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门诊手术麻醉

Anesthesia for ambulatory surgery.

作者信息

Lee Jeong Han

机构信息

Department of Anesthesiology and Pain Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

出版信息

Korean J Anesthesiol. 2017 Aug;70(4):398-406. doi: 10.4097/kjae.2017.70.4.398. Epub 2017 May 19.

Abstract

Ambulatory anesthesia allows quick recovery from anesthesia, leading to an early discharge and rapid resumption of daily activities, which can be of great benefit to patients, healthcare providers, third-party payers, and hospitals. Recently, with the development of minimally invasive surgical techniques and short-acting anesthetics, the use of ambulatory surgery has grown rapidly. Additionally, as the indications for ambulatory surgery have widened, the surgical methods have become more complex and the number of comorbidities has increased. For successful and safe ambulatory anesthesia, the anesthesiologist must consider various factors relating to the patient. Among them, appropriate selection of patients and surgical and anesthetic methods, as well as postoperative management, should be considered simultaneously. Patient selection is a particularly important factor. Appropriate surgical and anesthetic techniques should be used to minimize postoperative complications, especially postoperative pain, nausea, and vomiting. Patients and their caregivers should be fully informed of specific care guidelines and appropriate responses to emergency situations on discharge from the hospital. During this process, close communication between patients and medical staff, as well as postoperative follow-up appointments, should be ensured. In summary, safe and convenient methods to ensure the patient's return to function and recovery are necessary.

摘要

门诊麻醉可使患者迅速从麻醉中恢复,实现早期出院并快速恢复日常活动,这对患者、医疗服务提供者、第三方支付方和医院都大有裨益。近年来,随着微创手术技术和短效麻醉剂的发展,门诊手术的应用迅速增加。此外,随着门诊手术适应证的拓宽,手术方法变得更加复杂,合并症数量也有所增加。为了成功且安全地实施门诊麻醉,麻醉医生必须考虑与患者相关的各种因素。其中,应同时考虑患者的恰当选择、手术及麻醉方法以及术后管理。患者选择是一个尤为重要的因素。应采用恰当的手术和麻醉技术,以尽量减少术后并发症,尤其是术后疼痛、恶心和呕吐。应向患者及其护理人员充分告知具体的护理指南以及出院时对紧急情况的适当应对措施。在此过程中,应确保患者与医护人员之间的密切沟通以及术后随访预约。总之,需要有安全便捷的方法来确保患者恢复功能并康复。

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