Abstract
Patients eligible for ambulatory anesthesia must achieve discharge criteria rapidly after completion of the surgery. Therefore, the anesthetic technique used should allow early recovery and reduce common postoperative complications, in particular pain, nausea, and vomiting. The choice of anesthetic technique (i.e., general versus regional anesthesia) can be an important determinant of the recovery after ambulatory surgery.1 A recent meta-analysis suggests that regional anesthesia techniques reduce postanesthesia care unit (PACU) use and postoperative nausea and pain; however, they do not reduce the time to home-readiness. 2 Overall, general anesthesia continues to be the mainstay of ambulatory anesthesia practice.
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References
Chung F, Mezei G. Factors contributing to a prolonged stay after ambulatory surgery. Anesth Analg. 1999;89:1352–1359.
Liu SS, Strodtbeck WM, Richman JM, Wu CL. A comparison of regional versus general anesthesia for ambulatory anesthesia: a meta-analysis of randomized controlled trials. Anesth Analg. 2005;101:1634–1642.
Miller DR, Blew PG, Martineau RJ, Hull KA. Midazolam and awareness with recall during total intravenous anaesthesia. Can J Anaesth. 1996;43:946–953.
Smith AF, Pittaway AJ. Premedication for anxiety in adult day surgery. Cochrane Database Syst Rev. 2003:CD002192.
Raeder JC, Misvaer G. Comparison of propofol induction with thiopentone or methohexitone in short outpatient general anaesthesia. Acta Anaesthesiol Scand. 1988;32: 607–613.
Pizov R, Brown RH, Weiss YS, et al. Wheezing during induction of general anesthesia in patients with and without asthma. A randomized, blinded trial. Anesthesiology. 1995;82:1111–1116.
de Grood PM, Harbers JB, van Egmond J, Crul JF. Anaesthesia for laparoscopy. A comparison of five techniques including propofol, etomidate, thiopentone and isoflurane. Anaesthesia. 1987;42:815–823.
Joshi G, Gertler R. Is one general anesthetic technique associated with faster recovery? In: Fleisher L, ed. Evidence-Based Practice of Anesthesiology. Philadelphia, PA: Elsevier Science; 2004:236–240.
Philip BK, Lombard LL, Roaf ER, et al. Comparison of vital capacity induction with sevoflurane to intravenous induction with propofol for adult ambulatory anesthesia. Anesth Analg. 1999;89:623–627.
Hall JE, Ebert TJ, Harmer M. Induction characteristics with 3% and 8% sevoflurane in adults: an evaluation of the second stage of anaesthesia and its haemodynamic consequences. Anaesthesia. 2000;55:545–550.
Thwaites A, Edmends S, Smith I. Inhalation induction with sevoflurane: a doubleblind comparison with propofol. Br J Anaesth. 1997;78:356–361.
Cros AM, Lopez C, Kandel T, Sztark F. Determination of sevoflurane alveolar concentration for tracheal intubation with remifentanil, and no muscle relaxant. Anaesthesia. 2000;55:965–969.
Song D, Joshi GP, White PF. Fast-track eligibility after ambulatory anesthesia: a comparison of desflurane, sevoflurane, and propofol. Anesth Analg. 1998;86:267–273.
Song D, Joshi GP, White PF. Titration of volatile anesthetics using bispectral index facilitates recovery after ambulatory anesthesia. Anesthesiology. 1997;87:842–848.
Tarazi EM, Philip BK. A comparison of recovery after sevoflurane or desflurane in ambulatory anesthesia. J Clin Anesth. 1998;10:272–277.
Juvin P, Vadam C, Malek L, et al. Postoperative recovery after desflurane, propofol, or isoflurane anesthesia among morbidly obese patients: a prospective, randomized study. Anesth Analg. 2000;91:714–719.
Arain SR, Barth CD, Shankar H, Ebert TJ. Choice of volatile anesthetic for the morbidly obese patient: sevoflurane or desflurane. J Clin Anesth. 2005;17:413–419.
Eger EI 2nd, Shafer SL. Tutorial: context-sensitive decrement times for inhaled anesthetics. Anesth Analg. 2005;101:688–696.
Juvin P, Servin F, Giraud O, Desmonts JM. Emergence of elderly patients from prolonged desflurane, isoflurane, or propofol anesthesia. Anesth Analg. 1997;85: 647–651.
McKay RE, Large MJ, Balea MC, McKay WR. Airway reflexes return more rapidly after desflurane anesthesia than after sevoflurane anesthesia. Anesth Analg. 2005; 100:697–700.
Gupta A, Stierer T, Zuckerman R, et al. Comparison of recovery profile after ambulatory anesthesia with propofol, isoflurane, sevoflurane and desflurane: a systematic review. Anesth Analg. 2004;98:632–641.
Visser K, Hassink EA, Bonsel GJ, et al. Randomized controlled trial of total intravenous anesthesia with propofol versus inhalation anesthesia with isoflurane-nitrous oxide: postoperative nausea with vomiting and economic analysis. Anesthesiology. 2001;95:616–626.
Apfel CC, Korttila K, Abdalla M, et al. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N Engl J Med. 2004;350: 2441–2451.
Tramer M, Moore A, McQuay H. Omitting nitrous oxide in general anaesthesia: meta-analysis of intraoperative awareness and postoperative emesis in randomized controlled trials. Br J Anaesth. 1996;76:186–193.
Smith I. Nitrous oxide in ambulatory anaesthesia: does it have a place in day surgical anaesthesia or is it just a threat for personnel and the global environment? Curr Opin Anaesthesiol. 2006;19:592–596.
Practice Advisory for Intraoperative Awareness and Brain Function Monitoring. American Society of Anesthesiologists, 2005. Available at: http://www.asahq.org/ publicationsAndServices/practiceparam.htm#brain. Accessed July 5, 200.
Bruhn J, Myles PS, Sneyd R, Struys MM. Depth of anaesthesia monitoring: what’s available, what’s validated, and what’s next? Br J Anaesth. 2006;97:85–94.
Liu SS. Effects of Bispectral Index monitoring on ambulatory anesthesia: a metaanalysis of randomized controlled trials and a cost analysis. Anesthesiology. 2004; 101:311–315.
White PF. Use of cerebral monitoring during anaesthesia: effect on recovery profile. Best Prac Res Clin Anaesthesiol. 2006;20:181–189.
Rognas LK, Elkjaer P. Anaesthesia in day case laparoscopic female sterilization: a comparison of two anaesthetic methods. Acta Anaesthesiol Scand. 2004;48:899–902.
Philip BK, Scuderi PE, Chung F, et al. Remifentanil compared with alfentanil for ambulatory surgery using total intravenous anesthesia. Anesth Analg. 1997;84:515–521.
Joshi GP, Warner DS, Twersky RS, Fleisher LA. A comparison of the remifentanil and fentanyl adverse effect profile in a multicenter phase IV study. J Clin Anesth. 2002;14:494–499.
Coloma M, Chiu JW, White PF, Armbruster SC. The use of esmolol as an alternative to remifentanil during desflurane anesthesia for fast-track outpatient gynecologic laparoscopic surgery. Anesth Analg. 2001;92:352–357.
Gertler R, Brown HC, Mitchell DH, Silvius EN. Dexmedetomidine: a novel sedativeanalgesic agent. Proc (Bayl Univ Med Cent). 2001;14:13–21.
Kopman AF, Yee PS, Neuman GG. Relationship of the train-of-four fade ratio to clinical signs and symptoms of residual paralysis in awake volunteers. Anesthesiology. 1997;86:765–771.
Bulow K, Nielsen TG, Lund J. The effect of topical lignocaine on intubating conditions after propofol-alfentanil induction. Acta Anaesthesiol Scand. 1996;40: 752–756.
Schlaich N, Mertzlufft F, Soltesz S, Fuchs-Buder T. Remifentanil and propofol without muscle relaxants or with different doses of rocuronium for tracheal intubation in outpatient anaesthesia. Acta Anaesthesiol Scand. 2000;44:720–726.
Joshi GP, Hailey A, Cross S, et al. Effects of pretreatment with cisatracurium, rocuronium, and d-tubocurarine on succinylcholine-induced fasciculations and myalgia: a comparison with placebo. J Clin Anesth. 1999;11:641–645.
Joshi GP, Garg SA, Hailey A, Yu SY. The effects of antagonizing residual neuromuscular blockade by neostigmine and glycopyrrolate on nausea and vomiting after ambulatory surgery. Anesth Analg. 1999;89:628–631.
Nelskyla K, Yli-Hankala A, Soikkeli A, Korttila K. Neostigmine with glycopyrrolate does not increase the incidence or severity of postoperative nausea and vomiting in outpatients undergoing gynaecological laparoscopy. Br J Anaesth. 1998;81:757–760.
Shields M, Giovannelli M, Mirakhur RK, et al. Org 25969 (sugammadex), a selective relaxant binding agent for antagonism of prolonged rocuronium-induced neuromuscular block. Br J Anaesth. 2006;96:36–43.
Junger A, Klasen J, Hartmann B, et al. Shorter discharge time after regional or intravenous anaesthesia in combination with laryngeal mask airway compared with balanced anaesthesia with endotracheal intubation. Eur J Anaesthesiol. 2002;19:119–124.
Hartmann B, Banzhaf A, Junger A, et al. Laryngeal mask airway versus endotracheal tube for outpatient surgery: analysis of anesthesia-controlled time. J Clin Anesth. 2004;16:195–199.
Molloy ME, Buggy DJ, Scanlon P. Propofol or sevoflurane for laryngeal mask airway insertion. Can J Anaesth. 1999;46:322–326.
Tang J, White PF, Wender RH, et al. Fast-track office-based anesthesia: a comparison of propofol versus desflurane with antiemetic prophylaxis in spontaneously breathing patients. Anesth Analg. 2001;92:95–99.
Brimacombe J, Keller C, Hormann C. Pressure support ventilation versus continuous positive airway pressure with the laryngeal mask airway: a randomized crossover study of anesthetized adult patients. Anesthesiology. 2000;92:1621–1623.
Evers AS, Maze M. Anesthetic Pharmacology. Physiologic Principles and Clinical Practice. Companion to Miller’s Anesthesia. Philadelphia, PA: Churchill Livingstone; 2003.
Hughes MA, Glass PS, Jacobs JR. Context-sensitive half-time in multicompartment pharmacokinetic models for intravenous anesthetic drugs. Anesthesiology. 1992;76: 334–341.
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Gertler, R., Joshi, G.P. (2008). General anesthesia. In: Twersky, R.S., Philip, B.K. (eds) Handbook of Ambulatory Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-0-387-73329-6_9
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DOI: https://doi.org/10.1007/978-0-387-73329-6_9
Publisher Name: Springer, New York, NY
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