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A prospective evaluation of the feasibility of day-case microlaryngeal surgery

Published online by Cambridge University Press:  29 June 2007

K. W. Ah-See ,
G. Kelly ,
J. G. Todd  and
K. MacKenzie
K. W. Ah-See
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary University NHS Trust, Glasgow, UK.
G. Kelly
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary University NHS Trust, Glasgow, UK.
J. G. Todd
Affiliation:
University Department of Anaesthetics, Western Infirmary University NHS Trust, Glasgow, UK.
K. MacKenzie*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary University NHS Trust, Glasgow, UK.
*
Address for correspondence: Mr K. MacKenzie, Department of Otolaryngology – Head and Neck Surgery, Glasgow Royal Infirmary University NHS Trust, Alexandra Parade, GlasgowG31 2ER. Fax: 0141-211-4896
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Abstract

An increasing number of surgical procedures are being performed on a day-case basis. In the UK otolaryngologists have been reluctant to introduce same day discharge in microlaryngeal surgery (MLS). The reason for this is the perceived risk to the airway from bleeding and oedema after MLS. The aim of this study was to investigate the feasibility of establishing a same day discharge service for MLS patients. One hundred consecutive patients under the care of one consultant otolaryngologist were recruited. A clinical street-fit assessment and objective measures of peak expiratory flow rate (PEFR) and oxygen saturation (SaO2) were recorded pre- and post-operatively. Results indicate that the PEFR and SaO2 did not change significantly during the course of the study. The street-fit criteria for discharge were satisfied in 80 per cent of patients following surgery. By combining the ASA score (American Society of Anaesthesiologists) with street-fitness 63 per cent of our patients were eligible for same day discharge.

Keywords

LarynxSurgery, operativeAmbulatory care
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 4 , April 1998 , pp. 351 - 354
Copyright
Copyright © JLO (1984) Limited 1998

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