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anaesthesia
Patient must live within one hour from Day Care facility.
Induction agent:
i.v. Propofol is used widely (easy &quick recovery, clear head, little PONV).
Maintainance:
Muscle-relaxants:
Succinylcholinemuscle pains.
OrchidopexyCircumcision
Inguinal Hernia Repair
Excision of Breast Lump Excision of Dupuytrens
Wide Excision of Breast Contracture Carpal Tunnel Division of Tongue Tie
Lump with Axillary Decompression Excision MyringotomySubmucous
Clearance Anal Fissure of Ganglion Resection Reduction of
Haemorrhoidectomy Nasal Fracture Nasal
Varicose Vein Stripping or Polyps
Dilatation and
LigationMeatotomyMinor Arthroscopy (all Suction Clearance
Curettage/Hysteroscopy
Repair of Hypospadias arthroscopic examinations including Removal of
Laparoscopy Sterilization
Hypospadias Fistula of joints) Bunion Foreign Bodies Aural
Termination of Pregnancy
Removal of JJ Stents Operations PolypectomyChange of
Examination under
Gastroscopy Biopsy Removal of Metalware Mastoid Dressing
Anaesthetic and
Oesophageal Dilatation Manipulations Endoscopy
Vaginoscopy Separation
Change of Tracheostomy CauteryDilatation of
of Labial Adhesions Change of Plaster
Proctoscopy, ChoanaeAntral Washouts
Sigmoidoscopy Biopsy Release of Trigger Thumb Drainage of Septal
Excision of Local Skin Serial Casting for Haematoma Tonsillectomy
LesionsLymph Node Scoliosis (some) Adenoidectomy
BiopsyExcision of Partial or Complete (some)
Sebaceous Cysts Removal of Toenails
Branchial Sinus/Fistula Tenotomy
Thyroglossal Cysts
- discharge criteria -
Patient awake, alert and orientated
No bleeding
Postoperative pain
Should start pre- or intraoperative by:
MALAYSIA 5-15 %
can ASA 3
considerable for day
care surgery?
With good preassessment and adequate preparation ASA
III patients can be treated safely in the day surgery setting.
chung et al.-
Age > 80 years is an indicator of increased
perioperative risk
Surgical airway
Anoxic brain injury
Death
Delayed discharge
Unanticipated hospital admission
Intra and Post Operative Complications
Difficult airway
Desaturation
Supplemental oxygen
Atelectasis
MINIMIZE OPIOIDS
MULTIMODAL ANALGESIA
Optimize systemic disease
Avoid CNS depressants
Short acting anesthetics
Anticipate difficult airway
Consider regional anesthesia
references
1. MOH, www.moh.gov.my 1. Day Care Surgery HRPB Ipoh. Protocols and Guidelines.
2. Policy of Daycare Complex, and Your Guide to Day Care Surgery in Hospital
Selayang
3. Assessment and Selection Criteria for Day Surgery in Ambulatory Care Center,
Hospital Pulau Pinang
4. openanaesthesia.org
6. sambahq.org
7. iaas-med.com