Evidence-based medicine in day surgery.

Area of Science:

• Anesthesiology
• Pain Management
• Surgical Care

Background:

• Ambulatory surgery is increasingly common, necessitating optimized perioperative care.
• Effective management of pain and postoperative nausea and vomiting (PONV) are key to successful same-day discharge.
• Anesthetic technique selection impacts patient recovery and complication rates.

Purpose of the Study:

• To review evidence for optimal pain management in ambulatory surgery.
• To evaluate strategies for preventing nausea and vomiting post-surgery.
• To determine the best anesthetic techniques for ambulatory procedures.

Main Methods:

• Systematic review of available evidence.
• Analysis of analgesic efficacy and safety profiles.
• Comparison of antiemetic agents and anesthetic techniques.

Main Results:

• Paracetamol and NSAIDs are effective analgesics with low NNT (number needed to treat).
• Droperidol, dexamethasone, and ondansetron show equal efficacy in PONV prevention.
• Anesthetic technique has minimal impact on recovery, except TIVA for PONV prevention.

Conclusions:

• Vigorous pain prevention and treatment are essential.
• Proactive PONV prevention is recommended for at-risk patients.
• Inhalation agents have minor importance for recovery in ambulatory anesthesia.