RT Book, Section A1 Butterworth IV, John F. A1 Mackey, David C. A1 Wasnick, John D. SR Print(0) ID 1161431685 T1 Ambulatory & Non–Operating Room Anesthesia T2 Morgan & Mikhail's Clinical Anesthesiology, 6e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259834424 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1161431685 RD 2024/03/28 AB KEY CONCEPTS Non–operating room anesthesia requires the anesthesia provider to work in remote locations in a hospital, where ease of access to the patient and anesthesia equipment may both be limited; furthermore, the support staff at these locations may be unfamiliar with the requirements for safe anesthetic delivery. Anesthesia providers should confirm that both the infrastructure and operational policies are consistent with acceptable anesthesia practice standards before providing anesthesia in such settings. In general, ambulatory procedures should be of a complexity and duration such that one could reasonably assume that the patient will make an expeditious recovery and not require post-procedure hospital admission. Factors considered in selecting patients for ambulatory procedures include systemic illnesses and their current management, airway management problems, sleep apnea, morbid obesity, previous adverse anesthesia outcomes (eg, malignant hyperthermia), allergies, and the patient’s social network (eg, availability of someone to be responsive to the patient for 24 h).