Book review

https://doi.org/10.20471/acc.2022.61.s2.22

Spinal Anesthesia in Day Surgery – Early Experiences

Tihana Magdić Turković orcid.org/0000-0003-1193-512X ; Department of Anesthesiology, Intensive Care Medicine and Pain Management, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Goran Sabo ; Department of Anesthesiology, Intensive Care Medicine and Pain Management, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Slaven Babić orcid.org/0000-0002-5144-3739 ; Clinic for Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Siniša Šoštarić ; Akromion, Special Hospital for Orthopaedic Surgery and Traumatology, Krapinske Toplice, Croatia

Abstract

Day surgery is a term that refers to performing an operation under anesthesia
without needing to stay in the hospital for more than 24 hours. Day surgery has many advantages
over surgery that involves a multiple-day hospital stay. Anesthesia for day surgery must have a rapid
onset of action, a rapid cessation of action, and be free of, or have minimal side effects. For many years,
general anesthesia was believed to be the anesthesia of choice for day surgery due to the delayed onset
of local anesthetic after spinal anesthesia, a much longer duration of motor function recovery after
surgery with spinal anesthesia compared to general anesthesia, and a more frequent incidence of side
effects with spinal anesthesia, such as urinary retention or post-puncture headache. However, with
the discovery of new, shorter-acting local anesthetics, and the use of smaller-diameter spinal needles,
spinal anesthesia is becoming an equivalent anesthetic option for day surgery, if not a better one. Our
early expiriences with spinal anesthesia in day surgery are excellent.

Keywords

Anesthesia; Day surgery

Hrčak ID:

284498

URI

https://hrcak.srce.hr/284498

Publication date:

1.9.2022.

Article data in other languages: croatian

Visits: 2.301 *