Richman Deborah C
Department of Anesthesiology, Stony Brook University Medical Center, Stony Brook, NY 11794-8480, USA.
Anesthesiol Clin. 2010 Jun;28(2):185-97. doi: 10.1016/j.anclin.2010.03.001.
Ambulatory surgery currently represents more than two thirds of surgeries performed. It is considered low-risk surgery and patients expect to be discharged home safely and comfortably the same day. More than 30 years of evidence supports the idea that preoperative assessment is best done by a focused history and physical, and only minimal, selective, further laboratory investigations. Costs are optimized by this approach and outcomes have not been shown to be adversely affected, possibly even improved, with less harm inflicted by additional testing. This article focuses on what is appropriate testing for ambulatory surgery patients.
门诊手术目前占所有手术的三分之二以上。它被视为低风险手术，患者期望在同一天安全舒适地出院回家。30多年的证据支持这样一种观点，即术前评估最好通过重点病史和体格检查来完成，只需要进行最少的、选择性的进一步实验室检查。这种方法优化了成本，而且没有证据表明结果会受到不利影响，甚至可能有所改善，因为额外检查造成的伤害更小。本文重点讨论门诊手术患者适合进行哪些检查。
