Role of perioperative standardized anesthesia evaluation in day surgery_West China Medical Journal

Authors：

XIE Fang , FENG Yan ,  SUN Defeng

Department of Anesthesiology, the First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116001, P. R. China;

Corresponding?author：

SUN Defeng, Email: sdf-yl@163.com

Keywords：

Day surgery; Anesthesia; Perioperative evaluation; Post-operative follow-up

DOI：

10.7507/1002-0179.202011252

Video：

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The anesthetic work of day surgery should be guided by the standardized perioperative evaluation system. The evaluation methods and standards with strong operability and repeatability are the prerequisites to ensure the safety and efficiency of day surgery. For the assessment of patients’ preoperative physiological status, preoperative preparation and postoperative rehabilitation, standardized work procedures should be established to ensure patients’ medical safety to the greatest extent. Through summarizing the advanced management experience of day surgery anesthesia at home and abroad, and combining with the principled suggestions in The Consensus of Chinese Experts on Anaesthesia for Day Surgery, the First Affiliated Hospital of Dalian Medical University has repeatedly revised the perioperative anesthesia evaluation methods in practice, and gradually explored a comprehensive, rigorous and standardized perioperative anesthesia evaluation system. This paper will focus on the evaluation of perioperative anesthesia and postoperative follow-up procedures in day surgery.

Citation： XIE Fang, FENG Yan, SUN Defeng. Role of perioperative standardized anesthesia evaluation in day surgery. West China Medical Journal, 2021, 36(2): 144-151. doi: 10.7507/1002-0179.202011252 Copy

1.	Nicoll JH. The surgery of infancy. BMJ, 1909, 2: 753-754.
2.	王玥, 徐銘軍. 日間手術麻醉新進展. 中國誤診學雜志, 2009, 9(1): 16-17.
3.	中華醫學會麻醉學分會. 日間手術麻醉專家共識. 臨床麻醉學雜志, 2016, 32(10): 1017-1022.
4.	呂順, 孫忠良, 郭玲玲, 等. 日間手術模式運行的相關問題分析及對策. 醫學與哲學, 2018, 39(24): 91-92.
5.	嵇武, 劉亞萍, 戴瑋. 我國日間手術開展現狀與前景展望. 中國實用外科雜志, 2020, 40(2): 199-202.
6.	黃培, 易利華, 錢紅英. 醫院日間手術的創新實踐與思辨. 醫學與哲學, 2017, 38(10): 83-85.
7.	郭曲練, 程智剛. 研究和規范日間手術麻醉及圍術期管理意義重大. 臨床麻醉學雜志, 2016, 32(10): 941-944.
8.	Ailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: Guidelines from the Association of Anaesthetists and the British Association of Day Surgery. Anaesthesia, 2019, 74(6): 778-792.
9.	袁夢, 孫忠良, 孫德峰. Ⅲ 級、Ⅳ 級患者開展日間手術的策略探討. 醫學與哲學, 2020, 41(8): 68-70.
10.	劉陽, 馮澤國, 馮龍, 等. 2469 例日間手術的麻醉管理. 北京醫學, 2012, 34(8): 696-698.
11.	顧小平, 聶煌, 馬正良, 等. 麻醉科門診建設專家指導意見. 中華麻醉學雜志, 2019, 39(1): 7-13.
12.	梁佳妮, 羅雀華. 結構式麻醉門診評估模式在日間手術信息化管理中的應用. 醫藥前沿, 2019, 9(13): 211-212.
13.	Fleisher LA, Pasternak LR, Herbert R, et al. Inpatient hospital admission and death after outpatient surgery in elderly patients: importance of patient and system characteristics and location of care. Arch Surg, 2004, 139(1): 67-72.
14.	Gan TJ, Belani KG, Bergers S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
15.	Apfelbaum JL, Connis RT, Nickinovich DG, et al. Practice advisory for preanesthesia evaluation: an updated report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Anesthesiology, 2012, 116(3): 522-538.
16.	White PF, Song D. New criteria for fast-tracking after outpatient anesthesia: a comparison with the modified Aldrete’s scoring system. Anesth Analg, 1999, 88(5): 1069-1072.
17.	Chung F, Chan VW, Ong D. A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth, 1995, 7(6): 500-506.
18.	孫德峰, 侯源源, 孫忠良, 等. 規范化圍術期綜合評估圖(量)表在日間手術模式實施中的應用. 醫學與哲學, 2017, 38(14): 80-83, 90.
19.	Ward B, Imarengiaye C, Peirovy J, et al. Cognitive function is minimally impaired after ambulatory surgery. Can J Anaesth, 2005, 52(10): 1017-1021.
20.	O’Connor DB, Cotter M, Treacy O, et al. Ananaesthetia pre-operative inpatient stay in patients requiring major vascular surgery. Ir J Med Sci, 2011, 180(3): 649-653.
21.	Chung F, Un V, Su J. Postoperative symptoms 24 hours after ambulatory anaesthesia. Can J Anaesth, 1996, 43(11): 1121-1127.
22.	Swan BA, Maislin G, Traber KB. Symptom distress and functional status changes during the first seven days after ambulatory surgery. Anesth Analg, 1998, 86(4): 739-745.
23.	Mitchell M. Psychological preparation for patients undergoing day surgery. Ambul Surg, 2000, 8(1): 19-29.
24.	Wersky R, Fishman D, Homel P. What happens after discharge? Return hospital visits after ambulatory surgery. Anesth Analg, 1997, 84(2): 319-324.
25.	Mezei G, Chung F. Return hospital visits and hospital readmissions after ambulatory surgery. Ann Surg, 1999, 230(5): 721-727.

1. Nicoll JH. The surgery of infancy. BMJ, 1909, 2: 753-754.
2. 王玥, 徐銘軍. 日間手術麻醉新進展. 中國誤診學雜志, 2009, 9(1): 16-17.
3. 中華醫學會麻醉學分會. 日間手術麻醉專家共識. 臨床麻醉學雜志, 2016, 32(10): 1017-1022.
4. 呂順, 孫忠良, 郭玲玲, 等. 日間手術模式運行的相關問題分析及對策. 醫學與哲學, 2018, 39(24): 91-92.
5. 嵇武, 劉亞萍, 戴瑋. 我國日間手術開展現狀與前景展望. 中國實用外科雜志, 2020, 40(2): 199-202.
6. 黃培, 易利華, 錢紅英. 醫院日間手術的創新實踐與思辨. 醫學與哲學, 2017, 38(10): 83-85.
7. 郭曲練, 程智剛. 研究和規范日間手術麻醉及圍術期管理意義重大. 臨床麻醉學雜志, 2016, 32(10): 941-944.
8. Ailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: Guidelines from the Association of Anaesthetists and the British Association of Day Surgery. Anaesthesia, 2019, 74(6): 778-792.
9. 袁夢, 孫忠良, 孫德峰. Ⅲ 級、Ⅳ 級患者開展日間手術的策略探討. 醫學與哲學, 2020, 41(8): 68-70.
10. 劉陽, 馮澤國, 馮龍, 等. 2469 例日間手術的麻醉管理. 北京醫學, 2012, 34(8): 696-698.
11. 顧小平, 聶煌, 馬正良, 等. 麻醉科門診建設專家指導意見. 中華麻醉學雜志, 2019, 39(1): 7-13.
12. 梁佳妮, 羅雀華. 結構式麻醉門診評估模式在日間手術信息化管理中的應用. 醫藥前沿, 2019, 9(13): 211-212.
13. Fleisher LA, Pasternak LR, Herbert R, et al. Inpatient hospital admission and death after outpatient surgery in elderly patients: importance of patient and system characteristics and location of care. Arch Surg, 2004, 139(1): 67-72.
14. Gan TJ, Belani KG, Bergers S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
15. Apfelbaum JL, Connis RT, Nickinovich DG, et al. Practice advisory for preanesthesia evaluation: an updated report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Anesthesiology, 2012, 116(3): 522-538.
16. White PF, Song D. New criteria for fast-tracking after outpatient anesthesia: a comparison with the modified Aldrete’s scoring system. Anesth Analg, 1999, 88(5): 1069-1072.
17. Chung F, Chan VW, Ong D. A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth, 1995, 7(6): 500-506.
18. 孫德峰, 侯源源, 孫忠良, 等. 規范化圍術期綜合評估圖(量)表在日間手術模式實施中的應用. 醫學與哲學, 2017, 38(14): 80-83, 90.
19. Ward B, Imarengiaye C, Peirovy J, et al. Cognitive function is minimally impaired after ambulatory surgery. Can J Anaesth, 2005, 52(10): 1017-1021.
20. O’Connor DB, Cotter M, Treacy O, et al. Ananaesthetia pre-operative inpatient stay in patients requiring major vascular surgery. Ir J Med Sci, 2011, 180(3): 649-653.
21. Chung F, Un V, Su J. Postoperative symptoms 24 hours after ambulatory anaesthesia. Can J Anaesth, 1996, 43(11): 1121-1127.
22. Swan BA, Maislin G, Traber KB. Symptom distress and functional status changes during the first seven days after ambulatory surgery. Anesth Analg, 1998, 86(4): 739-745.
23. Mitchell M. Psychological preparation for patients undergoing day surgery. Ambul Surg, 2000, 8(1): 19-29.
24. Wersky R, Fishman D, Homel P. What happens after discharge? Return hospital visits after ambulatory surgery. Anesth Analg, 1997, 84(2): 319-324.
25. Mezei G, Chung F. Return hospital visits and hospital readmissions after ambulatory surgery. Ann Surg, 1999, 230(5): 721-727.

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