title: Consensus statement on anaesthesia for day care surgeries.
abstract: The primary aim of day-care surgery units is to allow for early recovery of the patients so that they can return to their familiar 'home' environment; the management hence should be focused towards achieving these ends. The benefits could include a possible reduction in the risk of thromboembolism and hospital-acquired infections. Furthermore, day-care surgery is believed to reduce the average unit cost of treatment by up to 70% as compared to inpatient surgery. With more than 20% of the world's disease burden, India only has 6% of the world's hospital beds. Hence, there is an immense opportunity for expansion in day-care surgery in India to ensure faster and safer, cost-effective patient turnover. For this to happen, there is a need of change in the mindset of all concerned clinicians, surgeons, anaesthesiologists and even the patients. A group of nine senior consultants from various parts of India, a mix of private and government anaesthesiologists, assembled in Mumbai and deliberated and discussed on the various aspects of day-care surgery. They formulated a consensus statement, the first of its kind in the Indian scenario, which can act as a guidance and tool for day-care anaesthesia in India. The statements are derived from the available published evidence in peer-reviewed literature including guidelines of several bodies such as the American Society of Anesthesiologists, British Association of Day Surgery and International Association of Ambulatory Surgery. The authors also offer interpretive comments wherever such evidence is inadequate or contradictory.
authors.affiliation: Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.
authors.forename: Satish
authors.initials: S
authors.lastname: Kulkarni
authors.affiliation: Department of Anaesthesiology, Bangalore Medical College and Research Centre, Bengaluru, Karnataka, India.
authors.forename: S S
authors.initials: SS
authors.lastname: Harsoor
authors.affiliation: Aarogyasri Trust, Government of Telangana, Hyderabad, Telangana, India.
authors.forename: M
authors.initials: M
authors.lastname: Chandrasekar
authors.affiliation: Department of Anaesthesiology and Critical Care, Vijayanagar Institute of Medical Sciences, Bellary, Karnataka, India.
authors.forename: S Bala
authors.initials: SB
authors.lastname: Bhaskar
authors.affiliation: Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India.
authors.forename: Jitendra
authors.initials: J
authors.lastname: Bapat
authors.affiliation: Department of Anaesthesiology, Baby Memorial Hospital, Kozhikode, Kerala, India.
authors.forename: Edakeparavan Keloth
authors.initials: EK
authors.lastname: Ramdas
authors.affiliation: Department of Anaesthesiology, BLK Super Specialty Hospital, New Delhi, India.
authors.forename: Umesh Kumar
authors.initials: UK
authors.lastname: Valecha
authors.affiliation: Department of Anaesthesiology, Dr. L H Hiranandani Hospital, Mumbai, Maharashtra, India.
authors.forename: Amol Shashikumar
authors.initials: AS
authors.lastname: Pradhan
authors.affiliation: Department of Anaesthesiology, Fortis Hospital, Mohali, Punjab, India.
authors.forename: Adarsh Chandra
authors.initials: AC
authors.lastname: Swami
keywords: Ambulatory surgical procedures; anaesthesia; day care; early ambulation; pain management; patient discharge; post-operative nausea and vomiting