Outpatient Surgery
Outpatient Surgery
复制标题
DOI：
10.1097/prs.0000000000001335
复制
发表时间：
2015-07-01
影响因子：
3.6
通讯作者：
Brandt, Keith
中科院分区：
文献类型：
--
作者：
Evans, Gregory R. D.;Scholz, Thomas;Brandt, Keith
学习目标：学习完这篇文章后，参加者应该能够：1.确定适合门诊手术的患者。2.选择合适的麻醉剂。3.管理心脏病患者。4.限制术中并发症的发生。总结：本文提供了继续医学教育的信息，关于门诊手术的实践现状。一个全面的术前评估是必要的，以确定共病条件和患者的风险肺妥协。指南提供了镇静剂、镇痛剂和逆转剂的使用。讨论了冠状动脉支架和/或心律管理器械患者的管理。有效的手术团队沟通是至关重要的，以确保每个人都知道的条件，可能需要调整，从通常的健康患者。最后，提供了避免术中问题的建议，如药物反应和压疮。随着我们的人口老龄化越来越多的程序，整形外科医生必须确保患者的安全是一个优先事项。
Learning Objectives: After studying this article, the participant should be able to: 1. Determine those patients appropriate for outpatient surgery. 2. Choose appropriate anesthetics. 3. Manage patients with cardiac disease. 4. Limit complications occurring intraoperatively.Summary: This article provides continuing medical education information regarding the current state of practice concerning outpatient surgery. A thorough preoperative evaluation is necessary to identify comorbid conditions and patients at risk for pulmonary compromise. Guidelines are provided on the use of sedatives, analgesics, and reversal agents. The management of patients with coronary artery stents and/or cardiac rhythm management devices is discussed. Effective surgical team communication is crucial to ensure that everyone is aware of conditions that may require adjustments from the usual healthy patients. Lastly, suggestions are provided to avoid intraoperative problems such as drug reactions and pressure ulcers. As our aging population presents for an increasing number of procedures, plastic surgeons must ensure that patient safety is a priority.