[Current aspects of ambulatory anesthesia for otorhinolaryngologic and stomatologic surgery in France].
Ambulatory anaesthesia is becoming more popular in France for several reasons: -for humanitory reasons and greater comfort, -for reasons of economy in hospital, -professional responsibility and insurance. This change has been made possible by: -techniques of anaesthesia using drugs which are eliminated rapidly without any rebound phenomenon, -medical attitudes, such as prior examination of the patient by an anesthetist; this is much better than a rapid examination at night or in the morning on admission of the patient, thus precise control of awakening by tests of psychomotor activity. -changes in hospital structure, e.g. post-anaesthetic awakening wards with specialised personnel. Anonymous questionnaires were sent out to O.R.L. surgeons and French oral surgeons, we received 38.5% replies: -51.75% never used ambulatory anaesthesia, -48.25% used ambulatory anaesthesia almost always in hospital with a recovery room and anaesthetic consultation. Admission to hospital for one day seems rarer. It thus appears that ambulatory anaesthesia is becoming common in France and that more than 50% of surgeons remain opposed to this technique.
D000766:Anesthesia, Dental; D000768:Anesthesia, General; D000777:Anesthetics; D004467:Economics; D005602:France; D006760:Hospitalization; D009059:Mouth Diseases / Q000601:surgery*; D010038:Otorhinolaryngologic Diseases / Q000601:surgery*
D000777:Anesthetics
Aspect actuel de l'anesthésie ambulatoire pour la chirurgie oto-rhino-laryngologique et stomatologique en France