Safety of Daycase Thyroid and Parathyroid Surgery with Developments in Education and Training in addition to Patient Information Leaflets.

Abstract Introduction BAETS recently reviewed daycase thyroid surgery in the UK through a debate and webinar; changed society's position statement support of procedures. Post-thyroidectomy haemorrhage remains concern. This Endocrine Surgical Unit published data (2015 & 2017) regarding our thyroid/parathyroid since 2005. The practice has developed numbers, patient information given safety protocols. Method We outcomes from last 4 years Patient Information Leaflet that reflects new position, outlining what to expect surgery, look out for post-operative period, action take should complications arise. is used conjunction with stringent protocol (exclusion criteria include: children; bilateral/redo surgery; sternotomy; ASA 3&4; living alone; >45 minutes hospital). Results Review cases performed between June 2017 May 2021 confirmed 25.2% (81/322) procedures were without complication (28 (all lobectomies)/160 53/162 parathyroid procedures, respectively). Protocol improvements include an ‘emergency pack’ wound-opening equipment staying throughout their stay; training Ward Emergency Department staff opening neck incisions postoperative (SCOOP video, posters displayed ward areas within emergency pack, provision instruments Department). Conclusion Outcomes demonstrate hospital protocol. Refinements protocol, education, instrument availability leaflets aim ameliorate concerns about patients staff.