Author/Editor		Barovič, Vesna; Logar, Primož; Brate-Šolar, Tatjana
Title		Možnosti in omejitve ambulantne kirurgije in anestezije
Translated title		Possibilities and limitations of ambulatory surgery and outpatient anaesthesia
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. 4
Publication year		2000
Volume		str. 407-18
Language		slo
Abstract		The demand for outpatient surgery and office-case anesthesia is increasing for medical, technological and economic reasons. Ophtalmic day-case surgery and anesthesia have developed over the past ten years. Careful selection of ambulatory patients, preoperative evaluation, good control of the symptoms of pre-existing diseases which is in the hands of the patient's personal physician and internist and optimal intra- and post operative anesthesiological management reduce the perioperative risks associated with the patient's pre-existing chronic diseases. Prevention of postoperative nausea and vomiting and good postoperative analgesia make home care for such patients easy and comfortable, and reduce the incidence of complications. High-quality and cost-effective outpatient ophtalmic surgery and anesthesia require close cooperation, between the surgeon, the anesthesiologist and the patient's general practitioner.
Summary		Ambulantna kirurgija in anestezija sta medicinski stroki, ki se hitro širita iz strokovnih, tehnoloških in ekonomskih razlogov. Dve od sodobnih ambulantnih vej sta očesna kirurgija in ambulantna očesna anestezija, ki sta se v zadnjih desetih letih hitro razvijali. Skrbna izbira bolnikov, primernih za ambulantne posege, dobra priprava bolnika, ki je v rokah internista in osebnega zdravnika in ustrezno vodenje bolnika med posegom in po njem zmanjšujejo perioperativno tveganje za zaplete tudi pri kroničnih bolnilah s števihiimi patološkimi spremembami: Preprečevanje pooperativne slabosti in bruhanja in zagotavljanje pooperativne analgezije povečata udobje bolnika in omogočita domačo nego operiranca brez zapletov. Visoko kakovostno kirurško zdravljenje očesnih bolnikov ob najmanjših možnih stroških zdravljenja zahteva tesno sodelovanje kirurga, anesteziologa in splošnega zdravnika. Avtorji članka predstavljajo svoj model ambulantnega dela o izboru in pripravi bolnikov, preprečevanju zapletov kirurškega zdravljenja in vodenju anestezije, obvladovanju bolečine med in po operaciji, omogočanju domače nege brez zapletov in razmišljajo o izboljšavah v analgeziji.
Descriptors		AMBULATORY SURGERY ANESTHESIA EYE DISEASES ANALGESIA POSTOPERATIVE COMPLICATIONS