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"One-stop" surgery: implications for anesthesiologists of an expedited pediatric surgical process

F J Overdyk1, N Burt, E P Tagge

  • 1Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston 29425-2207, USA.

Southern Medical Journal
|March 27, 1999
PubMed

Insights

One-stop surgery (OSS) enables same-day surgical evaluation, anesthesia, and discharge for pediatric patients. This efficient and convenient approach was found to be safe and satisfactory for families undergoing common procedures.

Area of Science:

  • Pediatric Surgery
  • Surgical Process Optimization

Background:

  • One-stop surgery (OSS) is a model where pediatric patients receive surgical evaluation, anesthesia, surgery, and same-day discharge.
  • This approach aims to streamline the surgical care pathway for pediatric patients.

Purpose of the Study:

  • To evaluate the safety, efficiency, and convenience of the one-stop surgery model for pediatric patients undergoing common surgical procedures.
  • To compare the total time spent for one-stop surgery versus traditional multi-visit surgical processes.

Main Methods:

  • Patients referred for umbilical hernia repair, circumcision, or central venous catheter removal were assessed for OSS eligibility.
  • Eligible patients proceeded with same-day surgical and anesthesia evaluation and, if indicated, surgery.

Main Results:

  • Eighty pediatric patients underwent surgery without complications within the OSS model.
  • OSS demonstrated significantly shorter average total times for circumcision and umbilical hernia repair compared to traditional methods.
  • Patient families reported high satisfaction with the one-stop surgery experience.

Conclusions:

  • One-stop surgery is a safe, efficient, and convenient alternative for pediatric surgical care.
  • The OSS model positively impacts patient and family experience by streamlining the surgical process.
Abstract

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