Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.

Ambulatory care can be a challenging setting in which to provide anesthesia – not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.

This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed. Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three then explore facets of multimodal analgesia and non-operating room locations, including the use of ultrasounds, sedation in specific procedures, regional anesthesia, ketamine infusions, and the management of perioperative nausea and intractable pain in outpatient surgery. Section four examines the unique challenges physicians face with certain patient demographics, such as the pediatric population, those suffering from sleep apnea, and those with a history of substance abuse. The book closes with information on discharge considerations, ambulatory surgery protocols, recovery room protocols, and mandatory pain management services. An invaluable reference for all health personnel and allied specialties, Pain Control in Ambulatory Surgery Centers (ASCs) meets the unmet need for a resource that covers optimum pain control in patients undergoing outpatient surgery as well as the urgent ASCs challenges that are presented on an immense scale with national and international impact.

This book provides a comprehensive overview of current practices in pediatric perioperative care. Current knowledge on vascular and nonvascular access, regional anesthesia, and noninvasive cardiovascular and respiratory monitoring is described. The prevention and treatment of postoperative pain and unsettled behavior after surgery, as well as the long-term consequences of anesthesia and surgery are discussed. Prevention of chronic postsurgical pain and the brain damage that may be associated with anesthesia and surgery are also considered. The opening section is dedicated to patient care prior to surgery and includes preoperative assessment and preparation. Care in the intraoperative period is then described, including the appropriate care when performing surgery in different locations and in various specialties, such as orthopedic surgery, neurosurgery, thoracic surgery, and abdominal and urological surgery. The subsequent section addresses perioperative care in children with special conditions, such as difficult airway, metabolic or neuromuscular diseases, or cancer. The remainder of the book is devoted to a range of further important topics and postoperative care.&nbs p;

A comprehensive guide that offers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery.