• Anesthesiology clinics · Jun 2014

    Review

    Postoperative issues: discharge criteria.

    • Hairil Rizal Abdullah and Frances Chung.
    • Department of Anesthesiology, Singapore General Hospital, Outram Road, 169608, Singapore.
    • Anesthesiol Clin. 2014 Jun 1; 32 (2): 487-93.

    AbstractWith the continuous increase in the numbers and complexity of cases being done as ambulatory procedures, striking a balance between operational efficiency, patient safety, and patient satisfaction has become increasingly difficult. This article summarizes the latest evidence and consensus with regard to discharging an ambulatory patient home, the use of patient recovery scoring systems for protocol-based decision making, the concept of fast-track recovery, and requirements for patient escort. Fast-tracking (ie, bypassing the postanesthesia care unit) is an acceptable and safe pathway, provided careful patient selection and assessment are performed. Copyright © 2014 Elsevier Inc. All rights reserved.

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