Regional Anaesthesia in Day Case Surgery: Challenges and Unresolved Issues
1Department of Anesthesiology, General Hospital of Athens, “G. Gennimatas”, Athens, Greece
DOI: 10.22514/sv.2021.191 Vol.17,Issue S1,September 2021 pp.46-46
Submitted: 26 August 2021 Accepted: 06 September 2021
Published: 15 September 2021
Day surgery (outpatient or ambulatory surgery) provides high quality and efficient care for a wide variety of surgical procedures with primary aim early recovery and satisfaction of the patients, while the health system benefits from the reduced costs. The use of regional anesthesia has grown in popularity in day surgery. The regional technique chosen depends on the surgical site, the anticipated length of the procedure, the analgesic needs and the desired duration of postoperative pain control. Regional anesthesia techniques include central neuraxial blockade, peripheral nerve blocks, local inﬁltration and intravenous regional anesthesia (Bier’s block). Benefits of regional anesthesia compared to general anesthesia constitute the decreased incidence of postoperative nausea-vomit (PONV) and of postoperative pain, the reduced need for analgesics, the increased alertness, the shortened post-anesthesia care unit (PACU) time, the reduced costs However, the choice of regional anesthesia in day surgery is related with various problems. First of all, the regional anesthesia requires active co‐operation of patient and surgeon. Moreover, when a regional technique is chosen as the most suitable for a day surgery different issues arise, such as prolonged time needed for execution and installation of the block, the extended recovery time for full block regression, the delayed patient mobilization. Induction may be associated with patient discomfort, movement during surgery can be a problem in a very anxious patient and Ιf the block fails the anaesthetist must be on stand‐by to convert to general anaesthesia immediately. Additionally, there is a risk of complications specific to each regional technique and to the local anaesthetic drug used, such as postdural puncture headache (PDPH), transient neurological symptoms, nerve damage, urinary retention, local anesthetic toxicity.
Vassiliki Brozou. Regional Anaesthesia in Day Case Surgery: Challenges and Unresolved Issues. Signa Vitae. 2021. 17(S1);46-46.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus: CiteScore 0.5(2021) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.