1. Selecting anaesthesia modality in oesophageal dilation in an outpatient setting: a cases series and a proposal for a clinical algorithm.
- Author
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Sidoti, Anna, D'Imporzano, Simone, Dorigo, Massimo, Trentadue, Giovanna, Brogi, Etrusca, Forfori, Francesco, and Rago, Rocco
- Subjects
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MEDICAL protocols , *AMBULATORY surgery , *PATIENT safety , *DECISION making in clinical medicine , *DILATATION & curettage , *RETROSPECTIVE studies , *PYLORIC stenosis , *DESCRIPTIVE statistics , *FEVER , *DISCHARGE planning , *TREATMENT effectiveness , *ARRHYTHMIA , *ELECTIVE surgery , *ENDOSCOPIC gastrointestinal surgery , *INTRAVENOUS anesthesia , *GENERAL anesthesia , *ESOPHAGEAL achalasia , *ANESTHESIA , *ESOPHAGEAL stenosis , *ALGORITHMS - Abstract
Aim Most cases of oesophageal strictures can be treated effectively with elective outpatient endoscopic dilation in a specialized centre. With this case series review, we aim to evaluate our patient cohort from June 2020 to January 2022. Methods: We retrospectively analyzed 185 consecutive patients submitted to oesophageal and pyloric dilation procedures in day surgery settings from June 2020 to January 2022. Results: In our retrospective case series, we analyzed 185 patients submitted to oesophageal dilation (89%) or pyloric dilation (11%). Analysis of the type of anaesthesia correlated to the primary diagnosis showed that 52% of achalasia patients had deep sedation via native airway, and caustic stricture was corrected in almost all cases during general anaesthesia (89%). It is worth noting that in our study, only 1.6% of patients experienced complications that prevented same-day discharge, such as fever or arrhythmia. Severe complications, including significant bleeding or perforation, were entirely absent. Conclusions: We can conclude that oesophageal dilations were performed with safety and efficiency in our centre, with very few unplanned recoveries and a negligible rate of complications. The standardization of outpatient care pathways has further bolstered our efficiency, ensuring the best possible outcomes for our patients. [ABSTRACT FROM AUTHOR]
- Published
- 2024