Hedayati B, Fear S
Department of Anaesthesia, Arrow Park Hospital, Lepton, UK.
Br J Anaesth. 1999 Nov;83(5):776-9. doi: 10.1093/bja/83.5.776.
We have examined aspects of the anaesthetic technique that may influence the likelihood of unplanned overnight hospital admission after ambulatory gynaecological laparoscopy and have determined if any anaesthetically controllable factors were involved. The retrospective audit involved 300 patients. All patients attended the day-case unit at the Liverpool Women's Hospital between September 1996 and May 1997. One hundred ASA I-II patients who had unplanned overnight admissions during this time were evaluated. For every admitted patient, two similar patients who did not require admission were studied. Variables such as patient age and anaesthetic technique were evaluated by logistic regression. Our results indicated that postoperative emesis was the commonest cause for admission. Significant factors increasing the likelihood of unplanned admission included returning from the recovery unit after 15:00, use of a laryngeal mask airway and undergoing diagnostic laparoscopy. Significant factors reducing the likelihood of admission were the use of fentanyl and rectally administered diclofenac.
我们研究了可能影响非住院妇科腹腔镜检查后意外过夜住院可能性的麻醉技术方面，并确定是否涉及任何可通过麻醉控制的因素。这项回顾性审计涉及300名患者。所有患者均于1996年9月至1997年5月期间在利物浦妇女医院日间病房就诊。对在此期间意外过夜住院的100例ASA I-II级患者进行了评估。对于每例入院患者，研究两名不需要入院的类似患者。通过逻辑回归评估患者年龄和麻醉技术等变量。我们的结果表明，术后呕吐是入院最常见的原因。增加意外入院可能性的重要因素包括15:00后从恢复室返回、使用喉罩气道和接受诊断性腹腔镜检查。降低入院可能性的重要因素是使用芬太尼和直肠给药双氯芬酸。
