Standardized management of anesthesia in same-day surgery_West China Medical Journal

Authors：

TIAN Meng , SUN Zhongliang ,  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：

Same-day surgery; anesthesia; enhanced recovery after surgery; standardized management

DOI：

10.7507/1002-0179.202112143

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Under the same-day surgery mode, anesthesiologists play an important role in ensuring patient safety, eliminating medical risks, practicing the concept of enhanced recovery after surgery, and realizing comfortable diagnosis and treatment, and a standardized anesthesia management process is the key to protect patients. Based on the principled suggestions in The Consensus of Chinese Experts on Anaesthesia for Day Surgery, combined with the advanced management experience of day surgery anesthesia at home and abroad, and repeatedly revised through practice, a comprehensive, rigorous, and standardized anesthesia management process for same-day surgery was gradually explored by the First Affiliated Hospital of Dalian Medical University. This paper introduces the process from the aspects of procedure of anesthesia evaluation in same-day surgery, preoperative preparation, standardized intraoperative anesthesia management, postoperative pain management, and prevention and treatment of postoperative complications.

Citation： TIAN Meng, SUN Zhongliang, SUN Defeng. Standardized management of anesthesia in same-day surgery. West China Medical Journal, 2022, 37(2): 165-170. doi: 10.7507/1002-0179.202112143 Copy

1.	谢昉, 冯艳, 孙德峰. 围手术期规范化麻醉评估流程在日间手术中的应用. 华西医学, 2021, 36(2): 144-151.
2.	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.
3.	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.
4.	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.
5.	Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg, 2017, 152(3): 292-298.
6.	Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: the impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns, 2016, 99(5): 733-738.
7.	Horn A, Kaneshiro K, Tsui BCH. Preemptive and preventive pain psychoeducation and its potential application as a multimodal perioperative pain control option: a systematic review. Anesth Analg, 2020, 130(3): 559-573.
8.	Frohnhofen H. Pain and sleep: a bidirectional relationship. Z Gerontol Geriatr, 2018, 51(8): 871-874.
9.	Todd OM, Gelrich L, MacLullich AM, et al. Sleep disruption at home as an independent risk factor for postoperative delirium. J Am Geriatr Soc, 2017, 65(5): 949-957.
10.	Simonelli G, Mantua J, Gad M, et al. Sleep extension reduces pain sensitivity. Sleep Med, 2019, 54(2): 172-176.
11.	Amer MA, Smith MD, Herbison GP, et al. Network meta-analysis of the effect of preoperative carbohydrate loading on recovery after elective surgery. Br J Surg, 2017, 104(3): 187-197.
12.	Fawcett WJ, Thomas M. Pre-operative fasting in adults and children: clinical practice and guidelines. Anaesthesia, 2019, 74(1): 83-88.
13.	Nguyen TK, Nguyen VL, Nguyen TG, et al. Lung-protective mechanical ventilation for patients undergoing abdominal laparoscopic surgeries: a randomized controlled trial. BMC Anesthesiol, 2021, 21(1): 95.
14.	Rowley DD, Arrington SR, Enfield KB, et al. Transpulmonary pressure-guided lung-protective ventilation improves pulmonary mechanics and oxygenation among obese subjects on mechanical ventilation. Respir Care, 2021, 66(7): 1049-1058.
15.	Staehr-Rye AK, Meyhoff CS, Scheffenbichler FT, et al. High intraoperative inspiratory oxygen fraction and risk of major respiratory complications. Br J Anaesth, 2017, 119(1): 140-149.
16.	马洪升, 程南生, 朱涛, 等. 华西医院日间手术快速康复(ERAS)规范. 中国胸心血管外科临床杂志, 2016, 23(2): 104-106.
17.	Barry GS, Bailey JG, Sardinha J, et al. Factors associated with rebound pain after peripheral nerve block for ambulatory surgery. Br J Anaesth, 2021, 126(4): 862-871.
18.	Wood C. Fluid management: an update for perioperative practitioners. J Perioper Pract, 2021, 31(3): 71-79.
19.	Messina A, Robba C, Calabrò L, et al. Perioperative liberal versus restrictive fluid strategies and postoperative outcomes: a systematic review and metanalysis on randomised-controlled trials in major abdominal elective surgery. Crit Care, 2021, 25(1): 205.
20.	Miller TE, Mythen M, Shaw AD, et al. Association between perioperative fluid management and patient outcomes: a multicentre retrospective study. Br J Anaesth, 2021, 126(3): 720-729.
21.	Mühlbacher J, Luf F, Zotti O, et al. Effect of intraoperative goal-directed fluid management on tissue oxygen tension in obese patients: a randomized controlled trial. Obes Surg, 2021, 31(3): 1129-1138.
22.	Joshi GP. Enhanced recovery pathways for ambulatory surgery. Curr Opin Anaesthesiol, 2020, 33(6): 711-717.
23.	Park DH, Kim TW, Kim MS, et al. Cardiac arrest caused by accidental severe hypothermia and myocardial infarction during general anesthesia. J Int Med Res, 2021, 49(1): 300060520987945.
24.	Sari S, Aksoy SM, But A. The incidence of inadvertent perioperative hypothermia in patients undergoing general anesthesia and an examination of risk factors. Int J Clin Pract, 2021, 75(6): e14103.
25.	Lee Y, Kim K. Optimal application of forced air warming to prevent peri-operative hypothermia during abdominal surgery: a systematic review and meta-analysis. Int J Environ Res Public Health, 2021, 18(5): 2517.
26.	Penna HM, Modolo NSP, Paiva DH. Livedo reticularis by hypothermia during anesthesia for dental treatment in Down’s syndrome patient. Braz J Anesthesiol, 2019, 69(1): 78-81.
27.	Liu M, Qi L. The related factors and countermeasures of hypothermia in patients during the anesthesia recovery period. Am J Transl Res, 2021, 13(4): 3459-3465.
28.	Akhtar Z, Hesler BD, Fiffick AN, et al. A randomized trial of prewarming on patient satisfaction and thermal comfort in outpatient surgery. J Clin Anesth, 2016, 33: 376-385.
29.	Lau A, Lowlaavar N, Cooke EM, et al. Effect of preoperative warming on intraoperative hypothermia: a randomized-controlled trial. Can J Anaesth, 2018, 65(9): 1029-1040.
30.	Small C, Laycock H. Acute postoperative pain management. Br J Surg, 2020, 107(2): e70-e80.
31.	Carlier J, Robin F, Pages N, et al. Pain evaluation after day-surgery using a mobile phone application. Anaesth Crit Care Pain Med, 2021, 40(3): 100879.
32.	Gramke HF, de Rijke JM, van Kleef M, et al. The prevalence of postoperative pain in a cross-sectional group of patients after daycase surgery in a university hospital. Clin J Pain, 2007, 23(6): 543-548.
33.	Yang L, Sun DF, Wu Y, et al. Intranasal administration of butorphanol benefits old patients undergoing H-uvulopalatopharyngoplasty: a randomized trial. BMC Anesthesiol, 2015, 15: 20.
34.	于超, 孙忠良, 张宇, 等. 布托啡诺经鼻给药超前镇痛在日间手术模式下 LIHR 术后镇痛中的应用. 医学与哲学(B), 2018, 39(3): 32-36.
35.	L’Hermite J, Pagé MG, Chevallier T, et al. Characterisation of pragmatic postoperative PAin Trajectories over seven days and their association with CHronicity after 3 months: a prospective, pilot cohort study (PATCH study). Anaesth Crit Care Pain Med, 2021, 40(1): 100793.
36.	Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
37.	Gan TJ, Diemunsch P, Habib AS, et al. Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2014, 118(1): 85-113.
38.	Nilsson U, Jaensson M, Dahlberg K, et al. Postoperative recovery after general and regional anesthesia in patients undergoing day surgery: a mixed methods study. J Perianesth Nurs, 2019, 34(3): 517-528.
39.	Mendy N, Moriceau J, Sacuto Y, et al. Postoperative fatigue after day surgery: prevalence and risk factors. A prospective observational study. Minerva Anestesiol, 2020, 86(12): 1269-1276.

1. 谢昉, 冯艳, 孙德峰. 围手术期规范化麻醉评估流程在日间手术中的应用. 华西医学, 2021, 36(2): 144-151.
2. 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.
3. 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.
4. 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.
5. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg, 2017, 152(3): 292-298.
6. Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: the impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns, 2016, 99(5): 733-738.
7. Horn A, Kaneshiro K, Tsui BCH. Preemptive and preventive pain psychoeducation and its potential application as a multimodal perioperative pain control option: a systematic review. Anesth Analg, 2020, 130(3): 559-573.
8. Frohnhofen H. Pain and sleep: a bidirectional relationship. Z Gerontol Geriatr, 2018, 51(8): 871-874.
9. Todd OM, Gelrich L, MacLullich AM, et al. Sleep disruption at home as an independent risk factor for postoperative delirium. J Am Geriatr Soc, 2017, 65(5): 949-957.
10. Simonelli G, Mantua J, Gad M, et al. Sleep extension reduces pain sensitivity. Sleep Med, 2019, 54(2): 172-176.
11. Amer MA, Smith MD, Herbison GP, et al. Network meta-analysis of the effect of preoperative carbohydrate loading on recovery after elective surgery. Br J Surg, 2017, 104(3): 187-197.
12. Fawcett WJ, Thomas M. Pre-operative fasting in adults and children: clinical practice and guidelines. Anaesthesia, 2019, 74(1): 83-88.
13. Nguyen TK, Nguyen VL, Nguyen TG, et al. Lung-protective mechanical ventilation for patients undergoing abdominal laparoscopic surgeries: a randomized controlled trial. BMC Anesthesiol, 2021, 21(1): 95.
14. Rowley DD, Arrington SR, Enfield KB, et al. Transpulmonary pressure-guided lung-protective ventilation improves pulmonary mechanics and oxygenation among obese subjects on mechanical ventilation. Respir Care, 2021, 66(7): 1049-1058.
15. Staehr-Rye AK, Meyhoff CS, Scheffenbichler FT, et al. High intraoperative inspiratory oxygen fraction and risk of major respiratory complications. Br J Anaesth, 2017, 119(1): 140-149.
16. 马洪升, 程南生, 朱涛, 等. 华西医院日间手术快速康复(ERAS)规范. 中国胸心血管外科临床杂志, 2016, 23(2): 104-106.
17. Barry GS, Bailey JG, Sardinha J, et al. Factors associated with rebound pain after peripheral nerve block for ambulatory surgery. Br J Anaesth, 2021, 126(4): 862-871.
18. Wood C. Fluid management: an update for perioperative practitioners. J Perioper Pract, 2021, 31(3): 71-79.
19. Messina A, Robba C, Calabrò L, et al. Perioperative liberal versus restrictive fluid strategies and postoperative outcomes: a systematic review and metanalysis on randomised-controlled trials in major abdominal elective surgery. Crit Care, 2021, 25(1): 205.
20. Miller TE, Mythen M, Shaw AD, et al. Association between perioperative fluid management and patient outcomes: a multicentre retrospective study. Br J Anaesth, 2021, 126(3): 720-729.
21. Mühlbacher J, Luf F, Zotti O, et al. Effect of intraoperative goal-directed fluid management on tissue oxygen tension in obese patients: a randomized controlled trial. Obes Surg, 2021, 31(3): 1129-1138.
22. Joshi GP. Enhanced recovery pathways for ambulatory surgery. Curr Opin Anaesthesiol, 2020, 33(6): 711-717.
23. Park DH, Kim TW, Kim MS, et al. Cardiac arrest caused by accidental severe hypothermia and myocardial infarction during general anesthesia. J Int Med Res, 2021, 49(1): 300060520987945.
24. Sari S, Aksoy SM, But A. The incidence of inadvertent perioperative hypothermia in patients undergoing general anesthesia and an examination of risk factors. Int J Clin Pract, 2021, 75(6): e14103.
25. Lee Y, Kim K. Optimal application of forced air warming to prevent peri-operative hypothermia during abdominal surgery: a systematic review and meta-analysis. Int J Environ Res Public Health, 2021, 18(5): 2517.
26. Penna HM, Modolo NSP, Paiva DH. Livedo reticularis by hypothermia during anesthesia for dental treatment in Down’s syndrome patient. Braz J Anesthesiol, 2019, 69(1): 78-81.
27. Liu M, Qi L. The related factors and countermeasures of hypothermia in patients during the anesthesia recovery period. Am J Transl Res, 2021, 13(4): 3459-3465.
28. Akhtar Z, Hesler BD, Fiffick AN, et al. A randomized trial of prewarming on patient satisfaction and thermal comfort in outpatient surgery. J Clin Anesth, 2016, 33: 376-385.
29. Lau A, Lowlaavar N, Cooke EM, et al. Effect of preoperative warming on intraoperative hypothermia: a randomized-controlled trial. Can J Anaesth, 2018, 65(9): 1029-1040.
30. Small C, Laycock H. Acute postoperative pain management. Br J Surg, 2020, 107(2): e70-e80.
31. Carlier J, Robin F, Pages N, et al. Pain evaluation after day-surgery using a mobile phone application. Anaesth Crit Care Pain Med, 2021, 40(3): 100879.
32. Gramke HF, de Rijke JM, van Kleef M, et al. The prevalence of postoperative pain in a cross-sectional group of patients after daycase surgery in a university hospital. Clin J Pain, 2007, 23(6): 543-548.
33. Yang L, Sun DF, Wu Y, et al. Intranasal administration of butorphanol benefits old patients undergoing H-uvulopalatopharyngoplasty: a randomized trial. BMC Anesthesiol, 2015, 15: 20.
34. 于超, 孙忠良, 张宇, 等. 布托啡诺经鼻给药超前镇痛在日间手术模式下 LIHR 术后镇痛中的应用. 医学与哲学(B), 2018, 39(3): 32-36.
35. L’Hermite J, Pagé MG, Chevallier T, et al. Characterisation of pragmatic postoperative PAin Trajectories over seven days and their association with CHronicity after 3 months: a prospective, pilot cohort study (PATCH study). Anaesth Crit Care Pain Med, 2021, 40(1): 100793.
36. Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
37. Gan TJ, Diemunsch P, Habib AS, et al. Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2014, 118(1): 85-113.
38. Nilsson U, Jaensson M, Dahlberg K, et al. Postoperative recovery after general and regional anesthesia in patients undergoing day surgery: a mixed methods study. J Perianesth Nurs, 2019, 34(3): 517-528.
39. Mendy N, Moriceau J, Sacuto Y, et al. Postoperative fatigue after day surgery: prevalence and risk factors. A prospective observational study. Minerva Anestesiol, 2020, 86(12): 1269-1276.

Previous Article
Same-day surgery: the evolution of day surgery in China
Next Article
Characteristics of cases infected by severe acute respiratory syndrome coronavirus 2 of different genotypes

West China Medical Journal

Standardized management of anesthesia in same-day surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content