In this article, we review the methods of anaesthesia commonly used in ophthalmology in Singapore. These include topical, local, regional and general anaesthesia. Topical and local anaesthesia is adequate for most outpatient procedures. The most common form of regional anaesthesia in Singapore is still retrobulbar anaesthesia. General anaesthesia is used in children and when more extensive proc...

Physician order entry is difficult to implement, both in inpatient and outpatient settings. Such systems must integrate conveniently into clinical workflows, and provide sufficient benefit to offset the burden of system use. For outpatient order entry, significant advantages can accrue when systems incorporate medical necessity guidelines - improved billing and adherence to governmental policie...

During the past thirty years outpatient surgery has become an increasingly important part of medical care in the United States. The number of outpatient procedures has risen dramatically since 1981, and the majority of surgeries performed in the United States now take place in outpatient settings. Using data on procedure length, we show that ambulatory surgery centers (ASCs) provide a lower-cos...

There has been increased interest in and experience with performing several surgical procedures on the hand and the wrist utilizing local anesthesia in an unsedated patient. These surgical procedures can be safely performed on an outpatient basis. Experience has shown that the strategic use of local anesthesia with epinephrine is safe and, in procedures such as tendon repair or transfer, permit...

Children are excellent candidates for outpatient surgery. The typical pediatric surgical patient is in good health and has no serious systemic disorder. Futhermore, most surgical procedures in children are simpler and require less complicated techniques than those performed in adults. From the child's perspective, the two greatest advantages of outpatient surgery are the minimization of parenta...

INTRODUCTION The aim of this study is to report the treatment of varicose veins in Denmark in the five-year period from 2007 to 2011, primarily based on reports to the nationwide Clinical Vein Database (KVD). MATERIAL AND METHODS The KVD collects clinical patient data before, during and after invasive treatment of varicose veins in public hospitals, private outpatient clinics and private hosp...

INTRODUCTION The care of patients with breast cancer is extremely complex and requires interdisciplinary care in certified facilities. These specialized facilities provide numerous services without being correspondingly remunerated. The question whether breast cancer surgery should be performed in an outpatient setting to reduce costs is increasingly being debated. This study compares inpatient...

INTRODUCTION A pediatric hospital may aim to show governmental agencies, charitable organizations, and philanthropic individuals how its clinical services differ from those of nonpediatric surgical facilities and of other pediatric hospitals. Yet, it is unknown how to use existing databases to quantify where infants and young children undergo surgery, and to use that information to differentiat...

We report a case series of five adolescents who were managed with dual simultaneous perineural infusions after orthopaedic surgery on an outpatient basis. Adolescents undergoing orthopaedic procedures involving more than one extremity or nerve distribution can be managed after operation with multiple catheters. Use of low concentrations of local anaesthetic infusions along with good patient and...

OBJECTIVES To develop an economic analysis of the management of pleural effusions in patients with imatinib-resistant/intolerant chronic myelogenous leukemia (CML). METHODS A cost of treatment analysis was conducted from the US payer perspective, based on resource utilization data for 48 patients with dasatinib-related pleural effusions at a large US cancer center. Probabilities of various pr...