Anesthesia and Post-operative Management in Day Case Surgery

在西方国家，60%的外科患者是在白天(非卧床)麻醉下进行的，原因是住院费用降低等原因，他们希望更多的是家庭护理而不是住院。相比之下，大多数日本患者都在住院治疗。由于医疗服务和财政方面的原因，日本必须重新考虑这一制度。派遣一名首席研究员到英国曼彻斯特大学和伦敦大学收集有关日间手术和左旋布比卡因的数据。邀请该领域的两名熟练外科医生，伦敦大学的Rood教授和曼彻斯特大学的Cluthard博士，促进左旋布比卡因在日本的临床应用。分别检测0.75%和1.00%左旋布比卡因加1/80000和1/200000肾上腺素收缩血管。就评估必要恢复程度的方法进行了基础研究，并与Rood教授和Cluthard博士进行了临床研究，以使适合于日间病例麻醉的麻醉与本研究机构相匹配，术后剧烈疼痛的控制和患者的安全回家。

In the Western countries, 60 % of surgical patients are carried out under the day (ambulant) anesthesia by the reason such as a reduction of the hospitalization cost, hoping for the home care more than hospitalization. In contrast, most Japanese patients are under hospitalization. Japan must reconsider the system because of the medical service and financial aspect.1. Send a chief researcher to UK gathering data on day case surgery and levobupivacain at University of Manchester and London University.2. Invite two skilled surgeons in the field Professor Rood at London University and Dr. Cluthard at University of Manchester to promote clinical application of the levobupivacain in Japan. 0.75 % and 1.00 % levobupivacain with 1/80000 and 1/200000 vasoconstrictor epinephrine were added were tested.3. Discussion was done on the foundation research about the way of evaluating a necessary level of recovery and the clinical research with Professor Rood and Dr. Cluthard, to make the anesthetization which is suitable for day case anesthesia to go with this research organization, postoperative control of the sharp pain and a patient come home safely.