Although a number of studies have shown there is no increase in unplanned admissions after outpatient surgery in obese patients, the incidence of obstructive sleep apnea (OSA) among these patients is over 70%.[sup.7] Recent guidelines from the Society for Ambulatory Anesthesia
(SAMBA) recommend that patients with treated OSA who have stable concomitant disease are suitable for outpatient surgery.[sup.8] However, patients with untreated or suspected OSA that require opioid analgesics postoperatively are not good candidates for ambulatory surgical procedures.
Coverage encompasses ambulatory anesthesia
, third molar and implant surgery, maxillofacial trauma, orthognathic surgery, distraction osteogenesis, obstructive sleep apnea, cleft and craniofacial surgery, cosmetic surgery, temporomandicular joint surgery, ablative oral/head and neck surgery, lip cancer, hard and soft tissue reconstruction, and microvascular composite bone flaps.
Clinical Ambulatory Anesthesia
by Johan Raeder, Director, Oslo University Hospital, Norway, is an easily read current summary of issues related to day case anaesthesia.
A rapid time to effect and recovery allows the clinician to easily adjust dosing to fit the patient's situational needs, a feature much preferred for ambulatory anesthesia
These findings are consistent overall with other literature (Pasternak, 2004; Fields, 2003; Society for Ambulatory Anesthesia
, 2003) indicating a trend toward furnishing an increasing number of procedures, and increasingly complex ones, in the physician office setting.
Gupta A, Stierer T, Zuckerman R et al 2004 Comparison of recovery profile after ambulatory anesthesia
with propofol, isoflurane, sevoflurane and desflurane: A systematic review Anesthesia & Analgesia 98 (3) 632-641
Office-based ambulatory anesthesia
: Outcomes of clinical practice of oral and maxillofacial surgeons.