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The first hospital-affiliated surgical unit designed specifically for ambulatory surgery in the state of California began functioning as part of Santa Barbara Cottage Hospital in 1973. As this text is readied for publication, the unit is in its tenth year of operation. More than 20,000 patients have undergone surgery there. The enthusiasm generated by ~\ir experience in Santa Barbara, along with the widespread, growing interest in ambulatory surgery, prompted us to undertake this volume. The first three chapters cover principles and administrative aspects, an esthesiology, and nursing in the ambulatory surgical center. Subsequent chap ters, the major portion of the text, provide detailed, me...
This collection of articles features information on planning & development issues, financial issues, & managerial issues surrounding ambulatory surgery. Case studies provide an inside look at the actual experiences of four ambulatory surgery programs. Ambulatory care professionals, administrators, & students will find this resource invaluable. This book is attractively priced in soft cover.
This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed. Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three ...
Over the past decade, the percentage of elective surgical procedures performed on a day case basis has increased from 55% to over 70%. The current interest and focus on day surgery is a result of public demand and government-imposed targets. This concise handbook provides the practising day surgery professional with a modern overview of current practice to act as both a reference and a practical guide to everyday challenges. The last ten years has seen major advances in day case anaesthesia with the introduction of new equipment, multimodal techniques, and new anaesthetic agents specifically designed for ambulatory surgery. The rapid expansion of minimally invasive surgery has enabled many more procedures to be performed on a short stay basis and the development of new processes and patient pathways requires expert pre-assessment, nurse-led discharge and outreach follow-up. This book covers the ambulatory process throughout the entire patient pathway offering extensive and authoritative evidence and opinion to the many stakeholders in this multidisciplinary subject.
According to the International Association for Ambulatory Surgery (IAAS), ambulatory surgery should be defined as 'an operation/procedure, excluding an office or outpatient operation/procedure, where the patient is discharged on the same working day'. The rise of ambulatory surgery has been driven by technological advances that reduce the need for overnight hospital stays, enhanced recovery programmes that advocate early mobilisation, and the need for economic efficiency. Recent experience has shown that redistributing surgical procedures from the inpatient setting to ambulatory centres can be done without impacting quality. The majority of people requiring urologic surgery are now treated a...