Anesthésie pédiatrique ambulatoire : évaluation des pratiques par un appel téléphonique à j1

Day-case paediatric anaesthesia is developing fast. This peculiar setting is associated with patient satisfaction, but is also full of challenges. This study objective was to assess the care provided in Robert-Debré's (AP-HP) day-case surgery unit, using data from next-day phone call. Every patient undergoing day-case surgery between May and July 2015 were considered for inclusion. Perioperative care was protocoled. Pain scores, postoperative vomiting, and need for emergent medical advise were assessed via a next-day phone call made by a nurse. Data was obtained for 478 (39% of day-case surgery during the study period) patients, aged 5 years and 6 months. Seven (1.5%) patients needed emergent medical advise. Eighty-one (16.9%) experienced mild to severe postoperative pain. Eight percent experienced postoperative vomiting. Postoperative pain was identified as the main axis of care improvement. Several flaws in patient care were identified and corrected after the study period.