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FIGURE 2

CLINICAL PROTOCOL, S.U.L. Unit

DAY SURGERY VERSUS INPATIENT SURGERY

Introduction:

Day surgery is now widely accepted as the default position for the majority of patients undergoing surgery in certain specialties. In the U.K.,
inpatient surgery is chosen only by excluding the possibility of day surgery. 1

Research has amply demonstrated that day surgery is suitable for diagnostic and therapeutic procedures which require local, regional or general
anesthesia and which do not carry the risk of post-operative complications but require a period of observation within the hospital.

Elective orthopedic surgery lends itself particularly well to day surgery. In particular, minimally invasive procedures for the shoulder, elbow and
knee (including ACL reconstruction) are done as day surgery unless specific criteria dictate otherwise. Some open procedures are becoming day

cases as well.

For a patient’s day surgery experience to be successful, however, several clinical conditions need to be met, and a patient’s surgical, medical and
even social situation must be carefully considered. Day surgery is not suitable for every patient.

The Shoulder and Upper Limb Unit at Burjeel Hospital has created a protocol to determine when the patient is eligible as a day case.

Protocol Overview

The Shoulder and Upper Limb Unit has developed and follows the day case clinical protocol to determine patients’ eligibility for day surgery.

1 Daniel J Quemby MBBS(Hons) BSc(Hons) BSc Med Sci, MIBiol MRCS FRCA, Mary E Stocker MA (Oxon) MBChB FRCA , “Day surgery development and practice: key factors for a successful
pathway”, Contin Educ Anaesth Crit Care Pain, Dec 5, 2013.
The Shoulder and Upper Limb Unit