Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Day case anaesthesia6. Social criteria for discharge will be that the patient must beaccompanied home; a responsible adult must be present for thefirst postoperative night; there must be access to an inside toiletand telephone; they must have the telephone numbers of theirgeneral practitioner and the emergency admissions unit.7. The following medical conditions preclude day stay for generalor regional anaesthesia:• Uncontrolled hypertension: systolic over 200, diastolic over 100or on treatment for this for less than three months.• Clotting disorders.• Sickle cell disease (trait is acceptable).• Pregnancy (except for local anaesthesia, or for pregnancyrelatedprocedures).• Epilepsy – if on medication or has had fit in last one year23-hour stay1. The procedure will not normally be associated with significantpostoperative pain or bleeding.2. There is no upper age limit. The lower age limit will bedetermined by the nursing staff available.3. Maximum ASA class 3.4. Maximum BMI 40.5. Patients who give a history of anaesthetic misadventure or whopose potential airway management issues will not be accepted.(This may change if equipment levels increase).6. Social criteria for discharge will be the same as for wardpatients.7. The following medical conditions preclude 23-hour stay forgeneral or regional anaesthesia:• Uncontrolled hypertension: systolic over 200, diastolic over 100or on treatment for this for less than three months.• Clotting disorders.Anaesthetists Handbook January 2010 191