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, 徐铭军. 日间手术麻醉新进展. 中国误诊学杂志, 2009, 9(1): 16-17.
3.	中华医学会麻醉学分会. 日间手术麻醉专家共识. 临床麻醉学杂志, 2016, 32(10): 1017-1022.
4.	吕顺, 孙忠良, 郭玲玲, 等. 日间手术模式运行的相关问题分析及对策. 医学与哲学, 2018, 39(24): 91-92.
5.	嵇武, 刘亚萍, 戴玮. 我国日间手术开展现状与前景展望. 中国实用外科杂志, 2020, 40(2): 199-202.
6.	黄培, 易利华, 钱红英. 医院日间手术的创新实践与思辨. 医学与哲学, 2017, 38(10): 83-85.
7.	郭曲练, 程智刚. 研究和规范日间手术麻醉及围术期管理意义重大. 临床麻醉学杂志, 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.	袁梦, 孙忠良, 孙德峰. Ⅲ 级、Ⅳ 级患者开展日间手术的策略探讨. 医学与哲学, 2020, 41(8): 68-70.
10.	刘阳, 冯泽国, 冯龙, 等. 2469 例日间手术的麻醉管理. 北京医学, 2012, 34(8): 696-698.
11.	顾小平, 聂煌, 马正良, 等. 麻醉科门诊建设专家指导意见. 中华麻醉学杂志, 2019, 39(1): 7-13.
12.	梁佳妮, 罗雀华. 结构式麻醉门诊评估模式在日间手术信息化管理中的应用. 医药前沿, 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.	孙德峰, 侯源源, 孙忠良, 等. 规范化围术期综合评估图(量)表在日间手术模式实施中的应用. 医学与哲学, 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, 徐铭军. 日间手术麻醉新进展. 中国误诊学杂志, 2009, 9(1): 16-17.
3. 中华医学会麻醉学分会. 日间手术麻醉专家共识. 临床麻醉学杂志, 2016, 32(10): 1017-1022.
4. 吕顺, 孙忠良, 郭玲玲, 等. 日间手术模式运行的相关问题分析及对策. 医学与哲学, 2018, 39(24): 91-92.
5. 嵇武, 刘亚萍, 戴玮. 我国日间手术开展现状与前景展望. 中国实用外科杂志, 2020, 40(2): 199-202.
6. 黄培, 易利华, 钱红英. 医院日间手术的创新实践与思辨. 医学与哲学, 2017, 38(10): 83-85.
7. 郭曲练, 程智刚. 研究和规范日间手术麻醉及围术期管理意义重大. 临床麻醉学杂志, 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. 袁梦, 孙忠良, 孙德峰. Ⅲ 级、Ⅳ 级患者开展日间手术的策略探讨. 医学与哲学, 2020, 41(8): 68-70.
10. 刘阳, 冯泽国, 冯龙, 等. 2469 例日间手术的麻醉管理. 北京医学, 2012, 34(8): 696-698.
11. 顾小平, 聂煌, 马正良, 等. 麻醉科门诊建设专家指导意见. 中华麻醉学杂志, 2019, 39(1): 7-13.
12. 梁佳妮, 罗雀华. 结构式麻醉门诊评估模式在日间手术信息化管理中的应用. 医药前沿, 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. 孙德峰, 侯源源, 孙忠良, 等. 规范化围术期综合评估图(量)表在日间手术模式实施中的应用. 医学与哲学, 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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