Anesthesia Considerations 

Inpatient vs Outpatient Management 

 

• Insufficient evidence either way 

• Team discussion needed 

• Things to consider: 

  • Sleep apnea status

  • Anatomical and physiologic abnormalities

  • Status of coexisting diseases

  • Nature of surgery

  • Type of anesthesia

  • Need for postoperative opioids

  • Patient age

  • Adequacy of post discharge observation

  • Capabilities of the outpatient facility: The availability of emergency difficult airway equipment, respiratory care equipment, radiology facilities, clinical laboratory facilities, and a transfer agreement with an inpatient facility should be considered in making this determination

 

 

Adapted from:

• American Society of Anesthesia Guidelines 2014:  Anesthesiology. 2014 Feb;120(2):268-86.

• The Canadian Anesthesia Society Guidelines 2010:  Can J Anaesth. 2010 Sep;57(9):849-64