La Tunisie médicale
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Child is an ideal patient for day care surgery. So more than 60% of paediatric surgery could benefit by ambulatory surgery. Preoperative visit may select patients for ambulatory surgery. ⋯ Tracheal intubation don't contre indicate ambulatory surgery. Recovery of mental abilities following general anesthesia has not the same significance as in adult. Many studies confirm the safety of paediatric outpatients anesthesia.
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La Tunisie médicale · Apr 2000
Review[Ambulatory anesthesia: which optimal organization for optimal safety?].
The ambulatory anesthesia is now well developed because of the improvement of the intraoperative and the postoperative anesthetic management. The environmental conditions are as well important as surgery and anesthesia management. ⋯ The conception of an ambulatory center must reflect the medical need and must take care of the economical and social conditions. The aim of this review article is to determine the benefit and the disadvantage of the types of ambulatory surgery organization.
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Ambulatory surgery offers to patients to be treated on an outpatient basis. Strict criterious, social, surgical and medical must be associated to authorize this type of hospitalisation. ⋯ No patient was rehospitalized for complication. In this series, ambulatory surgery has proved its advantages, without loss of patients' security, if selection criterious were respected.