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Preoperative assessment and preparation

K E Griffith1

  • 1Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas.

International Anesthesiology Clinics
|January 1, 1994
PubMed
Summary

Ambulatory surgery is expanding, with low major morbidity (1:1455) and mortality rates in over 38,000 patients. This trend suggests continued growth for outpatient procedures with improved patient selection.

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Area of Science:

  • Anesthesiology
  • Surgical Outcomes
  • Health Services Research

Background:

  • Ambulatory surgery is expanding in scope and patient complexity.
  • There is a need to understand the risks associated with outpatient procedures.

Purpose of the Study:

  • To evaluate the morbidity and mortality rates associated with ambulatory surgery.
  • To inform future practice patterns for anesthesiologists managing surgical outpatients.

Main Methods:

  • Prospective outcome survey of 38,598 patients undergoing ambulatory surgery.
  • Analysis of major morbid events and mortality.
  • Distribution of morbid events across ASA classification categories.

Main Results:

  • A total of 31 major morbid events (1:1455) and 4 deaths were recorded.
  • No deaths were attributed to medical complications within the first week post-surgery.
  • Morbid events were evenly distributed across American Society of Anesthesiologists (ASA) physical status classification categories.

Conclusions:

  • Ambulatory surgery demonstrates low morbidity and mortality, supporting its continued expansion.
  • Improved preoperative assessment can increase the pool of eligible candidates for outpatient surgery.
  • Anesthesiologists should adapt practice patterns to meet the unique needs of surgical outpatients.

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