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

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