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Anaesthesia for ambulatory paediatric surgery: common techniques and complications
C O Imarengiaye1, D Osifo, S Tudjegbe
1Departments of Anaesthesiology, University of Benin Teaching Hospital, Benin City, Nigeria. esemama@yahoo.co.uk
West African Journal of Medicine
|April 13, 2010
Summary
Paediatric ambulatory surgery is feasible in Nigeria, with most complications within acceptable limits. However, optimizing scheduling and discharge timelines is crucial for effective day surgery services.
Area of Science:
- Surgical Practice
- Paediatric Surgery
- Health Services Research
Background:
- Ambulatory surgical care is prevalent in North America, representing over 70% of elective procedures.
- Paediatric ambulatory surgical practice is not widespread in Nigeria.
- This study examined clinical indicators for quality care in paediatric ambulatory surgery.
Purpose of the Study:
- To evaluate the feasibility and quality of paediatric ambulatory surgical care in Nigeria.
- To identify key indicators of quality care using common outcomes after day case procedures.
- To assess complications and timelines in paediatric day surgery.
Main Methods:
- A cross-sectional study was conducted at the University of Benin Teaching Hospital.
- A standardized questionnaire collected data on patient demographics, surgical procedures, anesthesia, and outcomes.
- Data included age, gender, surgical indication, anesthesia type, procedure duration, and complication rates.
Main Results:
- Ninety-three paediatric patients underwent ambulatory surgery, with a mean age of 4.1 years.
- Herniotomy was the most common procedure (64.5%).
- Quality indicators included unanticipated admission (5.4%), repeat hospital visits (4.3%), readmission (2.2%), and delayed discharge (21.5%).
Conclusions:
- Paediatric ambulatory surgery services are feasible in the Nigerian setting.
- Observed complication rates are within acceptable limits.
- Timelines for scheduling and discharge require optimization for effective ambulatory services.
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