Overnight Admission of Outpatient Strabismus Patients
- 1 August 1990
- journal article
- Published by SLACK, Inc. in Ophthalmic Surgery, Lasers and Imaging Retina
- Vol. 21 (8), 540-543
- https://doi.org/10.3928/1542-8877-19900801-04
Abstract
The trend to outpatient strabismus surgery prompted us to determine the frequency of, and the reasons for, postoperative overnight hospital admission following such surgery. In one year, 303 outpatient strabotomies were performed at the Jules Stein Eye Institute on patients over 15 months old. Twenty-four (7.9%) were admitted overnight postoperatively. Compared with controls, those admitted were older (37 vs 20.5 years), and had a longer duration of anesthesia (145 vs 116 minutes) and surgery (104 vs 75 minutes) (P<.01 for each). The time that surgery commenced and the use of perioperative medications were not significant factors. The most frequent reasons for overnight admission were nausea (38%) despite prophylaxis and the use of bilateral patches (16%). To minimize postoperative admissions, better strategies should be developed to decrease the frequency of significant postoperative nausea, the duration of surgery and anesthesia, and, if possible, the use of bilateral patches.Keywords
This publication has 12 references indexed in Scilit:
- Unanticipated admission to the hospital following ambulatory surgeryJAMA, 1989
- Auriculo‐emetic reflex?Anaesthesia, 1989
- Incidence of Emesis and Postanesthetic Recovery after Strabismus Surgery in ChildrenAnesthesiology, 1989
- Discharging Outpatients: Factors Nurses Consider to Determine ReadinessAORN Journal, 1988
- The effect of preoperative oral droperidol on the incidence of postoperative emesis after paediatric strabismus surgeryCanadian Journal of Anesthesia/Journal canadien d'anesthésie, 1988
- Intravenous Lidocaine Reduces the Incidence of Vomiting in Children after Surgery to Correct StrabismusAnesthesiology, 1988
- Vomiting after ophthalmic surgeryAnaesthesia, 1987
- Complications Associated With Ambulatory SurgeryJAMA, 1980
- Antiemetic Effect of Droperidol After Ophthalmic SurgeryAmerican Journal of Ophthalmology, 1978
- Brief Hospital Admissions for Pediatric Strabismus SurgeryAmerican Journal of Ophthalmology, 1975