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Urological day case surgery in elderly and medically unfit patients using sedoanalgesia: what are the limits?
T P Briggs1, K M Anson, A Jones
1Department of Urology and Minimally Invasive Surgery, Whittington Hospital, London, UK.
Objective:
To assess how elderly and medically unfit patients cope with day case surgery in a urological unit using sedoanalgesia.
Patients And Methods:
One hundred patients (mean age 78 years, range 59-97) either over the age of 75 years, or with an American Society of Anesthesiologists (ASA) status of 3 or 4 (58 patients) were studied before and after surgery to assess their medical condition, home circumstances and how they coped with their first day after the operation.
Results:
Ninety patients found the procedure good or acceptable and 86 thought having their operation and going home on the same day was a good idea.
Conclusion:
Elderly and medically unfit patients can be treated safely with no serious complications using sedoanalgesia in a well organized Day Unit equipped with full monitoring facilities.