Introduction:

In the metropolitan cities, restriction of space makes you innovative. Here one tries to provide every necessary detail required, in the minimum of space, without compromising on the quality.

At present, countries like UK, USA and France, where Day Care or Ambulatory Surgery is well established, there is a two-tire system. One, where the Day Care centre is attached to a fully functioning hospital or institute; second, where the centre is 'free standing', situated at some distance from the hospital, that is, independent to the hospital itself and / or not related to it in any way.

The first modern day unit was established in 1969, in Phoenix, Arizona, USA. This 'Surgicenter' was the prototype of a 'free standing' unit, on which are based centres all over the USA (1).
No individual or a group of individuals, however dynamic or dedicated they might be, can successfully plan, build, and operate a major ambulatory unit without broad-based support (2).
While recommending standards for setting up of an Ideal Day care centre, care has been taken to allow the bare minimum requirements. Variations are encountered depending on your speciality, city of practice, type of patients you would be catering to, and resources available. A very brief synopsis has been presented, as any detailed description would be beyond the scope of this article.
The criteria's of patient selection, case selection, anaesthesia selection, discharge instructions, etc. remain the same as has been described in the earlier articles.

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Vedamrut Ayurvedic Piles Center
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