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Guidelines: Day case and short stay surgery<br />

.....................................................................................................................................<br />

Appendix 5<br />

Suitable topics for a training module in day case anaesthesia.<br />

1 Patient selection and preparation:<br />

• The role of patient selection in day surgery<br />

• Medical, social and surgical factors<br />

• Unit protocols for patient selection<br />

• The role of pre-operative preparation in day surgery<br />

• Instructions for ⁄ preparation of patients for day surgery<br />

• Management of patients with complex medical conditions<br />

• Recognition of patients who are unsuitable for day surgery<br />

2 Anaesthetic techniques for day surgery:<br />

• General anaesthetic techniques<br />

• Antiemetic therapy<br />

• Analgesia including the role of nerve blockade<br />

• Fluid therapy<br />

• Airway management<br />

3 Surgical techniques appropriate for day surgery:<br />

• Surgical advances enabling procedures to transfer to day surgery<br />

• Limitations of day surgery<br />

• Risks ⁄ concerns<br />

4 Recovery assessment and discharge criteria:<br />

• Adequacy of analgesia<br />

• Fitness for discharge<br />

• Role of early intervention in prevention of unplanned admissions<br />

• Instructions for patients<br />

• Discharge medication<br />

5 Postoperative follow up and audit:<br />

• Value of postoperative follow-up to patients and the unit<br />

• Use of information technology for audit of outcomes and service development<br />

6 Team working:<br />

• The day unit as a multidisciplinary team<br />

7 Children in the day surgery unit:<br />

• National Service Framework for Children’s requirements for provision of children’s services<br />

• Preparation of children for surgery<br />

8 Management of a day surgery unit:<br />

• Role of day surgery managers<br />

• Role of day surgery within the trust<br />

• Government’s agenda for day surgery<br />

• Booking processes for day surgery<br />

• Knowledge of local and national day surgery performance<br />

• Advances and controversies in day surgery<br />

Ó 2011 The Authors<br />

30 Anaesthesia Ó 2011 The Association of Anaesthetists of Great Britain and Ireland

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