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[PMID]: 29268642 [Au] Autor: Buhmann V; Schüpfer G; Konrad C [Ad] Endereço: 1 Klinik für Anästhesie, Rettungsmedizin und Schmerztherapie, Luzerner Kantonsspital, Luzern. [Ti] Título: Anästhesie für ambulantes Operieren.. [So] Source: Ther Umsch;74(7):389-397, 2017. [Is] ISSN: 0040-5930 [Cp] País de publicação: Switzerland [La] Idioma: ger [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/efeitos adversos Procedimentos Cirúrgicos Ambulatórios/métodos Anestesia/métodos Monitorização Intraoperatória/métodos Complicações Pós-Operatórias/etiologia Complicações Pós-Operatórias/prevenção & controle [Mh] Termos MeSH secundário: Medicina Baseada em Evidências Alemanha Seres Humanos Suíça Resultado do Tratamento Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180308 [Lr] Data última revisão: 180308 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171223 [St] Status: MEDLINE [do] DOI: 10.1024/0040-5930/a000931

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[PMID]: 28461175 [Au] Autor: Cohen SB; Bouaziz J; Bar-On A; Schiff E; Goldenberg M; Mashiach R [Ad] Endereço: Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Hashomer, Tel Aviv, Israel; Department of Obstetrics and Gynecology, Herzliya Medical Center, Herzliya, Israel. [Ti] Título: In-office Hysteroscopic Extraction of Intrauterine Devices in Pregnant Patients Who Underwent Prior Ultrasound-guided Extraction Failure. [So] Source: J Minim Invasive Gynecol;24(5):833-836, 2017 Jul - Aug. [Is] ISSN: 1553-4669 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: STUDY OBJECTIVE: To determine an effective method of intrauterine device (IUD) retrieval from pregnant women who had previous unsuccessful ultrasound-guided IUD extraction failure. DESIGN: A retrospective cohort study (Canadian task force classification II-1). SETTING: A gynecology department of an outpatient clinic. PATIENTS: Pregnant patients in their first trimester with IUD in situ who underwent prior unsuccessful ultrasound-guided IUD extraction. INTERVENTIONS: Hysteroscopic IUD extraction guided by transabdominal ultrasound. MEASUREMENTS AND MAIN RESULTS: Between 2011 and 2014, 7 of 8 pregnant patients who had undergone previous failed attempts at IUD retrieval via ultrasound guidance underwent successful removal via ultrasound-guided hysteroscopy performed without anesthesia. The sole patient with extraction failure was in her 12th week of pregnancy, and the procedure was concluded to avoid risk to the fetus. Minimal vaginal bleeding was experienced by 2 patients after the procedure. Seven of 8 patients delivered at term without any obstetric complications. One patient had a miscarriage in her 8th week of pregnancy, 2 weeks after successful IUD removal. CONCLUSION: A novel, easy outpatient hysteroscopic technique without anesthesia is presented in case of failure of previous ultrasound-guided IUD removal in early pregnancy. Results are encouraging in this difficult context. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/métodos Remoção de Dispositivo/métodos Histeroscopia/métodos Dispositivos Intrauterinos Complicações na Gravidez/cirurgia Reoperação/métodos Ultrassonografia de Intervenção/métodos [Mh] Termos MeSH secundário: Aborto Espontâneo/epidemiologia Aborto Espontâneo/etiologia Adulto Procedimentos Cirúrgicos Ambulatórios/efeitos adversos Eficácia de Contraceptivos Remoção de Dispositivo/efeitos adversos Falha de Equipamento Feminino Seres Humanos Histeroscopia/efeitos adversos Migração de Dispositivo Intrauterino Gravidez Primeiro Trimestre da Gravidez Reoperação/efeitos adversos Estudos Retrospectivos Ultrassonografia de Intervenção/efeitos adversos Ultrassonografia Pré-Natal/métodos Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180223 [Lr] Data última revisão: 180223 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170503 [St] Status: MEDLINE

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[PMID]: 29391122 [Au] Autor: O'Neill SM; Frencher SK; Maggard-Gibbons M [Ad] Endereço: VA HSR&D Center for the Study of Healthcare Innovation, Implementation, & Policy, Los Angeles, California, USA. [Ti] Título: Geographic and Institutional Trends in Ambulatory Surgery in the State of California, 2012-2014. [So] Source: Am Surg;83(10):1188-1192, 2017 Oct 01. [Is] ISSN: 1555-9823 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Although geographic variation in health care services is well established, relatively less is known about ambulatory surgical procedures in California. Thus, we sought to describe statewide trends according to geographic and institutional factors. Using the California Office of State Health Planning and Development Ambulatory Surgery and Hospital Utilization datasets, overall and per-capita procedure rates by county and institution were calculated and compared across 2012 to 2014. There was substantial variation in services provided at the county level (Range: 49-382,142 cases/county). Among the 10 largest counties, there was a more than 2-fold difference in case volume per capita; across all counties, a 50-fold variation was observed. Changes in county population size and surgical case volume were correlated only if Los Angeles, the most populous and highest-volume county in the state, was excluded as an outlier. In the first year of California's full Medicaid expansion, Medicaid ambulatory surgery cases increased 29 per cent and self-pay cases decreased 16 per cent. The top 10 facilities by volume experienced substantial volatility in case volume over two years, ranging from -19.6 to +11.5 per cent. Geographic differences in rates of ambulatory surgery may be related to population shifts, but this was not uniformly true. The factors driving this variation and its impact on patient care warrant further investigation. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/tendências Procedimentos Cirúrgicos Ambulatórios/utilização Disparidades em Assistência à Saúde/tendências Padrões de Prática Médica/tendências [Mh] Termos MeSH secundário: California Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180214 [Lr] Data última revisão: 180214 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180203 [St] Status: MEDLINE

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[PMID]: 29280884 [Au] Autor: Manahan MA; Johnson DJ; Gutowski KA; Bonawitz SC; Ellsworth WA; Zielinski M; Thomsen RW; Basu CB [Ad] Endereço: Baltimore, Md.; Sacramento, Calif.; Chicago and Arlington Heights, Ill.; and Houston, Texas From Johns Hopkins Plastic and Reconstructive Surgery; Sacramento Plastic and Reconstructive Surgery Medical Group, Inc.; Chicago Cosmetic Institute and University; The Johns Hopkins Outpatient Clinic; Houston Methodist West Hospital; the American Society of Plastic Surgeons; The Johns Hopkins University School of Medicine; and the Basu Center for Aesthetics and Plastic Surgery. [Ti] Título: Postoperative Nausea and Vomiting with Plastic Surgery: A Practical Advisory to Etiology, Impact, and Treatment. [So] Source: Plast Reconstr Surg;141(1):214-222, 2018 01. [Is] ISSN: 1529-4242 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Ambulatory surgery is common in plastic surgery, where many aesthetic and reconstructive procedures can be performed in hospitals, ambulatory surgery centers, or office-based surgery facilities. Outpatient surgery offers advantages to both the patient and the surgeon by increasing accessibility, flexibility, and convenience; lowering cost; and maintaining high-quality care. To optimize a patient's experience and comfort, postoperative nausea and vomiting (PONV) should be prevented. However, in those patients who develop PONV, it must be appropriately managed and treated. The incidence of PONV is variable. It is often difficult to accurately predict those patients who will develop PONV or how they will manifest symptoms. There are a variety of recommended "cocktails" for PONV prophylaxis and treatments that are potentially effective. The decision regarding the type of treatment given is often more related to provider preference and determination of side-effect profile, rather than targeted to specific patient characteristics, because of the absence of large volumes of reliable data to support specific practices over others. Fortunately, there are several tenets for the successful prevention and treatment of PONV we have extracted from the literature and summarize here. The following is a summary for the practicing plastic surgeon of the current state of the literature regarding PONV cause, risk factors, prophylaxis, and treatment that may serve as a guide for further study and practice management. [Mh] Termos MeSH primário: Antieméticos/uso terapêutico Náusea e Vômito Pós-Operatório/tratamento farmacológico Náusea e Vômito Pós-Operatório/prevenção & controle Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos Cirurgia Plástica/efeitos adversos [Mh] Termos MeSH secundário: Procedimentos Cirúrgicos Ambulatórios/efeitos adversos Procedimentos Cirúrgicos Ambulatórios/métodos Feminino Seguimentos Seres Humanos Masculino Procedimentos Cirúrgicos Reconstrutivos/métodos Índice de Gravidade de Doença Cirurgia Plástica/métodos Fatores de Tempo Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Nm] Nome de substância: 0 (Antiemetics) [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180117 [Lr] Data última revisão: 180117 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 171228 [St] Status: MEDLINE [do] DOI: 10.1097/PRS.0000000000003924

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[PMID]: 29292337 [Au] Autor: Berend KR; Lombardi AV; Berend ME; Adams JB; Morris MJ [Ad] Endereço: Joint Implant Surgeons, 7277 Smith's Mill Road, Suite 200, New Albany, Ohio 43054, USA. [Ti] Título: The outpatient total hip arthroplasty : a paradigm change. [So] Source: Bone Joint J;100-B(1 Supple A):31-35, 2018 Jan. [Is] ISSN: 2049-4408 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: AIMS: To examine incidence of complications associated with outpatient total hip arthroplasty (THA), and to see if medical comorbidities are associated with complications or extended length of stay. PATIENTS AND METHODS: From June 2013 to December 2016, 1279 patients underwent 1472 outpatient THAs at our free-standing ambulatory surgery centre. Records were reviewed to determine frequency of pre-operative medical comorbidities and post-operative need for overnight stay and complications which arose. RESULTS: In 87 procedures, the patient stayed overnight for 23-hour observation, with 39 for convenience reasons and 48 (3.3%) for medical observation, most frequently urinary retention (13), obstructive sleep apnoea (nine), emesis (four), hypoxia (four), and pain management (six). Five patients (0.3%) experienced major complications within 48 hours, including three transferred to an acute facility; there was one death. Overall complication rate requiring unplanned care was 2.2% (32/1472). One or more major comorbidities were present in 647 patients (44%), including previous coronary artery disease (CAD; 50), valvular disease (nine), arrhythmia (219), thromboembolism history (28), obstructive sleep apnoea (171), chronic obstructive pulmonary disease (COPD; 124), asthma (118), frequent urination or benign prostatic hypertrophy (BPH; 217), or mild chronic renal insufficiency (11). CONCLUSION: The presence of these comorbidities was not associated with medical or surgical complications. However, presence of one or more major comorbidity was associated with an increased risk of overnight observation. Specific comorbidities associated with increased risk were CAD, COPD, and frequent urination/BPH. Outpatient THA is safe for a large proportion of patients without the need for a standardised risk assessment score. Risk of complications is not associated with presence of medical comorbidities. Cite this article: 2018;100-B(1 Supple A):31-5. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios Artroplastia de Quadril/métodos Tempo de Internação Complicações Pós-Operatórias/etiologia [Mh] Termos MeSH secundário: Adulto Idoso Idoso de 80 Anos ou mais Comorbidade Feminino Seres Humanos Incidência Masculino Meia-Idade Avaliação de Resultados (Cuidados de Saúde) Complicações Pós-Operatórias/epidemiologia Fatores de Risco [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180104 [Lr] Data última revisão: 180104 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180103 [St] Status: MEDLINE [do] DOI: 10.1302/0301-620X.100B1.BJJ-2017-0514.R1

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[PMID]: 29190666 [Au] Autor: Moawad G; Liu E; Song C; Fu AZ [Ad] Endereço: George Washington University, Washington, DC, United States of America. [Ti] Título: Movement to outpatient hysterectomy for benign indications in the United States, 2008-2014. [So] Source: PLoS One;12(11):e0188812, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: INTRODUCTION: The past decade has witnessed adoption of conservative gynecologic treatments, including minimally invasive surgery (MIS), alongside steady declines in inpatient hysterectomies. It remains unclear what factors have contributed to trends in outpatient benign hysterectomy (BH), as well as whether these trends exacerbate disparities. MATERIALS AND METHODS: Retrospective cohort of 527,964 women ≥18 years old who underwent BH from 2008 to 2014. BH surgical approaches included: open/abdominal hysterectomy (AH), vaginal hysterectomy (VH), laparoscopic hysterectomy (LH), and robotic-assisted hysterectomy (RH). Quarterly frequencies were calculated by care setting and surgical approach. We used multilevel logistic regression (MLR) using the most recent year of data (2014) to examine the influence of patient-, physician-, and hospital-level preoperative factors and surgical approaches on outpatient migration. RESULTS: From 2008-2014, surgical approaches for LH and RH increased, which coincided with decreases in VH and AH. Overall, a 44.2% shift was observed from inpatient to outpatient settings (P<0.0001). Among all outpatient visits MIS increased, particularly for RH (3.6% to 41.07%). We observed increases in the proportion of non-Hispanic Black and Medicaid patients who obtained MIS in 2014 vs. 2008 (P<0.001). Surgical approach (51.8%) and physician outpatient MIS experience (19.9%) had the greatest influence on predicting outpatient BH. Compared with LH, RH was associated with statistically significantly higher likelihood of outpatient BH overall (OR 1.23; 95% CI, 1.16-1.31), as well as in sub-analyses of more complex cases and hospitals that performed ≥1 RH (P<0.05). CONCLUSION: From 2008-2014, rates of LH and RH significantly increased. A significant shift from inpatient to outpatient setting was observed. These findings suggest that RH may facilitate the shift to outpatient BH, particularly for patients with complexities. The adoption of MIS in outpatient settings may improve access to disadvantaged patient groups. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios Histerectomia/métodos [Mh] Termos MeSH secundário: Feminino Seres Humanos Histerectomia/tendências Estudos Retrospectivos Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171226 [Lr] Data última revisão: 171226 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171201 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0188812

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[PMID]: 29255548 [Au] Autor: Zaafouri H; Mrad S; Khedhiri N; Haddad D; Bouhafa A; Maamer AB [Ad] Endereço: Service de Chirurgie Générale, Hôpital Habib Thameur, Tunis, Tunisie. [Ti] Título: [First experience with outpatient laparoscopic cholecystectomy in Tunisia]. [Ti] Título: Cholécystectomie laparoscopique ambulatoire: première expérience en Tunisie.. [So] Source: Pan Afr Med J;28:78, 2017. [Is] ISSN: 1937-8688 [Cp] País de publicação: Uganda [La] Idioma: fre [Ab] Resumo: Introduction: Laparoscopic cholecystectomy is the gold standard treatment for symptomatic gallstones. There is some debate as to whether it should be performed in outpatient surgery or in one-day surgery to improve patient safety. This study aimed to evaluate the impact of laparoscopic cholecystectomy performed in outpatient surgery versus one-day surgery on standards such as mortality, serious adverse events and quality of life. Methods: We conducted a cross-sectional descriptive study in the Department of General Surgery at the Habib Thameur Hospital over the period May 2009-February 2010. We here report 67 cases of symptomatic vesical lithiasis treated with outpatient laparoscopic cholecystectomy (OLC). ASA III and IV patients, diabetic patients treated with sulfonamides or insulin, severely obese patients, patients over 65 years of age and under 18 years of age, patients with a history of major abdominal surgery, patients with suspected lithiasis of the common bile duct, acute cholecystitis or pancreatitis were excluded from the study. Patients had to reside within 50 km of the hospital and be accompanied by an adult to undergo OLC. Results: Seventeen patients were included and then excluded from our study because of the perioperative detection of signs of acute cholecystitis or difficulties in dissection leading to subhepatic drainage using Redon catheter at the end of the intervention. Finally, our study included 50 patients, 7 men and 43 women; the average age was 48 years. Surgery was based on the most common procedures. After leaving the recovery room, patients were conducted in the outpatient sector where they received a liquid diet. The patients were examined before 7 o'clock in the evening and discharge was established on the basis of the possibility of establishing an oral analgesic treatment, patients tolerance to liquid diet, the lack of urinary disorder, patients acceptance for discharge and analgesic and anti-inflammatory treatment if needed. Thirty-nine patients (78%) were discharged from hospital and 11 were kept in hospital. Patients > 45 years of age, anesthesia duration > 70 minutes and post operative fatigue were identified as risk factors for unsuccessful discharge. No readmission was observed. Discharged patients were satisfied with the therapeutic protocol, resulting in excellent and good outcome in the majority of cases (94%). Conclusion: Outpatient laparoscopic cholecystectomy seems to be as safe as day surgery laparoscopic cholecystectomy having low rate of complications and of hospital readmissions in some selected patients and lower surgery costs. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/métodos Colecistectomia Laparoscópica/métodos Cálculos Biliares/cirurgia Complicações Pós-Operatórias/epidemiologia [Mh] Termos MeSH secundário: Adulto Fatores Etários Estudos Transversais Feminino Seres Humanos Masculino Meia-Idade Pacientes Ambulatoriais Readmissão do Paciente/estatística & dados numéricos Qualidade de Vida Fatores de Risco Tunísia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171222 [Lr] Data última revisão: 171222 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171220 [St] Status: MEDLINE [do] DOI: 10.11604/pamj.2017.28.78.9564

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[PMID]: 29210970 [Au] Autor: Tinsbloom B; Muckler VC; Stoeckel WT; Whitehurst RL; Morgan B [Ad] Endereço: Brandi Tinsbloom, DNP, CRNA, is a graduate of the Duke University Nurse Anesthesia Program. She is a practicing CRNA at a regional medical center in Pinehurst, NC. She has interests in community hospitals and outpatient and office-based practices. Virginia C. Muckler, DNP, CRNA, CHSE, is Assistant Professor in the Duke University Nurse Anesthesia Program in Durham, NC. She serves as a reviewer for multiple journals, is a National League for Nursing Simulation Leader, has served as a simulation consultant nationally and internationally, and serves on national and state associations. William T. Stoeckel, MD, is the owner of Wake Plastic Surgery in Cary, NC. He completed his plastic surgery training at Wake Forest University in 2002 and has been in his solo private practice since. He specializes in body and breast outpatient plastic surgery procedures using MAC anesthesia. Robert L. Whitehurst, MSN, CRNA, is founder and President of Advanced Anesthesia Solutions. He received his BSN from East Carolina University and his MSN (Anesthesia) from Duke University. Robert has practiced as a CRNA in academic institutions, community hospitals, and outpatient and office-based practices since 2004. Robert is an advocate for patients and CRNA practice as Chair of NCANA PAC and his work to expand the availability of anesthesia services to underserved settings. Brett Morgan, DNP, CRNA, is Assistant Professor at the Duke University School of Nursing and the Director of the Nurse Anesthesia Specialty Program. In addition to his faculty role, Dr. Morgan practices clinical anesthesia in office-based settings throughout the research triangle. [Ti] Título: Evaluating the Implementation of a Preemptive, Multimodal Analgesia Protocol in a Plastic Surgery Office. [So] Source: Plast Surg Nurs;37(4):137-143, 2017 Oct/Dec. [Is] ISSN: 1550-1841 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Many patients undergoing plastic surgery experience significant pain postoperatively. The use of preemptive, multimodal analgesia techniques to reduce postoperative pain has been widely described in the literature. This quality improvement project evaluated the implementation of a preemptive, multimodal analgesia protocol in an office-based plastic surgery facility to decrease postoperative pain, decrease postoperative opioid consumption, decrease postanesthesia care time, and increase patient satisfaction. The project included adult patients undergoing surgical procedures at an outpatient plastic and cosmetic surgery office, and the protocol consisted of oral acetaminophen 1,000 mg and gabapentin 1,200 mg. Using a pre-/postintervention design, data were collected from patient medical records and telephone interviews of patients receiving the standard preoperative analgesia regimen (preintervention group: n = 24) and the evidence-based preemptive, multimodal analgesia protocol (postintervention group: n = 23). Results indicated no significant differences between the pre- and postintervention groups for any of the outcomes measured. However, results showed that patients in both groups experienced moderate to severe pain postoperatively. In addition, adverse side effects such as dizziness and drowsiness were higher in the postintervention group than in the preintervention group. Although this quality improvement project did not meet the goals it set out to achieve for patients undergoing plastic surgery, it did illustrate the substantial presence of pain after surgical procedures. Thus, clinicians need to continue to focus on identifying targeted treatment plans that use multimodal, non-opioid-based strategies to manage and prevent postoperative pain. [Mh] Termos MeSH primário: Manejo da Dor/métodos Dor Pós-Operatória/prevenção & controle Cuidados Pré-Operatórios/métodos Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos [Mh] Termos MeSH secundário: Acetaminofen/administração & dosagem Adulto Idoso Procedimentos Cirúrgicos Ambulatórios Aminas/administração & dosagem Analgésicos não Entorpecentes/administração & dosagem Analgésicos Opioides/efeitos adversos Análise de Variância Ácidos Cicloexanocarboxílicos/administração & dosagem Feminino Seres Humanos Masculino Meia-Idade Avaliação de Resultados (Cuidados de Saúde) Medição da Dor Dor Pós-Operatória/tratamento farmacológico Cuidados Pós-Operatórios Ácido gama-Aminobutírico/administração & dosagem [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Nm] Nome de substância: 0 (Amines); 0 (Analgesics, Non-Narcotic); 0 (Analgesics, Opioid); 0 (Cyclohexanecarboxylic Acids); 362O9ITL9D (Acetaminophen); 56-12-2 (gamma-Aminobutyric Acid); 6CW7F3G59X (gabapentin) [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171218 [Lr] Data última revisão: 171218 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 171207 [St] Status: MEDLINE [do] DOI: 10.1097/PSN.0000000000000201

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[PMID]: 29210969 [Au] Autor: Elaqoul A; Obaid A; Yaqup E; Shahen I; Arraqap A; Alshatnawi I; Alnajar M; Al-Momani S [Ad] Endereço: Aqel Elaqoul, MSN, CNS, RN, is a pain management nurse, King Hussain Cancer Center, Amman, Jordan. Abdullah Obaid, MSN, RN, is a pain management nurse, King Hussain Cancer Center, Amman, Jordan. Eman Yaqup, MSN, RN, is a pain management nurse, King Hussain Cancer Center, Amman, Jordan. Ibtesam Shahen, BSC, RN, is a day care unit nurse, King Hussain Cancer Center, Amman, Jordan. Ahmad Arraqap, MD, is an anesthesiologist, King Hussain Cancer Center, Amman, Jordan. Iyad Alshatnawi, BSC, RN, is a day care unit nurse, King Hussain Cancer Center, Amman, Jordan. Malek Alnajar, MSN, CNS, RN, is a pain management nurse, King Hussain Cancer Center, Amman, Jordan. Sharaf Al-Momani, MSN, RN, is a pain management nurse, King Hussain Cancer Center, Amman, Jordan. [Ti] Título: Postoperative Pain Among Patients After Day-Case Surgery. [So] Source: Plast Surg Nurs;37(4):130-136, 2017 Oct/Dec. [Is] ISSN: 1550-1841 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Postoperative pain occurs at a high incidence after day-case surgery, with many patients reporting moderate to severe pain. A cross-sectional design was used in this study to estimate the prevalence of postoperative pain in the early postoperative period after day-case surgery and to determine whether there is a relationship between demographic and clinical variables. A convenient sample of 300 patients, aged between 18 and 80 years, was selected from all postoperative patients after day-case surgery over a period of 6 months. At the first 2 hr after surgery, about 70% of patients had either no pain or mild pain at rest and about 30% of patients had moderate to severe pain. About one third of these patients (103; 35.8%) reported mild pain, and about 43% of patients had moderate to severe pain on movement in the first 2 hr after surgery. Furthermore, 25.3% and 41.3% of the patients reported moderate to severe pain during the first 24 hr after hospital discharge at rest and on movement, respectively. Female patients had significantly higher pain scores than male patients (p < .001). Significant decrease in pain scores was reported in the first 2 hr after surgery (mean = 2.2, SD = 2) and within the first 24 hr after discharge (mean = 1.8, SD = 2.2, t(288) = 4.3, p =. 005) at rest. The prevalence of pain among postoperative patients after day-care surgery in Jordan is high. Young adult and female patients have higher pain scores after day-case surgery. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/efeitos adversos Dor Pós-Operatória/epidemiologia Período Pós-Operatório [Mh] Termos MeSH secundário: Acetaminofen/uso terapêutico Adulto Fatores Etários Idoso Idoso de 80 Anos ou mais Analgésicos não Entorpecentes Anti-Inflamatórios não Esteroides/uso terapêutico Estudos Transversais Feminino Seres Humanos Jordânia/epidemiologia Masculino Meia-Idade Medição da Dor Dor Pós-Operatória/tratamento farmacológico Alta do Paciente Prevalência Fatores Sexuais Fatores de Tempo [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Analgesics, Non-Narcotic); 0 (Anti-Inflammatory Agents, Non-Steroidal); 362O9ITL9D (Acetaminophen) [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171218 [Lr] Data última revisão: 171218 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 171207 [St] Status: MEDLINE [do] DOI: 10.1097/PSN.0000000000000206

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[PMID]: 29179414 [Au] Autor: Debono B; Sabatier P; Garnault V; Hamel O; Bousquet P; Lescure JP; Plas JY [Ad] Endereço: Neurosurgery Department, CAPIO-Clinique des Cèdres, Cornebarrieu, France. Electronic address: bdebono@gmail.com. [Ti] Título: In Reply to the Letter to the Editor "Ambulatory Surgery and Social Inequalities in Industrialized Countries". [So] Source: World Neurosurg;108:966, 2017 12. [Is] ISSN: 1878-8769 [Cp] País de publicação: United States [La] Idioma: eng [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios Países Desenvolvidos [Mh] Termos MeSH secundário: Seres Humanos Fatores Socioeconômicos [Pt] Tipo de publicação: LETTER; COMMENT [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171215 [Lr] Data última revisão: 171215 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171129 [St] Status: MEDLINE

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1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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