News and updates from today's Emergency Day Surgery Summit
Conference chair Dr Mary Stocker President BADS opens the day with a welcome and introduces Dr Anna Lipp Consultant Anaesthetist Norwich Immediate Past President BADS, who delivers a session on 'The Day Surgery Pathway' covering: • key elements of a day surgery pathway • patient suitability for day surgery • planning for successful day surgery on the day.
Dr Lipp's presentation abstract: Many urgent procedures can safely be managed on a day case basis in suitable patients. However, there are challenges inherent in this pathway and this presentation will discuss
- selecting and preparing patients for urgent day surgery
- ensuring patients are comfortable and safe while waiting at home before their procedure
- planning admission to an area of the hospital able to deliver day case care
- utilising operating lists efficiently
Dr Lipp's biography:
Consultant anaesthetist Norfolk and Norwich University Hospital, lead for day surgery and pre-operative assessment with interest in peri-operative management of diabetes.
Immediate past-President of British Association Day Surgery, previously chair of publications and council member since 2005.
Honorary lecturer UEA School of medicine and health sciences.
Dr Mary Stocker continues with a focus on 'Patient Selection for Day Surgery' covering: • new approaches to social challenges in day surgery • is anyone medically inappropriate for day surgery? • which procedures could we tackle?
Presentation abstract: Inclusion criteria for day surgery have been gradually expanding since the original guidelines published by the Royal College of Surgeons in 1992. As our population are getting older, heavier and more likely to have co morbidities such as diabetes, it seems sensible to take a pragmatic approach to selection criteria for these patients and assess their physiological status at the time of pre operative assessment rather than relying on arbitrary cut off limits for age, BMI or disease process.
Recent advances in surgical and anaesthetic techniques, as well as the publication of successful outcomes in patients with multiple co-morbidities, have changed the emphasis in day surgery patient selection. It is now accepted that the majority of patients are appropriate for day surgery unless there is a valid reason why an overnight stay would be to their benefit.
Dr Stocker's biography: Mary read chemistry at Oxford University, including research into novel approaches towards drug design, subsequently she worked as a research chemist in the pharmaceutical industry. In 1990 she turned her hand to medicine, qualifying from Bristol University, her anaesthetic training was undertaken in the South West with a year at the University of Virginia, USA. She now works in Torbay as a Consultant Anaesthetist. Since 2004 she has been Director of Day Surgery for South Devon Healthcare Trust, one of the national leading trusts for day surgery in terms of innovation, day case rates and the quality of patient outcomes. She has developed training modules in day surgery for medical students and anaesthetic trainees and a training course for nurses undertaking day surgery preoperative assessment. She worked with the royal college of anaesthetists to produce an e-learning package in pharmacology. She has published widely in the day surgery literature and authored a number of book chapters on the subject.
Mary has been a member of the council of the British Association of Day Surgery for 6 years, their conference secretary for 3 and is took up office as BADS President in June 2016.
Also of interest:
Effective Operating Theatres Summit
Friday 1 December 2017
Hip Fracture Summit 2018
Friday 2 March 2018
23 November 2017