engleski

Safety in Regional anaesthesia for outpatients

Ambulatory surgery has advantages for the patient and the health care system, including greater convenience, reduced costs and lower rates of hospital-acquired infections. However, recovery at home requires self-care and evaluation of signs and symptoms without the availability of immediate medical assessment. Recovery is influenced by pain, fatigue, and functional status. Surgical- stress-induced organ dysfunction, postoperative pain, difficulty in early mobilization, PONV, and abnormal eating habits has all been implicated in this delayed return to normal function status. These variables are interrelated because pain and fatigue can decrease activity ; and reduced activity can increase feelings of fatigue and further diminish performance. The importance of these issues will increase because previous inpatient surgical procedures are being increasingly done on day case basis. Each institute should develop a pathway where the safety of the patient with the safe practice of regional anesthesia is maintained. Relief from pain is a worthwhile humanitarian and clinical goal and there is good evidence that regional anaesthesia and analgesia offer a superior quality of analgesia. We need to examine the currently available evidence for both the risks and benefits associated with major regional techniques to strike a balance, which can inform our clinical practice.

safety, quality pain management, LIA regional anesthesia

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