The Emergence Unit of a One-Day Hospital
A need for further development of day case anesthesia is obvious and it has been proved if the due principles used in hospital anesthetic provision are met. The optimization of all perioperative stages in the one-day clinic was the subject of many studies, the main objective of which is to search fo...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2009-08-01
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| Series: | Общая реаниматология |
| Online Access: | https://www.reanimatology.com/rmt/article/view/555 |
| _version_ | 1797874369400143872 |
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| author | R. V. Bolshedvorov Ye. G. Chekanova V. V. Likhvantsev |
| author_facet | R. V. Bolshedvorov Ye. G. Chekanova V. V. Likhvantsev |
| author_sort | R. V. Bolshedvorov |
| collection | DOAJ |
| description | A need for further development of day case anesthesia is obvious and it has been proved if the due principles used in hospital anesthetic provision are met. The optimization of all perioperative stages in the one-day clinic was the subject of many studies, the main objective of which is to search for new ways of saving financial resources. However, to secure a patient’s safety is the basis of modern anesthesiology and any compromises are impermissible in this situation. Many Russian and foreign investigators pay great attention to the problems of monitoring a patient in a postanesthesia care unit (PACU) and some foreign authors discuss postanesthesia monitoring of a patient, without transferring him/her to the PACU, the so-called fast-track, and its introduction into the practice of one-day surgery clinics for stable patients if this is correctly organized. However, the opinion of authors differs in the results of some studies, in the fast-track group, the total time of emergence from anesthesia and adaptation in patients is much shorter, which provides their more rapid discharge from the clinic, but, according to the data of other studies, the patients’ adaptation period occurs more slowly in the fast-tract group, accordingly, with delayed discharge home. The clinical benefit in the fast-track group is not significant; the economic costs are similar to those in the recovery group under the conditions of the PACU, the financial benefit is not great. Whether it is expedient to introduce the fast-track monitoring into the one-day clinic is debated; the use of this type of monitoring may be associated with a significant risk, as often happens to some innovations; in addition, the ineffective use of manpower leads to increased expenditures. Key words: one-day surgery hospital, postanesthetic monitoring, postoperative ward, second-level monitoring ward, fast tract. |
| first_indexed | 2024-04-10T01:29:47Z |
| format | Article |
| id | doaj.art-d07cab5f1417493bb967f2ea1cd9646d |
| institution | Directory Open Access Journal |
| issn | 1813-9779 2411-7110 |
| language | English |
| last_indexed | 2024-04-10T01:29:47Z |
| publishDate | 2009-08-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj.art-d07cab5f1417493bb967f2ea1cd9646d2023-03-13T09:32:49ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102009-08-015410.15360/1813-9779-2009-4-54555The Emergence Unit of a One-Day HospitalR. V. BolshedvorovYe. G. ChekanovaV. V. LikhvantsevA need for further development of day case anesthesia is obvious and it has been proved if the due principles used in hospital anesthetic provision are met. The optimization of all perioperative stages in the one-day clinic was the subject of many studies, the main objective of which is to search for new ways of saving financial resources. However, to secure a patient’s safety is the basis of modern anesthesiology and any compromises are impermissible in this situation. Many Russian and foreign investigators pay great attention to the problems of monitoring a patient in a postanesthesia care unit (PACU) and some foreign authors discuss postanesthesia monitoring of a patient, without transferring him/her to the PACU, the so-called fast-track, and its introduction into the practice of one-day surgery clinics for stable patients if this is correctly organized. However, the opinion of authors differs in the results of some studies, in the fast-track group, the total time of emergence from anesthesia and adaptation in patients is much shorter, which provides their more rapid discharge from the clinic, but, according to the data of other studies, the patients’ adaptation period occurs more slowly in the fast-tract group, accordingly, with delayed discharge home. The clinical benefit in the fast-track group is not significant; the economic costs are similar to those in the recovery group under the conditions of the PACU, the financial benefit is not great. Whether it is expedient to introduce the fast-track monitoring into the one-day clinic is debated; the use of this type of monitoring may be associated with a significant risk, as often happens to some innovations; in addition, the ineffective use of manpower leads to increased expenditures. Key words: one-day surgery hospital, postanesthetic monitoring, postoperative ward, second-level monitoring ward, fast tract.https://www.reanimatology.com/rmt/article/view/555 |
| spellingShingle | R. V. Bolshedvorov Ye. G. Chekanova V. V. Likhvantsev The Emergence Unit of a One-Day Hospital Общая реаниматология |
| title | The Emergence Unit of a One-Day Hospital |
| title_full | The Emergence Unit of a One-Day Hospital |
| title_fullStr | The Emergence Unit of a One-Day Hospital |
| title_full_unstemmed | The Emergence Unit of a One-Day Hospital |
| title_short | The Emergence Unit of a One-Day Hospital |
| title_sort | emergence unit of a one day hospital |
| url | https://www.reanimatology.com/rmt/article/view/555 |
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