Clinical practice and routines for day surgery in Sweden: results from a nation-wide survey.

Clinical practice and routines for day surgery in Sweden: results from a nation-wide survey. Research Abstract Details 

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Clinical practice and routines for day surgery in Sweden: results from a nation-wide survey. Abstract Text:

M Segerdahl,M ,N Rawal,M Brattwall,J Jakobsson,M Segerdahl,M Warrén-Stomberg,N Rawal,M Brattwall,J Jakobsson,

BACKGROUND: Day surgery has expanded considerably during the last decades. Routines and standards have developed but differ between and within countries. METHODS: We studied the practice of day surgery in Sweden by an extensive questionnaire survey sent to all 92 hospitals. RESULTS: The proportion of day surgery vs. in-hospital procedures was overall 43%, with 43% in adults and 46% in children. Orthopaedic (33%), general (29%) and gynaecological (17%) surgery were the most common ambulatory procedures. Most patients (>90%) underwent pre-operative assessment by an anaesthesiologist. Patient self-assessment questionnaires were common (86%). Risk stratification for post-operative nausea and vomiting was used by 70% of the departments. Anxiolytic pre-medication was uncommon. Most anaesthesiologists (95%) used pre-operative oral analgesics to initiate post-operative analgesia, the most common being paracetamol (95%), NSAIDs (73%) and coxibs (15%). A balanced general anaesthesia technique was preferred. Post-operatively, 93% of the units routinely assessed patients' pain. Analgesic combinations of paracetamol, NSAIDs and weak opioids were used by 94% of the units. Most hospitals (80%) had standardised discharge criteria based on clinical assessment, and many required a patient escort at home for 24 h post-operatively. Assessments of unplanned admission, re-admission and post-operative complications were not performed routinely. Follow-up telephone calls within 1-2 days were performed regularly in about 40% of the units, or in selected patients only (37%). Pain was the most frequent complaint on follow-up. CONCLUSIONS: In Sweden, a high degree of standardised regime for day surgical practice was found. Post-operative pain is the most common complaint after discharge.

Clinical practice and routines for day surgery in Sweden: results from a nation-wide survey. Publishing Authors By Initials

M Segerdahl,M ,N Rawal,M Brattwall,J Jakobsson,M Segerdahl,M Warrén-Stomberg,N Rawal,M Brattwall,J Jakobsson,

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Clinical practice and routines for day surgery in Sweden: results from a nation-wide survey. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Acta anaesthesiologica Scandinavica

VOLUME: 52

Page Numbers: 117-24

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ISSN: 1399-6576

DAY: 8

MONTH: 11

YEAR: 2007

Clinical practice and routines for day surgery in Sweden: results from a nation-wide survey. Information

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LANGUAGE: eng

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AFFILIATION: Department of Clinical Science, Intervention and Technology, Unit for Anesthesia, Karolinska Institute, Stockholm, Sweden. marta.segerdahl@ki.se

Country: England

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MEDLINETA: Acta Anaesthesiol Scand

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