Modern preoperative evaluation in ambulatory surgery - who, where and how?

Filipovic, Mark G; Schwenter, Aline; Luedi, Markus M; Urman, Richard D (2022). Modern preoperative evaluation in ambulatory surgery - who, where and how? Current opinion in anaesthesiology, 35(6), pp. 661-666. Wolters Kluwer Health 10.1097/ACO.0000000000001192

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PURPOSE OF REVIEW

Ambulatory surgery is increasingly performed in medically complex patients. This dynamic environment requires new approaches to ensure cost-effective, efficient, and ultimately safe preoperative evaluation of the patient. This review investigates recent advances in the assessment of ambulatory patients, with a special focus on patient screening, digital communication, and multidisciplinary team evaluation.

RECENT FINDINGS

Identifying suitable candidates for ambulatory surgery relies on a variety of medical, surgical, and institutional factors. Identification of high-risk patients and optimization of their treatment can be achieved through multidisciplinary protocols specific to the local institution and in line with current guidelines. Virtual assessment may be sufficient for most patients and provide an efficient evaluation strategy and high patient satisfaction. Prescreening can be supported by preoperative nursing teams.

SUMMARY

The increasing complexity of treatment provided in day surgery offers a unique opportunity to highlight the importance of anesthesiology staff as perioperative caregivers. Preoperative evaluation serves as a central junction to integrate a variety of surgical, medical, and institutional factors to provide safe, satisfactory, and efficient care for patients. Implementing technological innovation to streamline and facilitate this process is paramount.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Filipovic, Mark Georg, Schwenter, Aline Gabrielle Eloïse, Lüdi, Markus

ISSN:

1473-6500

Publisher:

Wolters Kluwer Health

Language:

English

Submitter:

Pubmed Import

Date Deposited:

05 Oct 2022 10:32

Last Modified:

07 Oct 2023 00:25

Publisher DOI:

10.1097/ACO.0000000000001192

PubMed ID:

36194141

BORIS DOI:

10.48350/173496

URI:

https://boris.unibe.ch/id/eprint/173496

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