Skip to main content Accessibility help
×
Home
  • Print publication year: 2006
  • Online publication date: September 2009

17 - Anaesthesia for day-case surgery

Summary

This chapter summarises the results of a systematic literature search published between the dates of 1990 and July 2005. Day-case surgery, known as ambulatory surgery in North America, has grown substantially in the last 20 years. Despite increasing demand for day-case surgery and advances in surgical technique, patient selection remains important to reduce postoperative complications. In 2003, the UK National Institute for Clinical Excellence (NICE) published guidelines for routine preoperative testing. The ideal anaesthetic for day-case surgery would provide rapid recovery, quick return to "street fitness" and be free of side-effects. Other considerations include turnover times and cost-effectiveness. Postoperative pain is one of the most frequently occurring adverse events after day-case surgery. Postoperative nausea and vomiting (PONV) is an important cause of morbidity following day surgery and along with pain is a major cause of unexpected admission.