SELECTION CRITERIA Surgical

SELECTION CRITERIA Surgical

Surgical techniques have progressed significantly and now cause less physiological disruption and stress to patients; therefore, they have a lower postoperative complication profile and a faster recovery rate. The British Association of Day Surgery’s (BADS) Directory of Procedures (DOP) lists over 200 procedures that are now considered to be suitable as a day /uni00A0 case ( Table 22.1 ). Traditionally day surgery was limited to cases that lasted less than 1 hour but surgical procedures lasting 3–4 hours are now being routinely performed as successful day cases. Day surgery surgical criteria include the follo wing: /uni25CF There must be a low risk of significant immediate postoperative complications, e.g. catastrophic bleeding or airway compromise. /uni25CF The patient should be able to eat and drink or take oral nutrition postoperatively . /uni25CF Postoperative pain needs to be managed by oral painkillers, which may be in conjunction with local anaesthetic infiltration or peripheral nerve block. /uni25CF The patient should be able to mobilise postoperatively with or without aid. If these criteria are met then the surgeon booking the procedure should add the patient to a day surgery pathway .

Basic principles of anaesthesia and surgery for day • surgery How to achieve successful discharge after day surgery • TABLE 22.1 Examples from British Association of Day Surgery Directory of Procedures , 6th edn (2019). Specialty Procedure Recommended day case rate (%) Breast Simple mastectomy 75 Ear–nose–throat Tonsillectomy 90 General surgery Laparoscopic 75 cholecystectomy Gynaecology Vaginal hysterectomy 60 Orthopaedics Arthroscopy of knee or 99 shoulder Urology Ureteroscopic extraction 70 of calculus from the ureter 85 Vascular surgery Transluminal operations on the iliac and femoral arteries

programme referral surgical opinion referral Surgical assessment Patient selection Booking Preoperative assessment Admission All to be undertaken ideally by the day surgery team (with support from the surgical MDT as Surgery appropriate) Discharge Day surgery follow-up Surgical/cancer MDT follow-up – if required Figure 22.1 Day surgery pathway. GP , general practitioner; MDT, multidisciplinary team.

SELECTION CRITERIA Surgical

Surgical techniques have progressed significantly and now cause less physiological disruption and stress to patients; therefore, they have a lower postoperative complication profile and a faster recovery rate. The British Association of Day Surgery’s (BADS) Directory of Procedures (DOP) lists over 200 procedures that are now considered to be suitable as a day /uni00A0 case ( Table 22.1 ). Traditionally day surgery was limited to cases that lasted less than 1 hour but surgical procedures lasting 3–4 hours are now being routinely performed as successful day cases. Day surgery surgical criteria include the follo wing: /uni25CF There must be a low risk of significant immediate postoperative complications, e.g. catastrophic bleeding or airway compromise. /uni25CF The patient should be able to eat and drink or take oral nutrition postoperatively . /uni25CF Postoperative pain needs to be managed by oral painkillers, which may be in conjunction with local anaesthetic infiltration or peripheral nerve block. /uni25CF The patient should be able to mobilise postoperatively with or without aid. If these criteria are met then the surgeon booking the procedure should add the patient to a day surgery pathway .

Basic principles of anaesthesia and surgery for day • surgery How to achieve successful discharge after day surgery • TABLE 22.1 Examples from British Association of Day Surgery Directory of Procedures , 6th edn (2019). Specialty Procedure Recommended day case rate (%) Breast Simple mastectomy 75 Ear–nose–throat Tonsillectomy 90 General surgery Laparoscopic 75 cholecystectomy Gynaecology Vaginal hysterectomy 60 Orthopaedics Arthroscopy of knee or 99 shoulder Urology Ureteroscopic extraction 70 of calculus from the ureter 85 Vascular surgery Transluminal operations on the iliac and femoral arteries

programme referral surgical opinion referral Surgical assessment Patient selection Booking Preoperative assessment Admission All to be undertaken ideally by the day surgery team (with support from the surgical MDT as Surgery appropriate) Discharge Day surgery follow-up Surgical/cancer MDT follow-up – if required Figure 22.1 Day surgery pathway. GP , general practitioner; MDT, multidisciplinary team.

SELECTION CRITERIA Surgical

Surgical techniques have progressed significantly and now cause less physiological disruption and stress to patients; therefore, they have a lower postoperative complication profile and a faster recovery rate. The British Association of Day Surgery’s (BADS) Directory of Procedures (DOP) lists over 200 procedures that are now considered to be suitable as a day /uni00A0 case ( Table 22.1 ). Traditionally day surgery was limited to cases that lasted less than 1 hour but surgical procedures lasting 3–4 hours are now being routinely performed as successful day cases. Day surgery surgical criteria include the follo wing: /uni25CF There must be a low risk of significant immediate postoperative complications, e.g. catastrophic bleeding or airway compromise. /uni25CF The patient should be able to eat and drink or take oral nutrition postoperatively . /uni25CF Postoperative pain needs to be managed by oral painkillers, which may be in conjunction with local anaesthetic infiltration or peripheral nerve block. /uni25CF The patient should be able to mobilise postoperatively with or without aid. If these criteria are met then the surgeon booking the procedure should add the patient to a day surgery pathway .

Basic principles of anaesthesia and surgery for day • surgery How to achieve successful discharge after day surgery • TABLE 22.1 Examples from British Association of Day Surgery Directory of Procedures , 6th edn (2019). Specialty Procedure Recommended day case rate (%) Breast Simple mastectomy 75 Ear–nose–throat Tonsillectomy 90 General surgery Laparoscopic 75 cholecystectomy Gynaecology Vaginal hysterectomy 60 Orthopaedics Arthroscopy of knee or 99 shoulder Urology Ureteroscopic extraction 70 of calculus from the ureter 85 Vascular surgery Transluminal operations on the iliac and femoral arteries

programme referral surgical opinion referral Surgical assessment Patient selection Booking Preoperative assessment Admission All to be undertaken ideally by the day surgery team (with support from the surgical MDT as Surgery appropriate) Discharge Day surgery follow-up Surgical/cancer MDT follow-up – if required Figure 22.1 Day surgery pathway. GP , general practitioner; MDT, multidisciplinary team.