Pain Management in Day Case Surgery

Pain Management in Day Case Surgery

Sugeng Budi Santoso  Departement of of Anesthesiology Anesthesiology and Intensive Intensive Therapy Sebelas Maret University/Dr. Moewardi General Hospital   Sra!arta

ABSTRACT

in Anaesthetic *Advances tehniques *Escalalating healthy care *Potential advatages of DCS : In patient surgical

&

surgical

 ambulatory / DCS



Most DCS are associated with minor surgical trauma so discharge of !atient de!ends of recovery from anesthesia  (o! !riorities for successful DCS are the )A+

Am'ulatio Alertness n

"nrelieved !ain E#cessive $atigue %ausea & omiting



 Potential

Alimentati Analgesia on

Delay discharge , un!lanned hos!ital admission

cost saving of DCS may negated 'y !oorly treated of !ain

DCS

 Minor surgical Trauma



-ecent studies

./0/



 Mild Pain ?



 under treatment of !ain is common

1 su2er moderate 0 severe !ain in 3rst 4 0

5 ( Beanregaan,et al, 1998; Rawal N, 2001) / 1 of !atient e#!erience severe !ain des!ite conventional treatment6 ( Chung F, et al, 1997) E2ective & long 0 lasting with minimal side e2ect analgesia is !aramount im!ortance in DCS

INTRODUCTION Defnition o DC ! Patient on elective surgery with one wor7day 8594 h; (his includes admission o!eration recovery and discharge ( "n#i $%, &i'er "*, 201+)

Advantages of DCS :  Patient Preference  (imely (reatment  -educed -is7 of %osocomial