Ambulatory anesthesia has grown rapidly, encompassing more complex procedures and higher-risk patients. Analysis of closed claims reveals that while major complications and mortality remain rare, moderate injuries such as dental trauma, nerve damage, and communication-related issues are frequent and remained largely stable in frequency over the past decade. Patient comorbidities-including obesity, obstructive sleep apnea, and diabetes-significantly increase perioperative risks. Improving patient safety in this setting depends on careful risk assessment, multimodal analgesia, opioid-sparing techniques, and transitional care strategies. Future efforts must prioritize evidence-based protocols, national standards, and innovative monitoring to ensure safe, high-quality outcomes.
Reichegger et al. (Tue,) studied this question.