Dagkirurgin i Sverige sker strukturerat och med enhetliga rutiner. Enkätstudie om verksamhetens praxis
Sammanfattning
Day surgery, come and leave hospital the day of surgery, is today well established practice in Sweden. A web-based questionnaire sent to all day surgical units in Sweden early 2011 asking about current routines and praxis for 2010 showed a remarkably coherent praxis. The routines used were seemingly well in line with evidence based medicine. There were no set age or body weight limits for being acceptable for day surgery, patients were however assessed on an individual base preoperatively by an anaesthetist. Multimodal pain management started prior to surgery is standard of care. Most units are also providing patients prescription and or take home packages with analgesics at discharge after surgery, also strong opioids are not uncommonly send home when needed in limited amounts. Escort to assist when leaving hospital after surgery is commonly requested but not an absolute demand. Follow-up after discharge is not done on a regular base. Also interaction and information with primary care is only done infrequently. Pain, PONV and social circumstances are the most common causes for hospital unplanned admission.