Medicolegal Issues in Day Care/Ambulatory Surgery
Day surgery is the technique of choice for treatment of many clinical conditions in today’s time. The numbers of surgery done as day care are only increasing every day. The world is shifting to a day care format where 23 h seems to be the goal. The obvious advantage would appear to be a reduction in the risk of acquiring hospital-related infections and having complications after the surgery, however, it has its own challenges during the post-operative period. Meticulous care must be taken to ensure that the patient is genuinely fit for day care surgery and if so, fit for discharge after the procedure. Documentation at all levels, along with clear, legible communication, form the cornerstone of avoiding medicolegal issues in an ambulatory or day care setting. Almost all the responsibility of the centre falls on the anaesthetist in charge. It isn’t surprising to see most day care centres being led by anaesthesiologists worldwide.