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Evidence-based medicine in day surgery
Örebro University, School of Health and Medical Sciences.ORCID iD: 0000-0001-6128-7752
2007 (English)In: Current Opinion in Anaesthesiology, ISSN 0952-7907, E-ISSN 1473-6500, Vol. 20, no 6, p. 520-525Article in journal (Refereed) Published
Abstract [en]

PURPOSE OF REVIEW: To present the evidence available for the management of pain, for the prevention of nausea and vomiting, and for the best anaesthetic technique during ambulatory surgery.

RECENT FINDINGS: Paracetamol and nonsteroidal anti-inflammatory drugs are effective analgesics with a low number needed to treat, and are recommended when not contraindicated. Droperidol, dexamethasone and ondansetron are equally effective in the prevention of postoperative nausea and vomiting during ambulatory surgery. The choice of the anaesthetic technique appears to play a minor role in recovery from anaesthesia or in the occurrence of minor postoperative complications or home discharge, except for the use of total intravenous anaesthesia for the prevention of postoperative nausea and vomiting.

SUMMARY: Pain should be prevented adequately and treated vigorously. Postoperative nausea and vomiting is common and should be prevented in the at-risk patient. The choice of inhalation agents during ambulatory surgery is of minor importance in recovery from anaesthesia.

Place, publisher, year, edition, pages
2007. Vol. 20, no 6, p. 520-525
Keywords [en]
Ambulatory Surgical Procedures/*standards, Analgesics/therapeutic use, Anesthesia; General, Anesthetics/therapeutic use, Evidence-Based Medicine, Humans, Pain; Postoperative/*prevention & control, Postoperative Nausea and Vomiting/*prevention & control
National Category
Medical and Health Sciences Anesthesiology and Intensive Care
Research subject
Anaesthesiology
Identifiers
URN: urn:nbn:se:oru:diva-3561DOI: 10.1097/ACO.0b013e3282f021c9PubMedID: 17989543OAI: oai:DiVA.org:oru-3561DiVA, id: diva2:137859
Available from: 2008-12-09 Created: 2008-12-09 Last updated: 2017-12-14Bibliographically approved

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Gupta, Anil

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