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.
Summary
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.
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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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Amit Prabhakar, Erik Helander, Nikki Chopra, Aaron J. Kaye, and Alan David Kaye declare that they have no conflict of interest.
Richard Urman reports grants and personal fees from Mallinckrodt, grants from Merck, grants from Medtronic, all outside of the submitted work.
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Prabhakar, A., Helander, E., Chopra, N. et al. Preoperative Assessment for Ambulatory Surgery. Curr Pain Headache Rep 21, 43 (2017). https://doi.org/10.1007/s11916-017-0643-7
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DOI: https://doi.org/10.1007/s11916-017-0643-7