Jones S E, Smith B A
J Pediatr Surg. 1980 Feb;15(1):31-3. doi: 10.1016/s0022-3468(80)80398-8.
Five years anesthetic experience of children undergoing day-surgery is reviewed. There were 1278 patients, including 176 infants, having general surgical procedures. Most operations were performed in the afternoon. Subsequently, 104 patients (8.1%) remained in hospital overnight, and of these, 15 were detained for anesthetic reasons. No serious complications were seen. The preoperative anesthetic preparation, general anesthesia, and postoperative care are described. Reasons for subsequent admission are detailed with specific reference to anesthesia. Most limitations placed on the selection of children for day-surgery are unnecessary. Age, distance from hospital, timing of operation, and expected intubation should not be critical factors determining selection of patients.
回顾了接受日间手术儿童的五年麻醉经验。共有1278例患者,包括176例婴儿,接受了普通外科手术。大多数手术在下午进行。随后,104例患者(8.1%)留院过夜,其中15例因麻醉原因被留院观察。未观察到严重并发症。描述了术前麻醉准备、全身麻醉和术后护理。详细说明了后续入院的原因,并特别提及了麻醉方面。大多数对日间手术儿童选择的限制是不必要的。年龄、与医院的距离、手术时间和预期插管情况不应成为决定患者选择的关键因素。