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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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Assessing Blood pressure using a doppler ultrasound01:19

Assessing Blood pressure using a doppler ultrasound

To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
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Preparation of Equipment:
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

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Related Experiment Videos

Ambulatory surgery: how much testing do we need?

Deborah C Richman1

  • 1Department of Anesthesiology, Stony Brook University Medical Center, Stony Brook, NY 11794-8480, USA. drichman@notes.cc.sunysb.edu

Anesthesiology Clinics
|May 22, 2010
PubMed
Summary

Preoperative assessment for ambulatory surgery should involve a focused history and physical, with minimal lab tests. This approach optimizes costs and maintains patient safety for same-day discharge.

Area of Science:

  • Surgical Care
  • Patient Outcomes
  • Healthcare Economics

Background:

  • Ambulatory surgery constitutes over two-thirds of all surgical procedures.
  • It is generally considered low-risk, with patient expectation for safe, same-day discharge.
  • Evidence supports focused preoperative assessment for ambulatory patients.

Purpose of the Study:

  • To define appropriate laboratory testing for ambulatory surgery patients.
  • To highlight the benefits of selective testing in preoperative assessment.
  • To optimize resource utilization in ambulatory surgery settings.

Main Methods:

  • Review of existing evidence on preoperative assessment for ambulatory surgery.
  • Analysis of the impact of laboratory investigations on costs and outcomes.

Related Experiment Videos

  • Focus on history and physical examination as primary assessment tools.

    • Main Results:

    • Focused history and physical examination are sufficient for most ambulatory surgery patients.
    • Minimal, selective laboratory investigations are recommended.
    • This approach optimizes costs without compromising patient safety or outcomes.

    Conclusions:

    • Appropriate preoperative assessment for ambulatory surgery emphasizes clinical evaluation over extensive laboratory testing.
    • Selective laboratory testing can reduce healthcare costs and potential patient harm.
    • Evidence supports a streamlined approach to preoperative testing for ambulatory surgery.