BIMS 201 Lecture Notes - Lecture 4: Hospital-Acquired Infection, Day Care, Psychological Trauma
7 Jan 2018
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Daycare surgery & dosa (day of surgery admission) ( dr. t. praba) Comprises the admission of a patient, surgical treatment, recovery and discharge within the same day. 1903 dr. james nicoll, surgeon from glasgow,uk. - first introduced day case surgery. Popular since 1960, but getting implemented in malaysia only in recent years. Also day care is practiced in haematological, radiological, & other investigations which might require anaesthesia. Child - avoids psychological trauma of prolonged separation from parents & home. Nurses & doctors no night or weekend duty. Whatever the system employed, the staff & facilities for surgery, anaesthesia & recovery should be of same standard as for inpatients & complete facilities for resuscitation should be provided. Standing arrangements should exist for admitting a day care surgery patient immediately to a standard hospital bed if he/she is not fit to be discharged same day. Asa 1-11, some asa111 patients for short procedures provided accepted by anaesthetists.
