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Abstract Anaesthetists are increasingly asked to provide sedation or general anesthesia outside the traditional operating room environment for day stay surgery and non-surgical procedures especially for pediatric patients. Children are excellent candidates for ambulatory surgery. The typical pediatric surgical patients have no serious systemic disorders. Furthermore, surgical procedures in children are simple and require less complicated techniques than those used in adults. The two greatest advantages of ambulatory surgery are minimization of parental separation and reduction in hospital acquired infection. Hospital costs per patient may be reduced by the use of day-stay surgery for pediatric surgery. A successful outpatient surgery program requires that well-defined patient selection criteria be established; the three primary factors that must be considered when selecting a child for outpatient surgery are the condition of the patient, the attitude of the parents and the type of surgical procedure to be performed. These factors must be balanced with the capability of the surgical facility and the ability of its staff to deal with any expected or unexpected complications. The most common procedure performed in the ambulatory setting in the community hospital are otolaryngogic, myringotomy tube insertion, tonsillectomy and adenoidectomy as well as common general surgical . |