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May 1, 1999Anesthesia & Analgesia

New Criteria for Fast-Tracking After Outpatient Anesthesia

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Why the study?

Does a new fast-track scoring system reduce the need for postoperative IV analgesics and antiemetics compared to the modified Aldrete's scoring system in outpatients undergoing ambulatory surgery?

Population

216 female outpatients undergoing laparoscopic tubal ligation or cholecystectomy with general anesthesia

Comparison

New fast-track scoring system vs Modified Aldrete's scoring system

Design

Cohort

Follow-up

Immediate postoperative period

Authors

PWPaul F. WhiteForest InstituteDSDajun SongUniversity Health Network

Discussion

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Implication

New criteria may better identify ambulatory patients unlikely to need rescue IV medications; leaves open whether adoption safely increases PACU bypass rates.

Structured PICO

Does a new fast-track scoring system reduce the need for postoperative IV analgesics and antiemetics compared to the modified Aldrete's scoring system in outpatients undergoing ambulatory surgery?

P
Population
216 female outpatients undergoing laparoscopic tubal ligation or cholecystectomy with general anesthesia
I
Intervention
New fast-track scoring system (incorporating pain and emesis assessment)
C
Comparator
Modified Aldrete's scoring system
O
Outcome
Time to fast-track eligibility and percentage of patients requiring IV analgesics or antiemetics after being judged fast-track-eligible

A new fast-track scoring system that incorporates pain and emesis assessments may better identify outpatients suitable for bypassing the PACU without increasing nursing workload in step-down units.

Limitations

  • Retrospective data analysis
  • Additional prospective clinical studies are required to validate the utility of this new scoring system

Cite This Study

White et al. (1999) studied this question.

synapsesocial.com/papers/6a86edbe540b033b21befcc9https://doi.org/10.1097/00000539-199905000-00018
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Recovery Pattern and Home-Readiness After Ambulatory Surgery1995 · 282 citations
  2. 2Recovery Profile after Desflurane—Nitrous Oxide Versus Isoflurane—Nitrous Oxide in Outpatients1991 · 173 citations
  3. 3Comparisons between Desflurane and Isoflurane or Propofol on Time to Following Commands and Time to Discharge1995 · 104 citations
  4. 4A Postanesthetic Recovery Score1970 · 1,127 citations
  5. 5Is the Bispectral Index Useful in Predicting Fast-Track Eligibility After Ambulatory Anesthesia with Propofol and Desflurane?1998 · 85 citations