[en] The one day clinic possesses its own structure and organisation; patient management is also specific. Preoperative visit and assessment are programmed at least 48 hours before anesthesia. Preoperative examinations and choice of anesthetic technique (sedation associated with local anesthesia or not, general anesthesia, locoregional anesthesia, or hypnosedation) are discussed and determined depending upon medical history, clinical examination, and type of procedure. General recommandations, instructions about fasting, interruption of some therapies, and introduction of new medication(s) are explained orally and also provided in a written document. New anesthetics and analgesics allow quick awakening and recovery of vital functions, and subsequently rapid hospital discharge. Prevention and aggressive treatment of postoperative nausea and vomiting are also a major concern in our anesthesic management of ambulatory patient.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Hick, Gaëtane ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Kirsch, Murielle ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Janssens, Marc ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Larbuisson, Robert ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Joris, Jean ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Lamy, Maurice ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation
Language :
French
Title :
Actualites therapeutiques en anesthesie-reanimation: cap sur l'hopital de jour
Alternative titles :
[en] New Developments in Anesthesia-Reanimation for Ambulatory Procedures
Publication date :
2007
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Abecassis P, Aïdan K, Baujard C, et al. - Anesthésie ambulatoire, in Protocoles d'anesthésie-réanimation, 10ème édition. Mapar, Le Kremlin Bicêtre, 2004, 224-226.
Arrêté royal du 7 décembre 2005, modifiant les dispositions des articles 2, A et 12, § 3, 2° a), de l'annexe à l'arrêté royal du 14 septembre 1984 établissant la nomenclature des prestations de santé en matière d'assurance obligatoire, soins de santé et indemnités.
Mambourg F, Dargent G, Van den Bruel A, et al. - Evaluation des risques préopératoires. Bruxelles : Centre Fédéral d'Expertise des Soins de Santé (KCE. 2004 Octobre. KCE Reports vol.5B. Ref. D/2004/10.273/10.
Søreide E, Ljungqvist O. - Modern preoperative fasting guidelines: a summary of the present recommendations and remaining questions. Best Practice & Research Clinical Anesthesiology, 2006, 20, 483-491.
Fleisher L, Beckman J, Brown K, et al. - ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery : Focused Update on Perioperative Beta-Blocker Therapy - A Report of the American College of Cardiology/American Heart association Task Force on Pratice Guidelines (Writing Committee to Update the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Anesthesia & Analgesia, 2007, 104, 15-26.
Samama C. - Preoperative nonsteroidal antiinflammatory agents as substitutes for aspirin. Anesthesiology, 2007, 106, 205-206.
Abecassis P, Aïdan K, Baujard C, et al. - Anesthésie ambulatoire, in Protocoles d'anesthésie-réanimation, 10ème édition. Mapar, Le Kremlin Bicêtre, 2004, 72-80.
Staat P, Albaladejo P, Marret E, et al. - Conduite à tenir devant un patient porteur d'une endoprothèse coronaire devant être anesthésié et opéré. Le praticien en anesthésie réanimation, 2006, 202-210.
Albrecht E, Haberer JP, Buchser E, et al. - Anesthésie et fonction pulmonaire, in Manuel pratique d'anesthésie. Masson, Issy-les-Moulineaux, 2006, 322-323.
Defechereux T, Degauque C, Fumal I, et al. - L'hypnosédation, un nouveau mode d'anesthésie pour la chirurgie endocrinienne cervicale. Etude prospective randomisée. Annales de chirurgie, 2000, 125, 539-546.
Apfel C, Korttila K, Abdalla M, et al. - A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. New Engl J Med, 2004, 350, 2441-2451.
Gray A. - Ultrasound-guided regional anesthesia. Anesthesiology, 2006, 104, 368-73.
Brull R, Perlas A, Chan V. - Ultrasound-guided Peripheral Nerve Blockade. Curr Pain Rep, 2007, 4, 25-32.
Joris J, Kaba A. - Transition between anesthesia and post-operative analgesia : relevance of intra-operative administration of analgesics. Acta Anaesthesiol Belg, 2001, 52, 271-279.
Fassoulaki A, Patris K, Sarantopoulos C, et al. - The analgesic effect of gabapentine and mexiletine after breast surgery for cancer. Anesthesia & Analgesia, 2002, 95, 985-991.
Dirks J, Fredensborg B, Christensen D, et al. - A Randomized Study of the Effects of Single-dose Gabapentin versus Placebo on Postoperative Pain and Morphine Consumption after Mastectomy. Anesthesiology, 2002, 97, 560-564.
Reuben S, Buvanendran A, Kroin J, et al. - The analgesic efficacy of celecoxib, pregabalin, and their combination for spinal fusion surgery. Anesthesia & Analgesia, 2006, 103, 1271-1277.