Same day admission for elective cardiac surgery: how to improve outcome with satisfaction and decrease expenses.

Abstract:

:Admission on the day of surgery for elective cardiac and non-cardiac surgery has been established as a prevalent, critical practice. This approach realizes medical, logistical, psychological and fiscal benefits, and its success is predicated on an effective outpatient pre-operative evaluation. The establishment of a highly functional pre-operative clinic with a comprehensive set-up and efficient logistical pathways is invaluable. This notion has been expanded in recent years to include the entire peri-operative period and the concept of a 'peri-operative anesthesia/surgical home' is gaining popularity and support. Evaluating patients prior to admission for surgery, anesthesiologists can place themselves at the forefront of reducing unnecessary pre-operative hospital admissions, excess lab tests, unneeded consultations, and ultimately decrease the cancellations on the day of surgery. Furthermore, by taking a leadership role in the pre-operative clinic, anesthesiologists place themselves squarely at the forefront of the burgeoning movement for the peri-operative surgical home and continue to cement the indispensability of the anesthesiologist during the entire peri-operative course. The authors present this review as a follow-up describing the successful implementation of a pre-operative same-day cardiac surgery clinic and offer these experiences over the last 8 years as a guide to helping other anesthesiologists do the same.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Silvay G,Goldberg A,Gutsche JT,T Augoustides JG

doi

10.1007/s00540-016-2139-8

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

444-8

issue

3

eissn

0913-8668

issn

1438-8359

pii

10.1007/s00540-016-2139-8

journal_volume

30

pub_type

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