Amit Prabhakar1, Erik Helander2, Nikki Chopra3, Aaron J Kaye2,4, Richard D Urman5, Alan David Kaye6,7. 1. Department of Anesthesiology, Johns Hopkins School of Medicine, Baltimore, MD, USA. 2. Department of Anesthesiology, Louisiana School of Medicine, New Orleans, LA, USA. 3. Department of Family Practice, Louisiana School of Medicine, Shreveport, LA, USA. 4. Medical University of South Carolina Medical School, Charleston, South Carolina, USA. 5. Brigham and Women Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, MA, USA. 6. Department of Anesthesiology, Louisiana School of Medicine, New Orleans, LA, USA. akaye@lsuhsc.edu. 7. Department of Anesthesiology, LSU School of Medicine, New Orleans, LA, Room 656, 1542 Tulane Ave, New Orleans, LA, 70112, USA. akaye@lsuhsc.edu.
Abstract
PURPOSE OF REVIEW: Ambulatory surgery has grown in recent decades in volume and represents a significant number of anesthetics delivered throughout the USA. Preoperative anesthetic assessment in the ambulatory setting has become important because patients with numerous complex comorbidities are now commonplace in this arena. Disease states involving the lungs, the heart, the kidneys, and subpopulations including those who are obese and the elderly commonly receive anesthetics in an ambulatory setting. RECENT FINDINGS: This review presents key aspects of current thinking with regard to preoperative assessment and considerations for different critical disease states and subpopulations that are now being managed under ambulatory surgery. Same day surgery centers require patient safety, and expectations are high for patient satisfaction. Advancements in surgical and anesthetic technique have allowed for more complex patients to partake in ambulatory surgery. Anesthesiologists must be familiar with guidelines, state-of-the-art pain management, and standards of preoperative patient evaluation to accurately stratify patient risk and to advocate for patient safety.
PURPOSE OF REVIEW: Ambulatory surgery has grown in recent decades in volume and represents a significant number of anesthetics delivered throughout the USA. Preoperative anesthetic assessment in the ambulatory setting has become important because patients with numerous complex comorbidities are now commonplace in this arena. Disease states involving the lungs, the heart, the kidneys, and subpopulations including those who are obese and the elderly commonly receive anesthetics in an ambulatory setting. RECENT FINDINGS: This review presents key aspects of current thinking with regard to preoperative assessment and considerations for different critical disease states and subpopulations that are now being managed under ambulatory surgery. Same day surgery centers require patient safety, and expectations are high for patient satisfaction. Advancements in surgical and anesthetic technique have allowed for more complex patients to partake in ambulatory surgery. Anesthesiologists must be familiar with guidelines, state-of-the-art pain management, and standards of preoperative patient evaluation to accurately stratify patient risk and to advocate for patient safety.
Authors: Jeffrey L Apfelbaum; Richard T Connis; David G Nickinovich; L Reuven Pasternak; James F Arens; Robert A Caplan; Richard T Connis; Lee A Fleisher; Richard Flowerdew; Barbara S Gold; James F Mayhew; David G Nickinovich; Linda Jo Rice; Michael F Roizen; Rebecca S Twersky Journal: Anesthesiology Date: 2012-03 Impact factor: 7.892
Authors: Michael R Mathis; Norah N Naughton; Amy M Shanks; Robert E Freundlich; Christopher J Pannucci; Yijia Chu; Jason Haus; Michelle Morris; Sachin Kheterpal Journal: Anesthesiology Date: 2013-12 Impact factor: 7.892
Authors: Michael C Gerling; Steven D Hale; Claire White-Dzuro; Katherine E Pierce; Sara A Naessig; Waleed Ahmad; Peter G Passias Journal: J Spine Surg Date: 2019-09
Authors: Róbert Pónusz; Dóra Endrei; Dalma Kovács; Evelin Pónusz; Bence Kis Kelemen; Diána Elmer; Noémi Németh; András Vereczkei; Imre Boncz Journal: BMC Health Serv Res Date: 2022-06-20 Impact factor: 2.908
Authors: Miroslav Župčić; David Dedić; Sandra Graf Župčić; Viktor Đuzel; Tatjana Šimurina; Livija Šakić; Igor Grubješić; Ingrid Šutić; Ivana Šutić; Andjelko Korušić Journal: Acta Clin Croat Date: 2019-06 Impact factor: 0.780