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Irish Journal of Medical Science

, Volume 180, Issue 3, pp 649–653 | Cite as

An anaesthetic pre-operative assessment clinic reduces pre-operative inpatient stay in patients requiring major vascular surgery

  • D. B. O’Connor
  • M. Cotter
  • O. Treacy
  • T. Owens
  • A. McShane
  • D. Mehigan
  • S. J. Sheehan
  • M. C. Barry
Original Article

Abstract

Background

Patients undergoing major vascular surgery (MVS) require extensive anaesthetic assessment. This can require extended pre-operative stays.

Aims

We investigated whether a newly established anaesthetic pre-operative assessment clinic (PAC) would reduce the pre-operative inpatient stay, avoid unnecessary investigations and facilitate day before surgery (DBS) admissions for patients undergoing MVS.

Patient and methods

One year following and preceding the establishment of the PAC the records of patients undergoing open or endovascular aortic aneurysm repair, carotid endarterectomy and infra-inguinal bypass were reviewed to measure pre-operative length of stay (LoS).

Results

Pre-operative LoS was significantly reduced in the study period (1.85 vs. 4.2 days, respectively, P < 0.0001). Only 12 out of 61 patients in 2007 were admitted on the DBS and this increased to 33 out of 63 patients (P = 0.0002). No procedure was cancelled for medical reasons.

Conclusion

The PAC has facilitated accurate outpatient anaesthetic assessment for patients requiring MVS. The pre-operative in-patient stay has been significantly reduced.

Keywords

Vascular surgery Anaesthetic assessment Pre-operative assessment Length of stay Service provision 

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Copyright information

© Royal Academy of Medicine in Ireland 2011

Authors and Affiliations

  • D. B. O’Connor
    • 1
  • M. Cotter
    • 1
  • O. Treacy
    • 3
  • T. Owens
    • 2
  • A. McShane
    • 2
  • D. Mehigan
    • 1
  • S. J. Sheehan
    • 1
  • M. C. Barry
    • 1
  1. 1.Department of Vascular SurgerySt. Vincent’s University HospitalDublin 4Ireland
  2. 2.Department of AnaesthesiaSt. Vincent’s University HospitalDublin 4Ireland
  3. 3.Pre-Operative Assessment ClinicSt. Vincent’s University HospitalDublin 4Ireland

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