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The decision process. Standing surgery versus general anesthesia and recumbency.

¹Department of Veterinary Clinical Sciences, Ohio State University College of Veterinary Medicine, Columbus.

The Veterinary Clinics of North America. Equine Practice

|December 1, 1991

Summary

Performing surgery on a standing patient involves weighing factors like health, cost, and anesthetic expertise. While anesthesia can simplify procedures, standing surgery may be chosen to reduce patient risk and costs, emphasizing the need for surgical experience.

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Area of Science:

Medical procedures
Surgical techniques
Patient care

Background:

The choice between performing surgery on a standing patient versus a fully anesthetized patient is complex.
Several factors influence this decision, including patient health status, economic considerations, time constraints, available facilities, and the expertise of the anesthesia team.

Purpose of the Study:

To explore the decision-making process for performing surgical procedures on standing patients.
To identify key factors influencing the choice between standing and anesthetized surgical approaches.

Main Methods:

This study is a review of factors influencing surgical procedure decisions.
Analysis of clinical and economic considerations for standing versus anesthetized surgery.

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Main Results:

Anesthesia can technically simplify surgical procedures.
However, considerations of cost and patient risk may favor performing surgery with the patient in a standing position.
Surgical proficiency in performing procedures on standing patients is crucial for achieving successful outcomes.

Conclusions:

The decision for standing surgery balances technical ease under anesthesia against patient risk and cost-effectiveness.
Adequate surgical experience is paramount for successful outcomes in procedures performed on standing patients.