Pain Management in Pediatric Day Surgery

摘要

Pediatric surgery in an ambulatory setting shortens hospital stay, reduces exposure of nosocomial infections, and allows for the active parental participation. The popularity of this subspecialty has created new challenges and rewarding opportunities for pediatric anesthesiologists.The practice of day-care surgery was first reported by Nicholl in 1909. He presented to the British Medical Association the data of 8,988 outpatient operations done at Glasgow Royal hospital for Sick Children over a period of ten years. In 1916, Ralph Waters opened the first outpatient clinic in Sioux city, Lpwa. The first reports on ambulatory surgery in children date back to 1929, but it was not until 1980 that out-patient or daycare surgery became the standard for operations like pediatric inguinal and umbilical hernia, and orchidophexy.