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Ambulatory anesthesia and the lack of consensus among Canadian pediatric anesthesiologists: a survey.

https://arctichealth.org/en/permalink/ahliterature165406
Source
Paediatr Anaesth. 2007 Mar;17(3):223-9
Publication Type
Article
Date
Mar-2007
Author
Ibrahim Abu-Shahwan
Author Affiliation
Department of Anesthesiology, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada. iabushahwan@cheo.on.ca
Source
Paediatr Anaesth. 2007 Mar;17(3):223-9
Date
Mar-2007
Language
English
Publication Type
Article
Keywords
Ambulatory Surgical Procedures - standards
Anesthesia - methods
Anesthesiology - ethics - standards
Canada
Consensus
Data Collection
Health Care Surveys - statistics & numerical data
Health status
Humans
Pediatrics - standards
Physician's Practice Patterns
Practice Guidelines as Topic
Preoperative Care
Questionnaires
Abstract
The purpose of this study was to assess the current selection criteria for outpatient surgery in children among Canadian pediatric anesthesiologists.
A survey specifying 20 different medical situations was sent to 120 members of the Canadian Pediatric Anesthesia Society. Members were asked to indicate if they agreed or refused to provide anesthesia for children with one or more clinical condition or symptoms. Consensus was defined as a >70% majority opinion.
Sixty-four pediatric anesthesiologists replied (53.3%). For 13 conditions there was no consensus among members. Seven scenarios resulted in a consensus of either providing or not providing anesthesia in an outpatient setting. The majority of members would agree to provide anesthesia for the following scenarios: (i) an asymptomatic child with recurrent otitis media, rectal temperature of 38 degrees C; (ii) the same child with chronic nasal discharge for bilateral myringotomy and tube placement; (iii) an asymptomatic child with sickle-cell disease (SCD) for cast change; (iv) an asymptomatic child with asthma and fever for bilateral myringotomy and tube placement (BMT); (v) a morbidly obese child with congested nose for BMT; and (vi) a child with well controlled insulin dependent diabetes mellitus for magnetic resonance imaging (MRI). Most members would refuse to provide outpatient anesthesia in an asymptomatic child with SCD for tonsillectomy.
Further studies are needed to establish evidence-based medicine to support guidelines that would allow one to select children safely for ambulatory surgery.
PubMed ID
17263736 View in PubMed
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[Ambulatory orthopedic surgery. A retrospective study apropos of 2338 cases].

https://arctichealth.org/en/permalink/ahliterature224630
Source
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(1):8-12
Publication Type
Article
Date
1992
Author
P. Kinnard
R. Lirette
Author Affiliation
Division d'Orthopédie, Université Laval, C.H.U.L., Ste-Foy, Prov. Québec, Canada.
Source
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(1):8-12
Date
1992
Language
French
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Ambulatory Surgical Procedures
Anesthesia - methods
Canada
Female
Hospitalization - statistics & numerical data
Humans
Male
Middle Aged
Orthopedics
Patient Admission
Postoperative Period
Retrospective Studies
Risk factors
Abstract
A retrospective study of 2,338 outpatient surgical procedures performed at the Centre Hospitalier de l'Université Laval was undertaken. There were 1,308 men and 1,030 women, with a mean age of 40.7 years. General anaesthesia was used in 91.5 per cent of the cases. After surgery, the patients were discharged according to the criteria described by Wetchler and Kortilla. The unanticipated hospital admission rate was 6.1 per cent and the complication rate was 1.3 per cent with no life threatening conditions. Proper selection and preparation of the patient, severe criteria for safe discharge after Day Surgery are mandatory for the patient's safety and satisfaction.
PubMed ID
1604022 View in PubMed
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[Ambulatory surgery in Sweden is structured and follows unified routines. A questionnaire on the practice of ambulatory surgery].

https://arctichealth.org/en/permalink/ahliterature118742
Source
Lakartidningen. 2012 Oct 10-16;109(41):1824-7
Publication Type
Article
Source
Can Anaesth Soc J. 1978 Nov;25(6):512-6
Publication Type
Article
Date
Nov-1978
Author
J P Dechene
Source
Can Anaesth Soc J. 1978 Nov;25(6):512-6
Date
Nov-1978
Language
English
Publication Type
Article
Keywords
Adult
Alfaxalone Alfadolone Mixture
Ambulatory Care
Anesthesia - methods
Child
Enflurane
Humans
Outpatient Clinics, Hospital
Preanesthetic Medication
Preoperative Care
Quebec
Surgery Department, Hospital
Abstract
Most surgeons and hospital administrators now recognize that many surgical procedures can be done on an out-patient basis and anesthetists have been instrumental in developing and implementing the practice of short-stay surgery. It is our opinion that general anaesthesia using enflurane and Alfathesin will increase the safety of ambulatory surgery.
PubMed ID
728828 View in PubMed
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[Anesthesia is safe--the tricks are dangerous].

https://arctichealth.org/en/permalink/ahliterature192455
Source
Duodecim. 1998;114(16):1533, 1535
Publication Type
Article
Date
1998

Anesthesia skills for rural family physicians.

https://arctichealth.org/en/permalink/ahliterature191088
Source
Can Fam Physician. 2002 Feb;48:324, 333
Publication Type
Article
Date
Feb-2002

[Anesthetic methods in a military anesthesiologist's practice].

https://arctichealth.org/en/permalink/ahliterature160892
Source
Anesteziol Reanimatol. 2007 Jul-Aug;(4):15-8
Publication Type
Article

[Anesthetic provision and intensive care of victims with severe concomitant injury].

https://arctichealth.org/en/permalink/ahliterature160891
Source
Anesteziol Reanimatol. 2007 Jul-Aug;(4):23-7
Publication Type
Article

Canadian Anesthesiologists' Society 2011 Royal College lecture: anesthesiology: a profession at a crossroads.

https://arctichealth.org/en/permalink/ahliterature121928
Source
Can J Anaesth. 2012 Sep;59(9):882-8
Publication Type
Article
Date
Sep-2012
Author
Beverley A Orser
Author Affiliation
Department of Anesthesia, Sunnybrook Health Sciences Centre, Toronto, ON, Canada. beverley.orser@utoronto.ca
Source
Can J Anaesth. 2012 Sep;59(9):882-8
Date
Sep-2012
Language
English
Publication Type
Article
Keywords
Anesthesia - methods
Anesthesiology - organization & administration
Biomedical Research - organization & administration
Canada
Humans
Perioperative Care - methods
PubMed ID
22865204 View in PubMed
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51 records – page 1 of 6.