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Paediatric day case anaesthesia: estimate of its quality at home
Author(s) -
B. Grenier,
M. Dubreuil,
D. Siao,
Y. Meymat
Publication year - 1998
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.1998.00265.x
Subject(s) - medicine , audit , medical prescription , vomiting , general anaesthesia , perioperative , anxiety , general anaesthetic , anesthesia , nausea , pain management , postoperative nausea and vomiting , emergency medicine , family medicine , nursing , psychiatry , management , economics
The aim of this clinical audit was to evaluate the home recovery and complications of 104 daycase anaesthetized children, as well as parent satisfaction. A questionnaire, explained at the time of preoperative visit, was given to parents at hospital discharge and returned by mail. Opioids were administered in 19% of the children whereas regional anaesthesia was performed in 28% of cases. In the recovery room, 8% of them suffered pain. At home, pain was the main problem (25%) and vomiting and agitation were found in 9% and 6% of the cases respectively. Parents reported anxiety in 45% of cases, and 14% called their general practitioner. Nevertheless, 94% were satisfied with the anaesthetic. A clinical audit is useful in detecting management deficiencies. Quality of home recovery may be improved by: wider use of perioperative analgesia, systematic prescription of take‐home analgesia, designation of a hospital practitioner for advice, and closer collaboration with general practitioners.