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Updated: Jan 25, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
Emergency Response in the Ambulatory Surgery Center
Vikram K Bansal1, Katherine H Dobie2, Evelyn Jane Brock3
1Department of Anesthesiology, Division of Ambulatory Anesthesiology, Vanderbilt University Medical Center, 1211 Medical Center Drive, Nashville, TN 37232, USA.
Ambulatory surgery centers need organized emergency preparedness due to unique challenges. Regular simulation training is key for anesthesiologists to effectively manage emergencies in these settings.
Area of Science:
- Anesthesiology
- Surgical Care
- Emergency Medicine
Background:
- Increasing number of surgeries are performed outside traditional hospital settings.
- Freestanding ambulatory surgery centers face unique challenges in emergency response, including resource limitations and infrequent critical events.
- Anesthesiologists must adapt their emergency management strategies for ambulatory settings.
Purpose of the Study:
- To highlight the importance of organized emergency preparedness in freestanding ambulatory surgery centers.
- To differentiate emergency management in ambulatory settings versus hospitals.
- To emphasize the role of simulation-based training for anesthesiologists.
Main Methods:
- Review of challenges in ambulatory surgery center emergency response.
- Comparison of hospital vs. ambulatory emergency management protocols.
- Emphasis on simulation-based training effectiveness.
Main Results:
- Ambulatory surgery centers require specific preparedness due to resource and staffing differences.
- The primary goal in ambulatory emergencies is stabilization and transfer.
- Simulation-based training is an effective method for improving preparedness.
Conclusions:
- Organized preparedness is crucial for effective emergency response in ambulatory surgery centers.
- Anesthesiologists require tailored training for managing emergencies in resource-limited settings.
- Regular simulation drills enhance the readiness of ambulatory surgery centers for critical events.
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