Introduction: Due to the advances in anesthetics and surgery, ambulatory surgery plays an increasingly important role. This regimen, despite showing several advantages, still instills fear in patients. The aim of this was to evaluate the level of knowledge and the perspective of patients regarding ambulatory surgery.
Material And Methods: A prospective study was carried out for two months in patients with pre-anesthetic consultation at a University Hospital Center. Demographic information, educational level, and previous ambulatory surgery were surveyed. Patients' level of knowledge about surgery, satisfaction, and the perceived advantages and fears regarding this regimen were evaluated. The analysis was performed with SPSS, and p < 0.05 was considered statistically significant.
Results: Two hundred and fifty-one patients were included. One hundred and twenty-eight (51%) patients disclosed having knowledge about ambulatory surgery. The main advantages perceived by patients were more peaceful recovery (44.7%), avoiding being surrounded by other patients (43.1%), and avoiding infection (37.2%). The main fears shown by patients were poor pain control (20.7%), having other health problems (13.1%), and poor control of nausea or vomiting (10%).
Conclusion: Patients may benefit from being more informed about the ambulatory surgical regimen in order to decrease their fears and increase their acceptance of the regimen. Providing more information to patients may result in increased satisfaction with this regimen.
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http://dx.doi.org/10.20344/amp.16494 | DOI Listing |
JMIR Perioper Med
January 2025
Stanford Hospital, Stanford, CA, United States.
Background: Inhalational anesthetic agents are a major source of potent greenhouse gases in the medical sector, and reducing their emissions is a readily addressable goal. Nitrous oxide (NO) has a long environmental half-life relative to carbon dioxide combined with a low clinical potency, leading to relatively large amounts of NO being stored in cryogenic tanks and H cylinders for use, increasing the chance of pollution through leaks. Building on previous findings, Stanford Health Care's (SHC's) NO emissions were analyzed at 2 campuses and targeted for waste reduction as a precursor to system-wide reductions.
View Article and Find Full Text PDFEur Heart J
December 2024
Department of Cardiology, IRCCS Istituto Auxologico Italiano, Faint and Fall Research Centre, S. Luca Hospital, Piazzale Brescia 20, Milano 20149, Italy.
Background And Aims: Identifying the haemodynamic mechanism of autonomic syncope is the essential pre-requisite for effective and personalized therapy aimed at preventing recurrences. The present study assessed the diagnostic efficacy of a two-step assessment.
Methods: Multicentre prospective, cross-sectional, observational study.
Alzheimers Dement
December 2024
University of Kentucky College of Medicine, Lexington, KY, USA.
Background: We have been investigating in vivo astrocytic Ca homeostasis in the primary somatosensory cortex (S1) of awake, head-restrained ambulating mice using two-photon technology. Prior results from our lab were obtained in neurons across aging, and in male and female C57Bl6/J mice (Case et al., 2023).
View Article and Find Full Text PDFMusculoskeletal Care
March 2025
School of Physiotherapy, Dalhousie University, Halifax, Canada.
Objectives: To evaluate the quality and types of care individuals with mild-to-moderate knee osteoarthritis receive in the Canadian Maritime provinces, and determine associations with demographic, social, and patient-reported factors.
Methods: Individuals with knee osteoarthritis were invited to complete a healthcare quality survey based on the British Columbia Osteoarthritis (BC OA) survey. The cross-sectional descriptive observational survey assessed four healthcare quality indicators: advice to exercise, advice to lose weight, assessment of ambulatory function, and assessment of non-ambulatory function.
Aging Med (Milton)
December 2024
Department of Trauma and Orthopaedics Gateshead Health Foundation NHS Trust Gateshead UK.
Objectives: The prevalence of low Vitamin D levels (<30 nmol/L) is about 15.7% globally. The aim of this study was to examine the prevalence of vitamin D deficiency in elderly patients with fragility fractures of the hip by estimating 25-hydroxyvitamin D levels and to assess whether low vitamin D levels at the time of admission affect functional outcomes at 3 months and mortality at 28 days and 1 year.
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