小儿日间手术标准化管理实践与探索

摘要

作者介绍了儿科日间手术的特点和标准化管理体系的构建,通过规范各环节流程,实行患儿、手术医生、麻醉医生、术式准入,全过程实施术前、术后、离院评估,多维度降低手术取消率,融入预防性镇吐、缩短围术期禁食时间等快速康复理念,并在出院后提供有效延续支持,探讨标准化管理策略在小儿日间手术的安全性和有效性,为儿童专科医院开展日间手术提供借鉴.%The paper presented the characteristics of ambulatory surgery and the construction of a standardized management system in pediatrics. Every step of the process is standardized. Admission criteria cover all, including the children patients, surgeons, anesthesiologists, and surgical procedures, while preoperative postoperative evaluation is made and upon discharge as well. Surgery cancellation rate is reduced at all dimensions. Such rapid rehabilitation measures as preventive anti-vomiting, and shorter perioperative fasting time were introduced, along with effective post-discharge support. These efforts aim at exploring the safety and efficacy of standardized management approaches for pediatric day surgery, providing references for specialized pediatric hospitals.