Spinal anesthesia in ambulatory patients.

Ledesma, Ignacio; Stieger, Andrea; Luedi, Markus M; Romero, Carolina S (2024). Spinal anesthesia in ambulatory patients. (In Press). Current opinion in anaesthesiology Wolters Kluwer Health 10.1097/ACO.0000000000001412

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PURPOSE OF THIS REVIEW

To assess current practice in the use of spinal anesthesia in major ambulatory surgery, highlighting its advantages over general anesthesia and identifying potential areas for improvement to facilitate a transition to a sustainable healthcare system.

RECENT FINDINGS

Spinal anesthesia might be preferred in selected populations when compared to general anesthesia providing the highest standards of healthcare quality.The use of local anesthetics with short half-life has proven to be efficient in achieving high anesthesia success rates. Spinal anesthesia does not increase perioperative complications; instead, it has shown a reduction in postoperative nausea and vomiting, an improvement in patient comfort, and a favorable economic impact when compared to general anesthesia.

SUMMARY

Spinal anesthesia is an appropriate method for anesthesia in ambulatory patients, offering advantages over general anesthesia in selected populations.The use of spinal anesthesia is expanding to meet surgical needs. Therefore, it is crucial to plan ahead and anticipate organizational failures in the ambulatory setting to maintain safety and efficiency during outpatient procedures and surgeries.

Item Type:

Journal Article (Original 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:

Lüdi, Markus

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1473-6500

Publisher:

Wolters Kluwer Health

Language:

English

Submitter:

Pubmed Import

Date Deposited:

10 Jul 2024 09:52

Last Modified:

10 Jul 2024 10:02

Publisher DOI:

10.1097/ACO.0000000000001412

PubMed ID:

38979677

BORIS DOI:

10.48350/198833

URI:

https://boris.unibe.ch/id/eprint/198833

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