Ambulatory anesthesia - A perspective for the future

Current Opinion in Anaesthesiology

Volumn 10, Issue 6, 1997, Pages 407-409

  White, Paul F ^a  

^a UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALFENTANIL; DESFLURANE; FLUMAZENIL; KETOROLAC; MIVACURIUM; ONDANSETRON; PROPOFOL; REMIFENTANIL; SEVOFLURANE;

AMBULATORY SURGERY; ANESTHESIA; ANESTHESIOLOGY; EDITORIAL; ELECTROENCEPHALOGRAM; PATIENT MONITORING; PRIORITY JOURNAL; SURGICAL TECHNIQUE; TECHNIQUE;

EID: 0030780977     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001503-199712000-00005     Document Type: Editorial

References (14)

1. White PF: Ambulatory anesthesia and surgery: past, present and future. In Ambulatory Anesthesia and Surgery. Edited by White PF. London: WB Saunders; 1997:1-34. This chapter reviews the important factors contributing to the development of ambulatory anesthesia as a medical subspecialty.
2. White PF: Ambulatory anesthesia practices - an international perspective. Semin Anesth 1997, 16:1-5. This article reviews the current ambulatory surgery practices around the world. Factors that have contributed to the slow growth in the use of day-case surgery in many countries are discussed.
3. Natof ME: Pre-existing medical problems: ambulatory surgery. III Med J 1984, 166:101-104.
4. Goresky GV, Maltby JR: Fasting guidelines for elective surgical patients. Can J Anaesth 1990, 37:493-495.
5. Yogendran S, Ashokumar B, Cheng D et al.: A prospective randomized double-blind study of the effect of intravenous fluid therapy on adverse outcomes after outpatient surgery. Anesth Analg 1995, 80:682-686.
6. Eriksson H, Tenhunen A, Korttila K: Balanced analgesia improves recovery and outcome after outpatient tubal ligation. Acta Anaesthesiol Scand 1996, 40:151-155.
7. Michaloliakou C, Chung F, Sharma S: Preoperative multimodal analgesia facilitates recovery after ambulatory laparoscopic cholecystectomy. Anesth Analg 1996, 82:44-51.
8. White PF: Are non-pharmacologic techniques useful alternatives to antiemetic drugs in the prevention of nausea and vomiting? Anesth Analg 1997, 84:712-714. This editorial described the currently available evidence supporting the use of acupuncture, acupressure and acustimulation for the prevention of postoperative nausea and vomiting.
9. Wang B, Tang J, White PF et al.: Effect of the intensity of transcutaneous acupoint electrical nerve stimulation on the postoperative analgesic requirement. Anesth Analg 1997, In press. This article describes the effect of the intensity of transcutaneous acupoint electrical stimulation on the postoperative analgesic requirement. When used at maximal intensity, this technique produced a greater than 50% decrease in the postoperative opioid analgesic requirement.
10. Gold BS, Kitz DS, Lecky JH, Neuhaus JM: Unanticipated admissions to the hospital following ambulatory surgery. JAMA 1989, 262:3008-3010.
11. Warner MA, Shields SE, Chute CG: Major morbidity and mortality within 1 month of ambulatory surgery and anesthesia. JAMA 1993, 270:1437-1441.
12. Song D, Joshi G, White PF: Use of EEG-BIS monitoring facilitates recovery after desflurane and sevoflurane anesthesia. Anesthesiology 1997, In press. This article demonstrates that the use of the recently introduced electroencephalogram-bispectral index device monitor as a guide to titrating the maintenance inhalation anesthetic can decrease the anesthetic requirement and result in a more rapid emergence from general anesthesia.
13. Song D, Joshi GP, White PF: Fast-tracking after anesthesia in the ambulatory setting - a comparison of propofol, sevoflurane and desflurane. Anesthesiology 1997, In press. This article demonstrated that 75 and 89% of the patients receiving sevoflurane and desflurane, respectively, for maintenance of ambulatory anesthesia were eligible for 'fast-track' treatment (that is, capable of bypassing the postanesthesia care unit) compared with only 26% of those patients receiving propofol.
14. Watcha MF, White PF: Economics in anesthesia. Anesthesiology 1997, 86:1170-1196. This extensive review article discusses the important considerations in determining the cost-effectiveness and cost-benefit of anesthetic drugs and techniques.