Purschke R
Abteilung für Anaesthesiologie und operative Intensivmedizin, St.-Johannes-Hospital Dortmund.
Zentralbl Chir. 1994;119(7):466-9.
Though German hospitals are normally not built for day case surgery, this became a new challenge based on changed legal regulations. A stepwise adaptation of the present facilities to the altered necessities seems to be a relatively simple way to realise day case surgery also in hospitals. Preoperatively surgeons and anaesthetists offer office hours during the same time to avoid patients having to wait. On the day of surgery patients are admitted to the hospital and treated like inpatients with regular transport to the operating room for anaesthesia and surgery, followed by recovery room stay and transmission to the normal ward. At a fixed time in the afternoon patients are visited by the surgeon and the anaesthetist to clear the conditions for dismission. While anaesthesia, surgery and recovery take the same time as for inpatients, the pre- and postoperative procedures are more time consuming. With a rising number of outpatients a separate department for outpatient surgery with its own administration, operating theaters and day case ward should be developed.
尽管德国的医院通常并非为日间手术而建，但基于法律规定的变化，这成为了一项新挑战。逐步使现有设施适应改变后的需求，似乎是在医院实现日间手术的一种相对简单的方式。术前，外科医生和麻醉师在同一时间提供门诊服务，以避免患者等待。手术当天，患者入院，像住院患者一样接受治疗，常规转运至手术室进行麻醉和手术，随后在恢复室停留并转至普通病房。下午固定时间，外科医生和麻醉师会查房，以确定出院条件。虽然麻醉、手术和恢复所用时间与住院患者相同，但术前和术后程序更为耗时。随着门诊患者数量的增加，应设立一个独立的门诊手术科室，配备自己的管理部门、手术室和日间病房。
