The Implementation of Clinical Practice Guideline on Management Anesthesia for Patients undergoing One-day surgery at Phangnga Hospital

Abstract

Background: Anesthesia management is a principal aspect of providing quality health care for patients undergoing One-day surgery. Collaboration of the anesthesia and surgical teams provides the continuity of the patient care process and safety issues.

Objective: Aimed to study the implementation of clinical practice guidelines on anesthesia management for patients undergoing one-day surgery.

Materials and Methods: We designed the retrospective descriptive study. The sample was patients undergoing one-day surgery at Phangnga Hospital between October 1, 2018 and June 30, 2020.

Results: A total of 188 patients were included in this study, 95 males and 93 females. The most common underlying disease among the group was hypertension (43.62%). 70.70% of patients were ASA class II, and 61.70% of procedures were colonoscopies. The mean operative time was 38.84 minutes, and 56.90 % of patients received total intravenous anesthesia (TIVA). No serious complications was found. 38 patients (20.21%) experienced adverse reactions. The most common adverse reaction was hypertension (5.32%). Post-operative pain was mainly complications in the recovery room (4.25%). The satisfaction assessment was excellent (satisfaction score 4.79).

Conclusion: The clinical practice guideline for anesthesia management can be effectively applied to patients undergoing one-day surgery, ensuring their safety and satisfaction with positive outcomes.

Keyword: anesthesia, one-day surgery