Rapid emergence of day-care anaesthesia: A review

• Published in: Indian journal of anaesthesia Vol. 56; no. 4; pp. 336 - 341
• Main Authors: Gangadhar, Sb, Gopal, Tm, Sathyabhama, Paramesh, Ks
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01.07.2012; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Ambulatory surgery; anaesthetic techniques; Anesthesia; Anesthesiology; controversies; day surgery; discharge; Forecasts and trends; Methods; Outpatient care facilities; patient selection; Postoperative care; Services; Special; Surgical clinics; surgical procedures; India; surgical procedures; Ambulatory surgery; day surgery; controversies; discharge; patient selection; anaesthetic techniques
• ISSN: 0019-5049; 0976-2817
• DOI: 10.4103/0019-5049.100813

The number of day-care surgeries is increasing every day. The boundaries of day-care surgeries are being redefined on a continual basis. Multi-dimensional benefits to the patient, hospital and national economy are the driving forces behind the changing scenario on the horizon of day surgery. The literature search included Google, medlinx, pubmed and medline. We have attempted to look at the controversies in patient selection with comorbidities, pre-operative assessment and an acceptable ASA grade of patients. An attempt is also made to look at suitable surgical procedures, a pathway of introducing procedures, which are still complex and specialist procedures in challenging environment. The techniques of general anaesthesia, central neuraxial blocks, regional nerve blocks with indwelling catheters and monitoring techniques are deliberated upon. Finally the most important post-operative issues of discharge criteria, including recovery after spinal anaesthetic, oral fluid intake, voiding and travel after day surgery, are considered.