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门诊手术的围手术期注意事项。

Perioperative considerations in outpatient surgery.

作者信息

Miguel R

机构信息

University of South Florida College of Medicine, Tampa.

出版信息

J Fla Med Assoc. 1994 Jun;81(6):408-13.

PMID:8064282
Abstract

Outpatient surgery has progressed over the last century to become the most popular form of management of the operative patient. Patient selection and preparation are particularly important to ensure a successful outcome after outpatient surgery. Knowledge of the problems presented by specific patients (e.g., physical status, postoperative pain, duration of operation, and patient age) is particularly important to improve the changes of success. Preparing patients for outpatient surgery includes preoperative screening, appropriate preoperative lab testing, compliance with revised fasting guidelines, as well as pharmacologic preparation. Attention is to the multitude of factors involved in caring for these patients is essential to decrease morbidity, cancellation rates, and unexpected hospital admission rates and will hopefully improve outcomes.

摘要

在过去的一个世纪里,门诊手术不断发展,已成为手术患者最常用的治疗方式。患者的选择和准备对于确保门诊手术后取得成功的结果尤为重要。了解特定患者所呈现的问题(例如身体状况、术后疼痛、手术时长和患者年龄)对于提高成功几率尤为重要。为患者进行门诊手术准备包括术前筛查、适当的术前实验室检查、遵守修订后的禁食指南以及药物准备。关注护理这些患者所涉及的众多因素对于降低发病率、取消率和意外住院率至关重要,有望改善治疗结果。

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