Recommandations formalisées d'experts concernant la chirurgie ambulatoire, quels changements de 2009Â Ã 2017Â ?

The management of day-case surgical patients has evoluted since the edition of the French guidelines in 2009. The national objective is to perform 66 % of the surgical procedures in an ambulatory setting. It means that more and more procedures are eligible for an ambulatory management as well as patients with co-morbidities. Clinical pathway implies a closer pre- and postoperative contact with the patients, the delivery of postoperative analgesic treatments before surgery, the shortening of fasting periods. Fast-track surgery bypassing the recovery room has been developed for selective procedures.