RT Book, Section
A1 Butterworth, John F.
A1 Mackey, David C.
A1 Wasnick, John D.
SR Print(0)
ID 57237425
T1 Chapter 44. Ambulatory, Nonoperating Room, & Office-Based Anesthesia
T2 Morgan & Mikhail's Clinical Anesthesiology, 5e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162703-0
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57237425
RD 2022/05/28
AB Out  of  the  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  is  compromised;  furthermore,  the  staff  at  these  locations  may  be  unfamiliar  with  the  requirements  for  safe  anesthetic  delivery.  In  their  guidelines  and  statements,  the  American  Society  of  Anesthesiologists  reminds  anesthesia  staff  that  it  is  important  that  both  the  physical  and  operational  infrastructure  is  in  place  at  any  location  to  ensure  the  safe  conduct  of  anesthesia.  The  underlying  reason  for  ambulatory  anesthesia  and  surgery  is  that  it  is  less  expensive  and  more  convenient  for  the  patient  than  inpatient  admission.  Regional  and  local  anesthetic  techniques  are  becoming  increasingly  popular  in  managing  ambulatory  orthopedic  surgery.  In  general,  ambulatory  surgeries  should  be  of  a  complexity  and  duration  such  that  one  could  reasonably  assume  that  the  patient  will  make  an  expeditious  recovery.  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).