Author/Editor		Rode, K; Berger, J; Hribar-Habinc, T
Title		The role of anaesthesiologist in pain management in ambulatory surgery
Type		članek
Source		In: Zabavnik Z, editor. Book of lectures of the 16th anaesthesia symposium Alpe Adria; 2003 May 9-11; Maribor. Maribor: Splošna bolnišnica,
Publication year		2003
Volume		str. 215-20
Language		eng
Abstract		Ambulatory surgery can be defined as aoy surgery where the expectation is that the patient will go home the same day of operation. In United States even more than 60% of all operations are performed as day-case surgery (1). We estimate that in Slovenia are about 10-15% of all surgery procedures done on the outpatienf basis and they are less invasive compare to those performed in Weštern countries (2). Ambulatory surgery developed for a number of reasons, which can be divided into medical, social and economic reasons. It reduces healthcare costs; gets patieots mobilized more quickly, allowing them faster integration into their usual daily activities and to work. Because hospitalisation is shortened, the risk of complications such as hospital-acquired infections may be reduced. Safety, fast recovery and minimal postoperative problems are essential in selecting surgical procedures and anaesthesia techniques for day case surgery. Pastoperative pain is one of the main barriers to increasing the range of ambulatory procedures. Persistent pain has been shown to lead to postoperative nausea and vomiting (3) delayed discharge (4) and unanticipated admissions (5).The concept of "multimodal" analgesia has been introduced as a strategy to achieve optimal and balanced pain relief (11). Since ambulatory patients are discharged shortly after the procedure, a traditional postoperative follow up visit cannot be conducted. Alternative means for obtaining patient's assessment, such as postoperative telephone interview or questionnaire are used in the ambulatory surgery unit.
Descriptors		AMBULATORY SURGERY ANESTHESIA, CONDUCTION PAIN, POSTOPERATIVE