Urological day case surgery in elderly and medically unfit patients using sedoanalgesia: what are the limits?
OBJECTIVE
To assess how elderly and medically unfit patients cope with day case surgery in a urological unit using sedoanalgesia.


METHODS
One hundred patients (mean age 78 years, range 59-97) either over the age of 75 years, or with an American Society of Anesthesiologists (ASA) status of 3 or 4 (58 patients) were studied before and after surgery to assess their medical condition, home circumstances and how they coped with their first day after the operation.


RESULTS
Ninety patients found the procedure good or acceptable and 86 thought having their operation and going home on the same day was a good idea.


CONCLUSIONS
Elderly and medically unfit patients can be treated safely with no serious complications using sedoanalgesia in a well organized Day Unit equipped with full monitoring facilities.
Briggs
T P
TP
Department of Urology and Minimally Invasive Surgery, Whittington Hospital, London, UK.
Anson
K M
KM
Jones
A
A
Coker
B J
BJ
Miller
R A
RA
D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D000698:Analgesia / Q000379:methods*; D016292:Procedural Sedation; D006801:Humans; D008874:Midazolam; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D014570:Urologic Diseases / Q000601:surgery*
D008874:Midazolam