title: General anesthesia with spontaneous ventilation without intubation for short-stay operations.
abstract: BACKGROUND
  The choice of the anesthetic technique plays a decisive role in the use of operating protocols in day hospital or short-stay given that full compliance with surgical needs must be associated with rapid recovery and the patient's renewed autonomy leading to discharge in total safety.
  
  
  METHODS
  The use of spontaneous ventilation general anesthesia without intubation is proposed for all operations not requiring muscular paralysis and where the patient's conditions are compatible. The authors describe the technique used and its utilisation in over 4,000 patients undergoing orthopedic surgery of the leg.
  
  
  RESULTS
  Using rapid clearance drugs with minimum metabolic involvement this anesthetic technique allows a full postoperative recovery within a short time and with no immediate or long-term sequelae.
  
  
  CONCLUSIONS
  It can be used for short-stay or day-case surgery when concomitant with adequate surgical requirements.
authors.affiliation: Department of Medical and Surgical Disciplines, University of Turin, Turin, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Napoli
authors.forename: E
authors.initials: E
authors.lastname: Napoli
authors.forename: E
authors.initials: E
authors.lastname: Parino
mesh_terms: D000556:Ambulatory Surgical Procedures; D000762:Anesthesia Recovery Period; D000768:Anesthesia, General; D018681:Anesthetics, General / Q000493:pharmacokinetics; D006801:Humans; D007866:Leg / Q000601:surgery; D019637:Orthopedic Procedures; D011184:Postoperative Period; D011229:Preanesthetic Medication; D015656:Respiratory Mechanics; D012189:Retrospective Studies; D013312:Stress, Physiological / Q000175:diagnosis / Q000503:physiopathology
chemical_list: D018681:Anesthetics, General