Surgical care has undergone a dramatic shift in the past few decades away from inpatient-hospital to ambulatory procedures. More and more, ambulatory surgical centers have become the facility of choice for many types of operations. Advances in minimally invasive surgery, anesthesia techniques and other technological advances will only increase this trend in the years ahead.
Anesthesia practice continues to evolve, as well. Anesthesiologists in all settings must adjust their approaches to an ambulatory focus for patient selection, sedation, anesthesia, pain management, and postoperative recovery. Concise and clinically oriented, HANDBOOK OF AMBULATORY ANESTHESIA is designed to quickly and effectively steer the practitioner through the challenges and demands of daily practice.
The editors and authors are all recognized experts whose outstading insights will bring readers back to this book again and again. The chapters are consistently formatted with introductory outlines, practical illustrations, informative boxes, clinically oriented tables, and key references. Highlights of the book include:
- preoperative evaluation - anesthesia considerations for minimally invasive and advanced ambulatory surgery procedures - management of common clinical conditions for pediatric and adult patients - preoperative preparation - specific anesthesia techniques: sedation, regional, and general - anesthesia outside the O.R. - office-based anesthesia - recovery and discharge - quality management and accreditation- cost containment - administrative issues - appendix of most commonly referenced figures and tables.

Preface . . . . . . . . . .. . . . . . . . vii
Contributors . . . . . . . .. . . . . . . . xi
Chapter 1 Preanesthesia evaluation and testing . . . . . . . . . . 1
L. Reuven Pasternak
Chapter 2 Minimally invasive and advanced ambulatory
procedures . . . . . . . .. . . . . . . 24
Shireen Ahmad
Chapter 3 Adult clinical challenges . . . .. . . . 47
Donald M. Mathews and Rebecca S. Twersky
Chapter 4 Pediatric clinical challenges . . .. . . 96
Lucinda L. Everett and Gennadiy Fuzaylov
Chapter 5 Pediatric perioperative management . . . . . . . . . . 115
Raafat S. Hannallah
Chapter 6 Adult preoperative preparation: equipment and
monitoring . . . . . .. . . . . . . . . . . . 144
J. Lance Lichtor
Chapter 7 Sedation techniques . . . . . . .. . . . . . 169
Tong J. Gan and Beverly K. Philip
Chapter 8 Regional anesthesia . . . . . . . . . . . 195
Holly C. L. Evans, Karen C. Nielsen,
and Susan M. Steele
Chapter 9 General anesthesia . . . .. . . . . . 234
Ralph Gertler and Girish P. Joshi
Chapter 10 Anesthesia outside the operating room . . . . . . . . 252
Steven C. Hall
Chapter 11 Offi ce-based anesthesia . . . . . . . . . . . . . . . . . . . . 283
Hector Vila, Jr., Meena S. Desai, and
Rafael V. Miguel
Chapter 12 Postanesthesia care recovery and
management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325
Johnathan L. Pregler and Patricia A. Kapur
Chapter 13 Discharge process . . . . . . . . . . . . . . . . . . . . . . . . 354
Frances Chung and Jeremy Lermitte
Chapter 14 Quality management, regulation,
and accreditation . . . . . . . . . . . . . . . . . . . . . . . . . 371
Jerry A. Cohen, Sorin J. Brull,
and Walter G. Maurer
Chapter 15 Ambulatory surgery center profi tability,
effi ciency, and cost containment . . . . . . . . . . . . . 396
Tom Archer, Steve Mannis, and Alex Macario
Chapter 16 Administrative aspects of ambulatory
surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419
William H. Beeson
Appendices . . . . . . . .. . . . . . . . . . . . . . . . . 445
Index . . . . . . . . . . . . .. . . . . . . . . . . 467