Office-Based Anesthesia

Laurence M. Hausman

in Anesthesia Outside of the Operating Room

Published on behalf of Oxford University Press

Published in print March 2011 | ISBN: 9780195396676
Published online August 2013 | e-ISBN: 9780199352814 | DOI:
Office-Based Anesthesia

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There are many advantages to office-based procedures for both patients and practitioners. The patient is afforded more privacy with a more personal experience, as well as decreased facility fee if paying out of pocket and less risk of exposure to nosocomial infections. The practitioner will generally have improved ease in scheduling of cases, the convenience of being able to perform surgery within the same office as preoperative and postoperative care, and in some cases will receive an enhanced professional fee.5

An office practice cannot provide the same level of care as a tertiary care medical center or even a small community hospital. For this reason, not all surgical procedures or patient populations are appropriate for this venue. For example, procedures associated with large fluid shifts, blood loss, excessive postoperative pain, or respiratory compromise should continue to be performed in the hospital setting. Likewise, patients with significant comorbidities, potentially difficult airways, or those at risk for aspiration should not be considered suitable candidates for an office-based procedure. The American Society of Anesthesiologists (ASA) has published specific recommendations regarding what types of surgery and patient populations should be excluded from this venue.6

Chapter.  5854 words. 

Subjects: Anaesthetics ; Acute Medicine

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