Electronic Resource
Jednodnevna kirurgija – postoje li granice?
| العنوان: | Jednodnevna kirurgija – postoje li granice? |
|---|---|
| Additional Titles: | Ambulatory surgery – are there limitations? |
| المؤلفون: | Brundula, Ana, Milić, Morena, Rako, Duje, Smiljanić, Iva, Barić Grgurević, Ada, Korečić Zrinjščak, Iva, Lauš, Perislav, Jurišić, Ivo |
| المصدر: | Liječnički vjesnik; ISSN 0024-3477 (Print); ISSN 1849-2177 (Online); Volume 145; Issue 7-8 |
| بيانات النشر: | Croatian medical association 2023 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Uvod i cilj: Pojam jednodnevne kirurgije datira iz početka 20. stoljeća. James Nicoll objavio je 1909. godine u časopisu British Medical Journal rezultate kod 8.988 djece operirane po principu jednodnevne kirurgije. Prema Međunarodnom udruženju za jednodnevnu kirurgiju (IAAS), pacijent u jednodnevnoj kirurgiji definiran je planiranim prijamom u zdravstvenu ustanovu s ciljem dijagnostičkog i/ili operativnog zahvata, gdje se po zahvatu očekuje brz oporavak te ne postoji potreba za hospitalizacijom – otpušta se kući isti dan. Razvoj kirurških metoda, anestezioloških tehnika i metoda analgezije doprinosi eksponencijalnom porastu broja pacijenata zbrinutih po principu jednodnevne kirurgije. Metode: U radu prikazujemo pregled literature putem baze podataka MEDLINE koristeći ključne pojmove. Cilj je prikaz osnovnog koncepta uspjeha jednodnevne kirurgije: kritičan preoperativni probir, odabir najbolje anesteziološke i kirurške tehnike, otpust prema važećim kriterijima. Rezultati: Izbor pacijenata s obzirom na dob, težinu, komorbiditete, ASA status te socijalni aspekt ako je sagledan individualno i praćen zahvatom koji je definiranim vremenskim trajanjem i niskom incidencijom postoperativnih komplikacija uz korištenje optimalnih anestezioloških tehnika i lijekova rezultira dobrim postoperativnim uspjehom uz ekonomske uštede. Zaključak: Prednosti jednodnevne kirurgije jasne su i dokazane: usmjerena je na pacijenta, nosi niži rizik postoperativnih komplikacija i hospitalnih infekcija, ekonomična je. Introduction and aim: The term ambulatory surgery dates from the early 20th century. It was James Nicoll who in the year 1909. published the study in British Medical Journal, which demonstrated the results in 8988 children operated by principles of ambulatory surgery. According to the International Association for Ambulatory Surgery (IAAS), a patient in ambulatory surgery is defined by admission to a healthcare facility with the purpose of diagnostic procedure and/or operation, where a speedy recovery is anticipated and there is no need for hospitalization. The development of surgical methods, anaesthesia techniques and analgesia modalities encourage the exponential growth in the number of patients treated via ambulatory surgery. Methods: A literature review was performed via MEDLINE database using key terms. In this paper we are showing the current basis of success of ambulatory surgery: strict preoperative assessment, choosing the optimal anaesthesia and surgery techniques and patient discharge by guidelines. Results: Optimal selection of patients based on age, weight, comorbidities, ASA score and social parameters is crucial. If approached on individual basis and followed by defined duration of operation and low incidence of perioperative complications by choosing the right anaesthesia techniques and medications, it results in postoperative success and significant cost savings. Conclusion: The advantages of ambulatory surgery are clear and well-defined: it is patient-oriented, economically more favourable, and poses a lower risk of perioperative complications and intrahospital infections. |
| مصطلحات الفهرس: | JEDNODNEVNA KIRURGIJA – tendencija; ODABIR PACIJENATA; ANESTEZIJA – metode; ANALGEZIJA – metode; POSLIJEOPERACIJSKA MUČNINA I POVRAĆANJE – prevencija, AMBULATORY SURGICAL PROCEDURES – trends; PATIENT SELECTION; ANESTHESIA – methods; ANALGESIA – methods; POSTOPERATIVE NAUSEA AND VOMITING – prevention and control, text, info:eu-repo/semantics/article, info:eu-repo/semantics/publishedVersion |
| URL: | info:eu-repo/semantics/altIdentifier/doi/10.26800/LV-145-7-8-4 |
| الاتاحة: | Open access content. Open access content info:eu-repo/semantics/openAccess The Medical Journal is an open access journal. The content of the magazine is available in its entirety free of charge. The contents of the Medical Journal may be reproduced with the quotation "taken from the Medical Journal". Users may not use the materials for commercial purposes, may not modify, redesign or rework the material. |
| ملاحظة: | application/pdf Croatian |
| Other Numbers: | HRCAK oai:hrcak.srce.hr:307472 1410375785 |
| المصدر المساهم: | HRCAK PORTAL ZNANSTVENIH CASOPISA REPUB From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1410375785 |
| قاعدة البيانات: | OAIster |
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