Day Case Breast Surgery

Contents

Introduction

Background
Developing a breast surgery day case pathway - methodology Preoperative preparation

• Preoperative assessment

• Anaesthetic planning

• The role of regional anaesthesia The day of surgery

• Admission

• List planning

• Anaesthetic technique

• Seroma management and drains

• Other methods of seroma management

• Wound management

• Day surgery ward and discharge

• Analgesia following discharge
  Care following discharge
  Evidence supporting day case management

• Clinical outcomes

• Patient experience
  Incorporating quality outcome measures and performance evaluation into the day surgery pathway

• Clinical outcomes

• Patient experience
  Concluding comments and key recommendations

  References

  Appendix 1: Example anaesthetic protocol
  Appendix 2: KCHFT nurse-led telephone follow-up questionnaire Appendix 3: KCHFT day surgery PREMs