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Intraoperative Considerations for Rapid Recovery After Ambulatory Surgery: What’s New and What’s Controversial

  • Ambulatory Anesthesia (G Joshi, Section Editor)
  • Published:
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Abstract

Purpose

Enhanced recovery protocols can lead to faster patient recovery after ambulatory surgery. This review article will discuss novel therapies and controversies regarding intraoperative considerations for rapid recovery after ambulatory procedures.

Recent Findings

Postoperative nausea and vomiting are frequent in ambulatory surgical patients. New antiemetic drugs (i.e., amisulpride or aprepitant) have been introduced that may have a role in the ambulatory setting. The administration of sugammadex or neostigmine is recommended to prevent residual muscle relaxation. Frail patients may require a different approach and electroencephalographic monitoring to prevent surgery-related cognitive decline or delirium. Patients who are obese or suffer from obstructive sleep apnea may prove to be challenging. Using a nasal mask with continuous positive airway pressure (CPAP) may prevent hypoxemia and reduce airway manipulation in obese and OSA patient populations. Novel technologies such as virtual or augmented reality have been shown to reduce pain and anxiety in ambulatory procedures.

Summary

The demand for ambulatory surgical procedures will increase in the coming years. Applying the “enhanced or fast-track recovery” concept after ambulatory surgery may result in improved postoperative outcomes.

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Data Availability

No datasets were generated or analysed during the current study.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Anesthesiology, Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno” University Hospital (CEMIC), Buenos Aires, Argentina

    Daniel S. Cukierman

  2. Anesthesiology and Surgical Oncology Research Group, Houston, TX, USA

    Daniel S. Cukierman, Juan Jose Guerra-Londoño & Juan P. Cata

  3. Department of Anesthesiology and Perioperative Medicine, The University of Texas – MD Anderson Cancer Center, Houston, TX, USA

    Juan Jose Guerra-Londoño & Juan P. Cata

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Cukierman, D.S., Guerra-Londoño, J.J. & Cata, J.P. Intraoperative Considerations for Rapid Recovery After Ambulatory Surgery: What’s New and What’s Controversial. Curr Anesthesiol Rep 14, 110–120 (2024). https://doi.org/10.1007/s40140-023-00602-z

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