Day Case Surgery
Definition:
A patient who is
admitted for investigation or operation on a planned, non-resident basis and who
requires facilities for recovery.these includes:
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Full admission
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Full discharge
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Trained staff and equipment
Objectives:
Why Day case surgery?
1.
Reduction in cost
2.
Minimal disruption to patients normal routines
3.
Psychological benefit
4.
Low post op morbidity (reduced risk of infection)
5.
Waiting list clearance
Selection
Criteria:
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Physical status: class I or II ASA. (American society of Anaesthesiologist)
Either healthy or with medical problem that is well under control.
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Obesity: body mass\height more than 34% requires admission to avoid increase
morbidity.
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Age: not too young nor too old
<1year should be admitted. Physiological age more important than
chronological age.
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Operation: bleeding, post op pain, more than 2 hours.
Pre
operative Screening:
1.
Health questionnaire
2.
Investigation
3.
Fasting ( 4 hours for food, two hours for liquids)
4.
Premeditation.