The objective of this randomized, prospective study is to evaluate the efficacy of utilizing either intraarticular (IA) local anesthesia or general anesthesia (GA) for patients undergoing outpatient arthroscopic knee surgery. Patients assigned to the local anesthesia group were administered an IA injection of 30</span></span> <span>mL of bupivacaine 0.25% approximately 20–30</span> <span><span>min before surgery. Intraoperative sedation was provided with the administration of propofol<span><span>. Patients assigned to the GA group were administered propofol and fentanyl for induction and maintained with </span>sevoflurane combined with </span></span>nitrous oxide<span> in oxygen by laryngeal mask airway. The surgeon injected 30</span></span> <span><span>mL of bupivacaine 0.25% through the arthroscope at the completion of the surgical procedure. This study demonstrates that IA anesthesia provides for improved pain relief, decreased postoperative opioid use, postoperative nausea and vomiting (PONV), time spent in the recovery room, and improved patient satisfaction with similar operating conditions comparable to general anesthesia in patients undergoing outpatient arthroscopic knee surgery. Although both groups received a similar dose of IA bupivacaine, administering the </span>local anesthetic prior to surgery resulted in more effective analgesia. We currently believe that intraarticular local anesthesia fulfills all the criteria for the optimal anesthetic technique for outpatient arthroscopic knee surgery.</span></p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 1","pages":"Pages 39-44"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2004.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138419881","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}
Ambulatory SurgeryPub Date : 2005-05-01DOI: 10.1016/j.ambsur.2005.02.004
Christopher P. Segler, Jason B. Dickerson
{"title":"Low-cost pain infusion catheter for the control of postoperative pain in ambulatory foot surgery","authors":"Christopher P. Segler, Jason B. Dickerson","doi":"10.1016/j.ambsur.2005.02.004","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.02.004","url":null,"abstract":"<div><p><span>The authors report the use of a low-cost method of providing prolonged patient controlled anesthesia at the surgical site following elective forefoot surgery performed in ambulatory surgical settings. In this series of 54 patients there were no </span>postoperative complications and 95.92% of patients believed the device helped to control their post-operative pain.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 1","pages":"Pages 31-33"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138419883","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}
Ambulatory SurgeryPub Date : 2005-01-01DOI: 10.1016/S0966-6532(05)80028-9
M. Jarrett
{"title":"27 Sacral nerve stimulation: A day case procedure forfaecal incontinence and constipation","authors":"M. Jarrett","doi":"10.1016/S0966-6532(05)80028-9","DOIUrl":"10.1016/S0966-6532(05)80028-9","url":null,"abstract":"","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 ","pages":"Page S9"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0966-6532(05)80028-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56503778","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}
Ambulatory SurgeryPub Date : 2005-01-01DOI: 10.1016/S0966-6532(05)80049-6
P. Deulofeu, J.F. Garrido, J. Codina, M. Pijoan, F. Rey, L. Fernández
{"title":"48 Gynaecologic ambulatory surgery unit: Vaginal surgery as a resort","authors":"P. Deulofeu, J.F. Garrido, J. Codina, M. Pijoan, F. Rey, L. Fernández","doi":"10.1016/S0966-6532(05)80049-6","DOIUrl":"10.1016/S0966-6532(05)80049-6","url":null,"abstract":"","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 ","pages":"Page S14"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0966-6532(05)80049-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56503859","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}
Ambulatory SurgeryPub Date : 2005-01-01DOI: 10.1016/S0966-6532(05)80063-0
A. Machardy
{"title":"62 Day Surgery & oncology","authors":"A. Machardy","doi":"10.1016/S0966-6532(05)80063-0","DOIUrl":"10.1016/S0966-6532(05)80063-0","url":null,"abstract":"","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 ","pages":"Page S21"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0966-6532(05)80063-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56504299","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}