Features  |   September 2014
Adult Patient for Ambulatory Surgery: Are There Any Limits?
Author Affiliations
  • Girish P. Joshi, M.B.B.S., M.D., FFARCSI
    Committee on Ambulatory Surgical Care
Article Information
Ambulatory Anesthesia / Features
Features   |   September 2014
Adult Patient for Ambulatory Surgery: Are There Any Limits?
ASA Monitor 09 2014, Vol.78, 18-20.
ASA Monitor 09 2014, Vol.78, 18-20.
Improvements in surgical and anesthesia practice as well as economic pressures have increased the number of procedures being performed on an outpatient basis. Surgical procedures and patients once considered inappropriate for ambulatory surgery are now considered appropriate. For example, painful, invasive surgical procedures (e.g., major orthopedic surgery such as shoulder surgery and total knee arthroplasty) are increasingly being performed in an ambulatory setting1  due to improvements in surgical and local/regional analgesia techniques2  and modifications in postoperative/post-discharge care. As older and sicker patients undergo more complex surgical procedures in an ambulatory setting, patient selection has become the cornerstone of safe and efficient perioperative care.
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