| Autor: |
Anthony J Paluch, Alexander H Matthews, Sophie Mullins, Ross J Vanstone, Timothy Woodacre |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of perioperative practice. |
| ISSN: |
2515-7949 |
| Popis: |
Introduction Provision of day case spinal procedures in the UK is below expected standards and there is a need for the creation of guidance and patient pathways to address this. Here we present a day case lumbar discectomy protocol and evaluate its impact at our institution. Methods A new pathway (incorporating defined selection criteria, patient education, anaesthetic protocol and discharge prescriptions) was implemented for all suitable patients within a single surgeon’s cohort. Day case rates for lumbar discectomy were compared before and after implementation. Patient feedback was collated using a patient-reported experience measure. Results Eighteen of 23 patients selected as suitable via the pathway successfully underwent day surgery, leading to an increase in lumbar discectomy day case rates from 25% to 69% at our institution. Nearly all patients were satisfied with their experience, although a significant proportion felt provision of postoperative analgesia could be improved. Conclusion We present a day surgery pathway for lumbar discectomy that is safe and effective. This could be more widely implemented to increase day case rates. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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