الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Office based anesthesia is associated typically with small dark rooms, bulky and sometimes outdated equipment and personnel that are not always familiar with emergency equipment and procedures. It is the role of the anesthesiologist to ensure that well-equipped anesthesia machines, standard monitoring (electrocardiogram, oxygen saturation and non-invasive blood pressure), trained personnel and an anesthetic plan are in place.
There is substantial evidence that the use of continuous monitoring of respiration by capnography is extremely important in patients receiving both general anesthesia and sedation. Temperature monitoring may be hazardous if improper equipment is used in some locations (MRI). In some locations, the requirement of the equipment may limit the ability to adjust the room temperature. Forced-air warming devices may not be suitable in all locations, despite the perceived benefits of maintaining normothermia.
The practicing anesthesiologist should remain familiar with the ASA practice guidelines, advisories and standards as they relate to office based anesthesia.
The advances in anesthetic and surgical practices have facilitated the rapid growth in office based surgery throughout the world. With the availability of rapid, short-acting anesthetic, analgesic, sympatholytic, and muscle relaxant drugs, as well as improved cerebral monitoring techniques, it has been possible to minimize the adverse effects of anesthesia on the recovery process. Improvements in the perioperative care of outpatients has allowed surgeons to perform an increasing array of more invasive surgical procedures on an ambulatory (day-case) basis.
Perioperative physicians, anesthesiologists can play an important role in facilitating office basedl (and short-stay) surgery by actively becoming involved in the preoperative, intra-operative, and postoperative care of this expanding patient population. To achieve the desired outcome, careful consideration must be given to each phase of the ambulatory surgical process.