As ambulatory surgery expands to older and sicker patients, careful preoperative evaluation and the use of short-acting anaesthetic techniques are essential to minimize postoperative complications.
May guide anaesthetic choices for expanding ambulatory populations; leaves open definitive recommendations without prospective validation.
Summary Ambulatory surgery is growing worldwide. The challenge of providing anaesthesia for longer and more complex surgery in sicker and elderly patients is a reality. To maintain the safety and good outcomes of ambulatory anaesthesia, high-risk patients will need to be evaluated carefully. Anaesthetic techniques that use short-acting drugs and minimize postoperative morbidity and mortality should become the focus. Policies on management of postoperative pain, nausea, vomiting, voiding and discharge from hospital will maintain good outcome measures.
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Prabhu et al. (2001) studied this question.
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