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Anaes CasesDay-case & ambulatory anaesthesia

Anaes Cases · Day-case & ambulatory anaesthesia

The day-case laparoscopic cholecystectomy

The long case — the day-case lap chole. The risk assessment (the Apfel, the analgesia), the TIVA or the volatile with the LMA, the multimodal opioid-sparing analgesia (the paracetamol, the NSAID, the local infiltration or the TAP), the PONV prophylaxis, and the discharge criteria.

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Target exams

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Prompt
A 42-year-old woman for the elective laparoscopic cholecystectomy on the day-case pathway. Discuss the perioperative plan to enable the safe same-day discharge.

Presentation

A 42-year-old woman, ASA 1, non-smoker, for the elective day-case laparoscopic cholecystectomy. She has the history of the mild PONV after her previous caesarean section. She will be discharged home the same day with her partner as the escort. Discuss the perioperative plan to enable the safe same-day discharge.

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References3ShowHide
  1. [2]Abuahmed M, et al. Day-case laparoscopic cholecystectomy: a systematic review. Langenbecks Arch Surg, 2024.PMID 39340655
  2. [1]Swett BJ, et al. Comprehensive review of office-based anesthesia safety. Anesthesiology Clinics, 2026.PMID 42069399
  3. [42069400]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
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