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[Pediatric surgery and anesthesia in a day hospital]
C Saint-Maurice1, B H Kong-Ky, J Hamza
1Département d'Anesthésie-Réanimation chirurgicale, Hôpital Saint-Vincent-de-Paul, Paris.
Insights
Pediatric outpatient surgery is safe and effective for over 60% of children. Further research is needed to confirm patient preference and cost-effectiveness for ambulatory surgery in children over five.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Health Services Research
Abstract:
Day care surgery is an increasing service in our health structures. If we return to the source, we find the first important series has been published in 1906 (8,900 cases) without accident. Child is an ideal patient. So, more than 60% of paediatric surgery could benefit by ambulatory surgery. Recovery of mental abilities following general anaesthesia has not the same significance as in adult. Many studies confirm the safety of paediatric outpatient anaesthesia, but can we assert that children older than five years prefer ambulatory surgery? In the same way, are we sure that the cost cannot be cut and maybe other options used?