1. Nielsen KC, Guller U, Steele SM, Klein SM, Greengrass RA, Pietrobon R: Influence of obesity on surgical regional anesthesia in the ambulatory setting: An analysis of 9,038 blocks. ANESTHESIOLOGY 2005; 102:181–7 2. Cotter JT, Nielsen KC, Guller U, Steele SM, Klein SM, Greengrass RA, Pietrobon R: Increased body mass index and ASA physical status IV are risk factors for block failure in ambulat...

OBJECTIVES To describe our experience with propofol anesthesia to facilitate invasive procedures for ambulatory and hospitalized children in the pediatric intensive care unit (PICU) setting. METHODS We retrospectively reviewed the hospital records of 115 children who underwent 251 invasive procedures with propofol anesthesia in our multidisciplinary, university-affiliated PICU during a 20-mon...

1. Nielsen KC, Guller U, Steele SM, Klein SM, Greengrass RA, Pietrobon R: Influence of obesity on surgical regional anesthesia in the ambulatory setting: An analysis of 9,038 blocks. ANESTHESIOLOGY 2005; 102:181–7 2. Cotter JT, Nielsen KC, Guller U, Steele SM, Klein SM, Greengrass RA, Pietrobon R: Increased body mass index and ASA physical status IV are risk factors for block failure in ambulat...

This review examines the effect of unanticipated admission, return hospital visits and readmission on the economics of ambulatory surgery. The overall rate of unanticipated admission was approximately 1% and the overall rate of readmission to hospital was approximately 1%. Ambulatory surgery allows total cost savings of 20-50% when compared with inpatient surgery. If 98% of ambulatory surgery p...

There are 3 different pharynxes (Figure 1). The nasopharynx, or velopharynx, is the airspace posterior to all of the soft palate; the oropharynx is the airspace posterior to the tip of the uvula to the tip of the epiglottis; and the laryngopharynx, or hypopharynx, is the airspace posterior to the tip of the epiglottis to the vocal cords. The adult human is one of only a few animals to have a sp...

PURPOSE The purpose of this process improvement project was to introduce and evaluate the efficacy of fast-tracking ambulatory surgical patients in a community hospital. DESIGN An observational pre-post design was used, in which patient data from a reference period (pre-fast-tracking) was compared with patient data collected during an implementation period (post-fast-tracking). METHODS Anes...

UNLABELLED Anesthesia groups may need to determine which clinical anesthesia outcomes to track as part of quality improvement efforts. The goal of this study was to poll a panel of expert anesthesiologists to determine which clinical anesthesia outcomes associated with routine outpatient surgery were judged to occur frequently and to be important to avoid. Outcomes scoring highly in both scales...

To assess the feasibility and safety of open tension-free mesh repair (Lichtenstein operation) of inguinal hernias on ambulatory surgery basis. A prospective study of the Lichtenstein operation on 64 patients of inguinal hernias who were operated the authors and surgical trainees at Unit III, Department of General Surgery at National Academy of Medical Sciences (NAMS), Nepal from April 13, 2004...

STUDY OBJECTIVE To provide estimates of the costs and health outcomes implications of the excess risk of unexpected disposition for nurse anesthetist (NA) procedures. DESIGN A projection model was used to apply estimates of costs and health outcomes associated with the excess risk of unexpected disposition for NAs reported in a recent study. SETTING Ambulatory and inpatient surgery. PATIE...