Korean J Anesthesiol.  2017 Aug;70(4):398-406. 10.4097/kjae.2017.70.4.398.

Anesthesia for ambulatory surgery

• Lee JH

• KMID: 2386292
• DOI: http://doi.org/10.4097/kjae.2017.70.4.398

Abstract

Ambulatory anesthesia allows quick recovery from anesthesia, leading to an early discharge and rapid resumption of daily activities, which can be of great benefit to patients, healthcare providers, third-party payers, and hospitals. Recently, with the development of minimally invasive surgical techniques and short-acting anesthetics, the use of ambulatory surgery has grown rapidly. Additionally, as the indications for ambulatory surgery have widened, the surgical methods have become more complex and the number of comorbidities has increased. For successful and safe ambulatory anesthesia, the anesthesiologist must consider various factors relating to the patient. Among them, appropriate selection of patients and surgical and anesthetic methods, as well as postoperative management, should be considered simultaneously. Patient selection is a particularly important factor. Appropriate surgical and anesthetic techniques should be used to minimize postoperative complications, especially postoperative pain, nausea, and vomiting. Patients and their caregivers should be fully informed of specific care guidelines and appropriate responses to emergency situations on discharge from the hospital. During this process, close communication between patients and medical staff, as well as postoperative follow-up appointments, should be ensured. In summary, safe and convenient methods to ensure the patient's return to function and recovery are necessary.

Keyword

Ambulatory surgical procedures; Anesthesia; Patient safety; Patient selection

MeSH Terms

Ambulatory Surgical Procedures*
Anesthesia*
Anesthetics
Appointments and Schedules
Caregivers
Comorbidity
Emergencies
Follow-Up Studies
Health Personnel
Humans
Insurance, Health, Reimbursement
Medical Staff
Nausea
Pain, Postoperative
Patient Safety
Patient Selection
Postoperative Complications
Vomiting
Anesthetics