Outpatient shoulder surgery: a prospective analysis of a perioperative protocol.
During a 10-month period, 106 consecutive outpatient shoulder procedures were done in 102 patients who were followed up prospectively for a minimum of 6 months. The procedures included arthroscopic surgery alone (60%) and open surgeries with or without associated arthroscopy (40%). The anesthetic protocol included propofol and nitrous oxide, without scalene block augmentation, and local 0.5% bupivacaine. Patients were discharged with oral analgesics. Ninety-five percent of the patients successfully underwent their procedure as an outpatient; only 5% required admission on the day of surgery, and none required readmission. There were no short- or long-term postoperative complications attributable to the protocol. Ninety-six percent of the patients were satisfied with their pain management, and all patients were satisfied with their overall experience.
Lewis
R A
RA
Minneapolis Sports Medicine Center, MN, USA.
Buss
D D
DD
D000556:Ambulatory Surgical Procedures; D002985:Clinical Protocols; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012785:Shoulder Joint / Q000601:surgery*; D011795:Surveys and Questionnaires