Servicio de Anestesia, Hospital Universitario de La Princesa, Madrid, Spain.
Servicio de Anestesia, Hospital Universitario La Paz, Madrid, Spain.
Rev Esp Anestesiol Reanim (Engl Ed). 2024 May;71(5):403-411. doi: 10.1016/j.redare.2024.02.029. Epub 2024 Feb 28.
Cataract surgery is one of the most common procedures in outpatient surgery units. The use of information and communication technologies (ICT) in clinical practice and the advent of new health scenarios, such as the Covid pandemic, have driven the development of pre-anaesthesia assessment models that free up resources to improve access to cataract surgery without sacrificing patient safety. The approach to cataract surgery varies considerably among public, subsidised and private hospitals. This raises the need for guidelines to standardise patient assessment, pre-operative tests, management of background medication, patient information and informed consent.
In this document, the SEDAR Clinical Management Division together with the Major Outpatient Surgery Division SEDAR Working Group put forward a series of consensus recommendations on pre-anaesthesia testing based on the use of ITCs, health questionnaires, patient information and informed consent supervised and evaluated by an anaesthesiologist.
This consensus document will effectivise pre-anaesthesia assessment in cataract surgery while maintaining the highest standards of quality, safety and legality.
白内障手术是门诊外科手术中最常见的手术之一。信息和通信技术(ICT)在临床实践中的应用以及新的卫生情况的出现,如新冠疫情,推动了麻醉前评估模型的发展,这些模型释放了资源,在不牺牲患者安全的情况下改善了白内障手术的可及性。公共、补贴和私立医院的白内障手术方法差异很大。这就需要制定指南来规范患者评估、术前检查、背景药物管理、患者信息和知情同意。
在本文件中,SEDAR 临床管理部门与 SEDAR 大手术部门工作组一起,根据使用信息和通信技术、健康问卷、由麻醉师监督和评估的患者信息和知情同意书,提出了一系列关于麻醉前测试的共识建议。
本共识文件将使白内障手术的麻醉前评估更加有效,同时保持最高的质量、安全和合法性标准。