Objective:

To show the results and satisfaction in patients undergoing hand surgery with this technique.

Materials and methods:

This is a prospective and observational cohort of patients who underwent hand surgery. The combination of intravenous induction with remifentaníl + propofol, and regional block with 0.5% bupivacaine and lidocaine 1 % was used. Scale Fast-track and scale for measuring the quality of post-anaesthetic (CdR) for measuring patient satisfaction were used and the pain with EVA at postoperative six hours was evaluated.

Results:

The average time of surgery was 11.5 minutes, and the time from the onset of anesthesia for recovery was 14 minutes.

No patient had nausea or vomiting. All patients had Fast-track critera with good breathing patterns and oxygen partial saturation greater than 90 % without supplemental oxygen. 95.8 % were satisfied with the surgery and anesthetic technique.

Conclusions:

This technique gives excellent results in outpatient hand surgery. The combination of intravenous anesthesia and local anesthesia can go directly to the ambulatory care unit. Since we started using this technique, we have had high satisfaction and less pain and discomfort for patients. It is a safe and adequate technique for patients who undergo outpatient hand surgery.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )