Office-based anesthesia

  • Hector VilaJr.
  • Meena S. Desai
  • Rafael V. Miguel


Office surgery is defined as any surgical or invasive procedure performed in a location outside a hospital, hospital outpatient department, ambulatory surgery center (ASC), or other diagnostic and treatment center which results in a patient stay of less than 24 hours. All perioperative care (i.e., preoperative assessment and preparation, operation, and postoperative recovery) is usually performed in a one-operating room (OR) suite within a physician’s office. Generally speaking, office surgical procedures should not result in the loss of more than 10% of estimated blood volume in a patient with normal hemoglobin, should last less than 6 hours, and should not involve major intracranial, intrathoracic, or intra-abdominal operations. They are non-emergent and not life-threatening in nature. By contrast, hospital-based ambulatory surgery units and ASCs are licensed by the state and frequently contain more than one OR and provide services for multiple surgeons. The advantages of office surgery include the following:
  • Lower cost

  • Greater privacy and convenience for the patient

  • More control over surgical scheduling

  • Potential reimbursement advantages to the surgeon

These advantages have led to the proliferation of office surgical procedures since the year 2000.


Malignant Hyperthermia Ambulatory Surgery Deep Sedation Core Principle Anesthesia Machine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Hector VilaJr.
    • 1
  • Meena S. Desai
    • 2
  • Rafael V. Miguel
    • 3
  1. 1.University of South Florida, Department of AnesthesiologyMoffitt Cancer Center and Research Institute, Inc.TampaUSA
  2. 2.Nova Anesthesia ProfessionalsVillanovaUSA
  3. 3.Department of Anesthesiology, University of South FloridaMoffitt Cancer CenterTampaUSA

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