Anesthesia: A safety Ambulatory Surgery


Ambulatory surgery is defined as a medical practice performed on an outpatient basis in otherwise clinically and healthy stable persons in a facility which are either a suite inside the hospital Cost or free-standing; return to daily routine is faster; less debilitating Cost-control pressures, procedure is less invasive,  less invasive and more convenient care may utilization and costs; and increases the family cost.
Some outpatient surgeries are:
  •          Arthroscopy
  •          Breast Biopsy
  •          Burn Excision/Debridement
  •          Cataract Surgery
  •          Caesarean Section
  •          Circumcision
  •          Dental Restoration
  •          Gastric Bypass
  •          Head and Neck Surgery
  •          Hysterectomy (Abdominal or Vaginal)
  •          Knee/Hip Replacement
  •          Laparoscopy
  •          Liver Resection
  •          Lung Resection
  •          Major Abdominal Procedure
  •         Major Vascular Surgery
  •          Mastectomy
  •         Mediport Insertion or Removal
  •          Prostate Surgery

Anesthesia safety in ambulatory surgery centers is understudied and remains a serious concern. It indicates that requiring ambulatory surgery centers to stockpile dantrolene is a cost-effective measure for treating malignant hyperthermia as an infrequent but potentially fatal complication. Malignant hyperthermia is a syndrome of the skeletal muscle and a potentially fatal complication of general anesthesia. Dantrolene is specifically meant for treatment of hypertension. Majority of the people are triggered by certain anesthetics or drug succinylcholine. An increase in level of cell calcium in the skeletal muscle is the main criteria.
There is mounting evidence that some patients will also develop MH with exercise, on exposure to hot environments. More and more outpatient surgical procedures are being done at nonhospital-based facilities such as freestanding ambulatory surgical centers and physician offices, instead of at hospital-based outpatient departments.
Moreover, age is an independent risk factor for ambulatory surgical complications. Embark on pain medication can lead to cardiovascular problems and poor healing of the wound, in addition to increased pain.

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