Medical Conditions and Driving: A Review of the Literature (1960 – 2000)
TRD Page
Foreword
Acknowledgements
Section1: Introduction
Section 2: Vision
Section 3: Hearing
Section 4: Cardiovascular
Section 5: Cerebrovascular
Section 6: Peripheral Vascular
Section 7: Nervous System
Section 8: Respiratory
Section 9: Metabolic
Section 10: Renal
Section 11: Musculoskeletal
Section 12: Psychiatric
Section 13: Drugs
Section 14: Aging Driver
Section 15: Anesthesia and Surgery
Appendix A
List of Tables
List of Figures
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Section 15: The Effects of Anesthesia and Surgery

15.2 Outpatient Surgery

Changes in cognitive functioning after surgery occur in patients of all ages. The majority of studies summarized in Table 38 involve older individuals. However, cognitive deficits have been noted in younger populations as well (Smith, Roberts, Rodgers, and Bennett, 1986). Although there is an absence of literature on the effects of surgery on driving performance, the broad spectrum of cognitive deficits recorded suggests that driving performance is likely to be impaired in the immediate post-operative period. In addition, for patients undergoing outpatient surgery, the administration of narcotics in the immediate post-operative period is likely to result in greater impairments in performance.

15.3 Major Surgery

See sections 15.1 and 15.2.

Table 39  Guidelines for Anesthesia and Surgery

(Reproduced with permission)

Guidelines for Anesthesia and Surgery (Drivers of Private Vehicles)

Area/Domain

Austroads (1998)

CMA (2000)

General Anesthetic

Should not drive for 24 hours after a general anesthetic.

Patients undergoing outpatient surgery under general anesthesia should not drive for at least 24 hours. The pain and discomfort following even minor surgical procedures may extend this prohibition for several days.

Local Anesthetic

Should not drive if anesthetized region impairs motor or cognitive functioning.

See general anesthetic guidelines.

Major Surgery

Not addressed.

Necessary to evaluate on an individual basis.

Outpatient Surgery

Not addressed.

See general anesthetic guidelines.

 

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