Day Case Surgery

Who should I refer:

• Age 14 – 70
• Weight/Height: BMI <30
• Social Factors must have another adult at home on the night of surgery.
  • Must be accompanied home by responsible adult.
  • Must have access to telephone.
  • Patients must be mobile and self-caring.
  • Must be able to give own consent for procedure
• Anaesthetic History.  Exclude patients with personal or family history of anaesthetic related problems
• Hypertension Exclude unless well controlled on treatment? (<160/95).
  *include BP on referral letter
• Ischaemic Heart Disease –   Exclude patients with
  1.  Angina
  2.  Cardiac failure
  3.  Ml within the last year
  4.  Patients with a pacemaker
  5.  History of cerebrovascular disease or CVA or TIA
• Respiratory Disease:  Exclude moderate or severe asthmatics. An anaesthetist will see all patients with mild asthma or COAD
• CNS Disease: Well-controlled epileptics who had not had recent seizures on medication are acceptable. Exclude patients with diseases of muscle or neurovascular junction
• Diabetes: Diet controlled diabetes are acceptable. Insulin dependent diabetics or patients on oral hypoglycaemic agent are excluded
• GI Disease: Exclude patients with hiatus hernia and reflux
• Gynaecological: Exclude pregnant mothers
• Haematological:  Exclude patients with bleeding disorders and haemoglobinopathies
• Drug History:  Drug history is important and must be included in the referral letter. All medication should be continued on the day of surgery. Patients on MAOI’s and Warfarin will be excluded

• Suitability Criteria For Referral Queen Margaret