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Day Care Anaesthesia Outcomes

Medical Practice · Sydney, NSW
Website: www.acecc.org.au

The Day Care Anaesthesia SIG aims to promote science and education through the exchange of ideas between anaesthetists with a ... particular interest and involvement in day care anaesthesia and the interaction with other individuals / groups, who share an interest in day care anaesthesia. The Day Care Anaesthesia SIG is developing a software program to investigate the immediate outcomes of day care cases. There is a paucity of data surrounding any unfavourable outcomes of same day surgery and procedures (“Ambulatory Surgery”) around the world. Various limited surveys have shown a significant incidence of post discharge nausea and vomiting (PDNV) and unresolved pain little data concerning the effects on co-morbidities, especially undiagnosed but clinically suspected obstructive sleep apnoea (OSA) is available. The number of work-days lost and the economic impact of this loss is unknown. Unfavourable outcomes could impact on their partner’s or other members of their family’s ability to attend work. There is a growing tendency to attempt more advanced procedures and operate on older and sicker patients as day care cases. With an actual decrease in promised funding there is certain to be increased pressure to handle elective surgery in the day care situation. Whilst the surgeon or proceduralist always reviews their patients, most are lost to follow up by their anaesthetist and the great majority of unfavourable outcomes will occur in the first few days after, usually before any review is undertaken. Hospitals and Clinicians will be able to compare outcomes within their institutions, or with other institutions prepared to share anonymous data pooled on a central server. This is an EDUCATIONAL program with the ultimate aim of improving outcomes, particularly with new procedures or with the moving of a surgical procedure to a Day Stay situation. This could be undertaken by a hospital department or a group. We invite anaesthetists to request their hospitals to participate, particularly as we release the beta version of the program for use and appraisal. An SMS survey software program has been developed enabling anaesthetists to investigate and record the outcomes of their day care cases. It is hospital based, with reports being available to the patient’s anaesthetist and hospital. ALERTS generated by unfavourable survey answers, are emailed immediately to the anaesthetist and hospital for action. The information will be de-identified then entered into a registry from which reports can be generated for individual anaesthetist, hospitals, health departments and the public. For all enquiries please contact the Day Care SIG Chair: Ken Sleeman kensleeman@gmail.com Follow us on Twitter for all the latest news @daycor_registry. read more

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