Contents:

1 Background to ambulatory surgery and anesthesia

2 Organization of ambulatory surgery and anesthesia

3 Procedure and patient selection preadmittance preparation

4 Pharmacology

5 Anesthetic techniques for ambulatory surgery

6 Postoperative care

7 Practical recipes from start preop to end discharge

8 Some controversies in ambulatory anesthesia

9 Success criteria and future of ambulatory anesthesia

Index

Ambulatory care can be a challenging setting in which to provide anesthesia – not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care. Common terms and phrases: Acta Anaesthesiol Scand adults airway alfentanil ambulatory anesthesia ambulatory setting ambulatory surgery analgesia analgesic analgesic effect Anesth Analg Anesthesiology anesthetic anti-emetic apnea beneficial benefits bleeding bolus bupivacaine Clin clinical COX-II desflurane dexamethasone Dexmedetomidine diclofenac different discharge disease dose droperidol drug effect effect-site efficacy efficient elderly emergence endotracheal epidural fentanyl first fluid glucocorticoids hospital hyperalgesia hypnotic increased induction infiltration infusion inhalational agents inhibitors inpatient intravenous intubation ketamine ketorolac laparoscopic lidocaine local anesthesia loco-regional techniques midazolam monitoring nausea and vomiting needed nerve block neuromuscular nitrous oxide NMDA nociceptive NSAIDs opioid optimal oral outpatient PACU paracetamol parecoxib perioperative plasma concentration PONV postoperative nausea postoperative pain potential Pregabalin preoperative problems prolonged prophylaxis propofol Raeder rapid receptor recovery reduce regional anesthesia remifentanil respiratory risk ropivacaine routine sedation sevoflurane side-effects significant significantly sleep specific spinal anesthesia stimulation surgeon target tissue titrated TIVA treatment unit usually ventilation