{"id":11410,"date":"2022-05-02T08:31:25","date_gmt":"2022-05-02T06:31:25","guid":{"rendered":"https:\/\/eoc.cat\/?p=11410"},"modified":"2022-04-28T10:46:56","modified_gmt":"2022-04-28T08:46:56","slug":"cirurgia-major-ambulatoria","status":"publish","type":"post","link":"https:\/\/eoc.cat\/ca\/cirurgia-major-ambulatoria\/","title":{"rendered":"Cirurgia major ambulat\u00f2ria, qu\u00e8 \u00e9s i en qu\u00e8 consisteix?"},"content":{"rendered":"

La cirurgia major ambulat\u00f2ria<\/strong> \u00e9s un tipus d’intervenci\u00f3 quir\u00fargica<\/strong> en la qual es dona l’alta al pacient el mateix dia. Aix\u00f2 ocorre perqu\u00e8 requereix cures postoperat\u00f2ries molt poc intensives i d’una durada curta. Per tant, no resulta necessari el seu ingr\u00e9s hospitalari<\/strong>. Aquest concepte forma part del temari del nostre curs d’Auxiliar de Quir\u00f2fan i central d’esterilitzaci\u00f3 i equips<\/a>.<\/p>\n

En qu\u00e8 consisteix aquesta intervenci\u00f3?<\/h2>\n

Es tracta d’un model organitzatiu en el qual es tracta al pacient de manera efectiva sense necessitat d’ingr\u00e9s. \u00c9s una cirurgia que suposa un repte constant per a tot l’equip quir\u00fargic<\/strong>. Aix\u00f2 es degut al fet que \u00e9s fonamental minimitzar les complicacions per a retornar al pacient al seu entorn al m\u00e9s aviat possible.<\/p>\n

En aquest procediment es fan servir t\u00e8cniques molt poc agressives<\/strong> juntament amb altres anestesiolgiques que ocasionen escassos efectes secundaris. D’aquesta manera, s’aconsegueix una r\u00e0pida recuperaci\u00f3 sense alterar les condicions socials i familiars del pacient.<\/p>\n

\u00c9s necessari que coneguis en qu\u00e8 es diferencien d’altres intervencions, com la cirurgia menor<\/strong> o la de curta estada. Com t’hem comentat en l\u00ednies anteriors, la cirurgia major ambulat\u00f2ria comporta l’abs\u00e8ncia d’ingr\u00e9s. No obstant aix\u00f2, la de curta estada requereix que el pacient romangui sota cures m\u00e8diques un o m\u00e9s dies. Finalment, la cirurgia menor no precisa cuidats despr\u00e9s del procediment quir\u00fargic.<\/p>\n

Quins pacients s\u00f3n aptes per aquest tipus de procediment?<\/h2>\n

La classificaci\u00f3 de risc anest\u00e8sic l’elabora la Societat Americana de Anestesi\u00f2legs<\/strong>. Segons aquesta, s\u00f3n aptes els pacients que estan sans (grau I) i els que tenen una malaltia sist\u00e8mica lleu (grau II).<\/p>\n

En els pacients<\/strong> pedi\u00e0trics<\/strong> i en els que tinguin una malaltia sist\u00e8mica greu, per\u00f2 no incapacitant (grau III), hem de valorar dos factors per a realitzar una cirurgia major ambulat\u00f2ria: el tipus de cirurgia que es realitzar\u00e0 i si existeix disponibilitat per a cures postoperat\u00f2ries en el domicili.<\/p>\n

No s\u00f3n aptes les persones amb un risc anest\u00e8sic alt<\/strong> o que requereixin un tipus de monitoratge complex<\/strong>. Tampoc els obesos m\u00f2rbids, els pacients psiqui\u00e0trics o els que es neguin a ser intervinguts sota aquest model. A m\u00e9s, els que no comptin amb un suport social adequat el dia de l’operaci\u00f3 tampoc podran sotmetre’s a aquesta cirurgia.<\/p>\n

Dins de els pacients pedi\u00e0trics, s’exclouen els lactants prematurs i els que sofreixin cardiopaties, malalties respirat\u00f2ries greus, febre, mal de coll, etc.<\/p>\n

Quina preparaci\u00f3 necessita el pacient abans d\u00fana cirurgia major ambulat\u00f2ria?<\/h2>\n

Com qualsevol pacient que s’enfronta a una operaci\u00f3, \u00e9s imprescindible un estudi preoperatori<\/strong>. En funci\u00f3 de cada cas, el anestesi\u00f2leg personalitzar\u00e0 aquesta an\u00e0lisi per a aconseguir una intervenci\u00f3 el m\u00e9s indicada possible.<\/p>\n

El pacient ser\u00e0 informat de quan i on ha d’acudir. Has de saber que ha d’estar acompanyat a l’hora de rebre l’alta<\/strong>. Abans de l’operaci\u00f3, se li indicar\u00e0 el temps de dejuni que \u00e9s necessari, si pot continuar prenent alguna medicaci\u00f3 que tingui prescrita, etc.<\/p>\n

Finalment, no has d’oblidar que en aquesta avaluaci\u00f3 pr\u00e8via a la intervenci\u00f3 \u00e9s molt important la preparaci\u00f3 psicol\u00f2gica<\/strong> i l’obtenci\u00f3 del consentiment per part del pacient.<\/p>\n

On es fan aquestes intervencions?<\/h2>\n

A continuaci\u00f3, t’expliquem les unitats en les quals es poden realitzar aquest tipus d’intervencions.<\/p>\n

Unitats integrades<\/h3>\n

Es troben dins del recinte hospitalari del qual depenen<\/strong>. En general, tenen entrada independent, per\u00f2 comparteixen amb l’hospital diversos recursos (quir\u00f2fan, personal auxiliar, farm\u00e0cia, etc.).<\/p>\n

El principal avantatge que presenten \u00e9s que la inversi\u00f3 inicial que ha de realitzar-se \u00e9s m\u00ednima. A m\u00e9s, compten amb un suport immediat de l’hospital<\/strong> en el cas que sigui necessari.<\/p>\n

Unitats sat\u00e8l\u00b7lits<\/h3>\n

Encara que depenguin d’un centro en concret, estan fora del recinte hospitalari<\/strong> i tenen recursos propis. Entre els seus inconvenients, podem citar que el suport de l’hospital no \u00e9s immediat i que necessiten d’una major inversi\u00f3.<\/p>\n

Unitats independents<\/h3>\n

No depenen de cap centre hospitalari<\/strong>, per la qual cosa funcionen de manera completament aut\u00f2noma. No s\u00f3n gens habituals a Espanya, per la qual cosa \u00e9s complicat trobar alguna d’aquest tipus.<\/p>\n

\"cirugia<\/p>\n

Quins criteris se segueixen per a donar l’alta despr\u00e9s d’una cirurgia major ambulat\u00f2ria?<\/h2>\n

Despr\u00e9s d’aquesta mena d’operaci\u00f3, el sentit com\u00fa \u00e9s el que ha de guiar<\/strong> a l’hora de donar l’alta al pacient. Aquest ha de tenir la capacitat per a caminar, prendre l\u00edquids i haver recuperat la funci\u00f3 motora i sensitiva. Per descomptat, no han d’existir signes de sagnat actiu, dificultat respirat\u00f2ria o retenci\u00f3 urin\u00e0ria.<\/p>\n

A m\u00e9s, resulta indispensable que el pacient compti amb el suport que es consideri necessari per a poder acabar de recuperar-se en el seu domicili.<\/p>\n

Sempre ha d’existir la possibilitat de realitzar un ingr\u00e9s hospitalari o de prolongar l’estada. Aix\u00ed i tot, nom\u00e9s en el 1% dels casos<\/strong> hi ha un ingr\u00e9s no previst en aquesta mena d’intervencions.<\/p>\n

Com has pogut comprovar, la cirurgia major ambulat\u00f2ria \u00e9s un tipus d’operaci\u00f3 en la qual el pacient requereix poques cures postoperat\u00f2ries. Per aquest motiu, no es realitza ingr\u00e9s hospitalari i se li dona l’alta el mateix dia. Tot i aix\u00ed, la unitat en la qual es dugui a terme ha d’estar preparada per a un ingr\u00e9s no previst.<\/p>\n","protected":false},"excerpt":{"rendered":"

La cirurgia major ambulat\u00f2ria \u00e9s un tipus d’intervenci\u00f3 quir\u00fargica en la qual es dona l’alta al pacient el mateix dia. Aix\u00f2 ocorre perqu\u00e8 requereix cures postoperat\u00f2ries molt poc intensives i d’una durada curta. Per tant, no resulta necessari el seu ingr\u00e9s hospitalari. Aquest concepte forma part del temari del nostre curs d’Auxiliar de Quir\u00f2fan i […]<\/p>\n","protected":false},"author":7,"featured_media":11404,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[88,91],"tags":[117,89,92,122,102],"class_list":["post-11410","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-auxiliar-infermeria","category-auxiliar-quirofan","tag-anestesia","tag-auxiliar-infermeria","tag-auxiliar-quirofan","tag-dea","tag-emergencies-sanitaries"],"yoast_head":"\nCirurgia major ambulat\u00f2ria, qu\u00e8 \u00e9s i en qu\u00e8 consisteix? | EOC Barcelona<\/title>\n<meta name=\"description\" content=\"T'expliquem qu\u00e8 \u00e9s una cirurgia major ambulat\u00f2ria, aix\u00ed com els motius pels quals s'aplica i en quin tipus de pacients.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/eoc.cat\/ca\/cirurgia-major-ambulatoria\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cirurgia major ambulat\u00f2ria, qu\u00e8 \u00e9s i en qu\u00e8 consisteix? 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