国际麻醉学与复苏杂志   2011, Issue (6): 27-27
    
日间手术麻醉离院标准
李芸, 李天佐1()
1.北京同仁医院麻醉科
Discharge criteria after day case surgery
 全文:
摘要:

随着日间手术越来越趋于主流,已经成为麻醉医生工作的一个主要部分,1994年美国非住院手术占总手术例数的66%⑴。离院时间和未预料到的再次入院率是通常评价日间手术麻醉效率和结果的指征(2)。一例成功的日间手术麻醉很大程度上依赖于使患者尽早而安全地离院。实施日间手术麻醉后患者应在医院停留多长时间,这是关系到其未来发展的重要问题,因此迫切需要我们制订出公认的合理的安全性高的离院标准。

关键词: 离院标准,日间手术
Abstract:

As the development of day case surgery,a safe,reliable and effective anesthesia care become more and more important,especially in the PACU(Post Anesthesia Care Unit) and ASU(Ambulatory Surgery Unit).A successful ambulatory surgery program depends on appropriate and ‘timely’ discharge of patients after anesthesia and sedation.However,the patient must achieve clinical criteria that clearly reflect passage through the phases of early and intermediate recovery without danger.New scoring systems had been designed to facilitate the doctors to decide whether and when to let the patients discharging home with less readmission.But till now,global standard criteria of discharge after anesthesia has not been established.

Key words: Discharge criteria,Day case surgery