Office-based surgery and patient outcomes

Current Opinion in Anaesthesiology
Steven YoungRichard D Urman

Abstract

The purpose of this review is to provide an update on the current knowledge about patient safety and outcomes in the office-based setting. Ambulatory procedures performed outside the hospital are steadily increasing, resulting in an increasing number and complexity of office-based procedures and patient comorbidities over the past two decades. In this review we focus on most recent outcomes studies encompassing different surgical specialties and patient populations. Rates of complications in the office-based surgical (OBS) setting from the latest publications are similar to, or lower than previously reported studies. Many of the studies published were in the field of plastic surgery, with a few publications on office vascular and dental procedures. The most common complications were haematoma, infection and venous thromboembolism (VTE) and pulmonary embolism. Death was a rare finding, though when it occurred, it was often associated with VTE/pulmonary emboli and abdominoplasties. Overall, these studies contribute positively to our current understanding of the safety of office-based anaesthesia. As an increasing number of procedures migrate from the hospital setting to ambulatory and office-based environments, it will be critica...Continue Reading

References

Sep 11, 2003·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·David H PerrottThomas B Dodson
Jan 22, 2013·Aesthetic Surgery Journal·Colin FaileyAlfonso Barrera
Nov 12, 2013·Journal of Vascular Surgery·Krishna JainChris Longton
Jul 22, 2014·Anesthesia and Analgesia·Fred E ShapiroRichard D Urman
Feb 27, 2015·Plastic and Reconstructive Surgery·Ralitza ParinaAmanda A Gosman
Oct 28, 2015·Plastic and Reconstructive Surgery·Julian WinocourK Kye Higdon
Apr 19, 2016·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·Samir R JaniRichard D Urman
Sep 1, 2017·Anesthesia Progress·Allison L SperaBrian J Sanders
Jan 1, 2017·Health Equity·Alexander R GreenJoseph R Betancourt

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Citations

Sep 11, 2019·Current Opinion in Anaesthesiology·Andres de LimaFred E Shapiro
Aug 31, 2021·Current Opinion in Anaesthesiology·Carlos E Guerra-LondonoMaria F Ramirez Manotas

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