In the current health care environment, anesthesia practitioners are frequently required to reevaluate their practice to be more efficient and cost-effective. Although IV induction with propofol and inhalational induction with sevoflurane are both suitable techniques for outpatients, patients prefer IV induction. Maintenance of anesthesia with the newer inhaled anesthetics (ie, desflurane and s...

have suggested the feasibility and safety of bypassing the post anesthesia care unit (PACU) following ambulatory surgery, a procedure known as “fast-tracking”. The implementation of a fast-tracking protocol in clinical anesthesia practice has been expected to improve the effectiveness and efficiency of an ambulatory facility by eliminating unnecessary delays in discharge and by decreasing PACU ...

O VER the past two decades surgical patient care has undergone a major change. While in the past, most of the surgical procedures required inpatient admissions, now most of the performed operations, an estimated 65% of operations in North America, are completed in ambulatory settings. The improvement of anesthetic and surgical techniques, which resulted in an extremely good safety record of amb...

BACKGROUND Mortality and morbidity in ambulatory surgery are rare, and thus the patient's quality of life (i.e., the ability to resume normal activities after discharge home) should be considered one of the principle end-points after ambulatory surgery and anesthesia. We conducted a systematic review of the instruments to measure the quality of recovery of ambulatory surgical patients in order ...

Background In pediatric general anesthesia, our goal should be quicker extubation to facilitate rapid turnover in the operating room without compromising on safety and quality of anesthesia. Although many studies have focused on improving safety and pursuing a higher quality of recovery, factors related to anesthesia emergence remain unclear. We must, therefore, identify factors that influence ...

Optimizing postoperative pain control is the key to further advancement in the field of ambulatory anesthesia. The current situation in postoperative pain management indicates room for improvement, especially in the area of patient education and the development of individualized discharge analgesic packages. Multimodal analgesia provides superior analgesia with a lower side-effect profile. Preo...