McGrath Brid, Chung Frances
Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, EC 2-046 Toronto, Ontario, Canada M5T 2S8.
Anesthesiol Clin North Am. 2003 Jun;21(2):367-86. doi: 10.1016/s0889-8537(02)00080-9.
Ambulatory surgery provides quality care that is cost-effective. The use of innovative surgical and anesthetic techniques will allow larger numbers of patients to take advantage of the benefits of undergoing an elective operation on an ambulatory basis. Anesthesiologists will be faced with more complex surgery, which will require careful selection and assessment of patients to ensure continuity of the excellent safety record of ambulatory anesthesia. Minor adverse events, such as pain and PONV, are still common. The occurrence of these minor adverse advents is now the major area of quality assessment and an area where improvement could be targeted. Fast tracking facilitates earlier discharge, but we must ensure this has benefit to the patient as speedy discharge may mask the true incidence of adverse minor symptoms. This can lead to patient dissatisfaction and a poor impression of ambulatory surgery.
门诊手术提供具有成本效益的优质护理。采用创新的手术和麻醉技术将使更多患者能够受益于在门诊基础上进行择期手术。麻醉医生将面临更复杂的手术，这需要对患者进行仔细的选择和评估，以确保门诊麻醉出色的安全记录得以延续。轻微不良事件，如疼痛和术后恶心呕吐，仍然很常见。这些轻微不良事件的发生现在是质量评估的主要领域，也是可以针对性改进的领域。快速康复有助于更早出院，但我们必须确保这对患者有益，因为快速出院可能掩盖轻微不良症状的真实发生率。这可能导致患者不满以及对门诊手术留下不佳印象。
