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Anesthesiology Oral Board Flash Cards
ambulatory surgical procedures.
Considerations, History, Physical Exam, Lab Tests/Imaging, Consults, Conflict(s), Optimize, Goals, Options, Preop:, Room Setup (Special Drugs/Monitors), Induction, Maintenance, Emergence, Disposition/Pain, References
Anesthetics with adequate recovery profile
Major complications (MI, stroke, PE, respiratory failure) are rare
Minor complications (pain, PONV, sore throat, somnolence, hypotension, hypertension, and bleeding) are common
Ease of transfer in case of unplanned admission? Know your surroundingsoffice-based procedure, freestanding ambulatory surgery center, or hospital
Predictors of hospital admission after ambulatory surgery: >65 years, prior inpatient admission in last 6 months, invasiveness of surgery, surgery >2 hours, general anesthesia rather than regional anesthesia
Unanticipated admission causes: Medicationcomplications from preexisting diseaseSurgicaldirect complication, pain, bleedingAnesthesiaaspiration, PONV, somnolenceSocialno escort, long distance from home
Controversial patients for ambulatory surgeryelderly, morbid obesity, severe OSA, significant COPD or asthma, and infants (risk of apnea if postconceptual age <60 weeks)
ENT, urology, and generally surgeryhigher rates of unanticipated admission
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