Overnight Admission of Outpatient Strabismus Patients
The trend to outpatient strabismus surgery prompted us to determine the frequency and reasons for postoperative overnight hospital admission. 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 post-operatively. The 160 adults did not have a significantly different postoperative admission rate than the 143 children (p=0.14). Compared with controls, those admitted were older (37 vs 20.5 years), and had a longer duration of anesthesia (145 vs 116 min) and surgery (104 vs 75 min) p < 0.01 for each. The time of day that surgery commenced and the use of perioperative medications were not causative factors. The most frequent reasons for postoperative 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.
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- Christensen S, Farrow-Gillespie A, Lerman J. (1989). Incidence of emesis and postanesthetic recovery after strabismus surgery in children: A comparison of droperidol and lidocaine. Anesthesiology 70, 251–254.Google Scholar
- Eustis S, Lerman J, Smith DR. (1987). Effect of droperidol pretreatment of postanesthetic vomiting in children undergoing strabismus surgery: the minimum effective dose. J Ped Ophthalmol Strabismus 24, 165–169.Google Scholar
- Hadaway EG, Ingram RM, Traynar MJ. (1977). Day case surgery after strabismus surgery in preschoolers: droperidol is not an effective prophylactic anti-emetic. Can Anaesth Soc J 323, sl03–sl04.Google Scholar
- Iwamoto K, Schwartz H. (1978). Antiemetic effect of droperi dol after ophthalmic surgery. Arch Ophthalmol 96, 1378–1379.Google Scholar
- Nicolson SC, Kaya KM, Betts EK. (1988). The effect of pre-operative oral droperidol on the incidence of postoperative emesis after paediatric strabismus surgery. Can J Anaesth 35, 364–367.Google Scholar
- Romano PE, Robinson JA. (1981). General anesthesia morbidity and mortality in eye surgery at a children’s hospital. J Ped Ophthalmol Strabismus 18, 17–21.Google Scholar
- Rowley MP, Brown TCK. (1982). Postoperative vomiting in children. Anaesth Intensive Care 10, 309–313.Google Scholar
- Van Den Berg AA, Lambourne A, Clyburn PA. (1989). The oculo-emetic reflex. Anaesthesia 44, 110–117.Google Scholar
- Van Den Berg AA, Lambourne A, Yazji NS, et al. (1987). Vomiting after ophthalmic surgery. Anaesthesia 42, 270–276.Google Scholar
- Warner LO, Rogers GL, Martino JD, et al. (1988) Intravenous lidocaine reduces the incidence of vomiting in children after surgery to correct strabismus. Anesthesiology 68, 618–621.Google Scholar
- Weinstock SM, Flynn JT. (1975). Brief hospital admissions for pediatric strabismus surgery. Am J Ophthalmol 80, 525–529.Google Scholar