Selecting the Patient for Major Ambulatory Surgery: Surgical and Anesthesiology Evaluations

Laparoscopic vs. small incision cholecystectomy: Implications for pulmonary function and pain. A randomized clinical trial

“…Inclusion criteria were male or female patients with symptomatic cholecystolithiasis, age of 18 years or older at recruitment, American Society of Anaesthesiology (ASA) classification I or II (23), no known relevant allergies, and a signed informed consent letter. Obesity was not considered an exclusion criterion.…”

Sonographically Guided Intrasheath Percutaneous Release of the First Annular Pulley for Trigger Digits, Part 2

“…Ambulatory surgical care is intended to save health care expenditures, and a gradual practice shift has been described over the past few decades from main operating rooms to day surgery and, finally, from both to office‐based care 6 , 12 , 13 ; however, not all patients are suitable for ambulatory surgical care 5 , 8 , 16 . With this socioeconomic intention, our selection criteria for ambulatory surgical care included the largest possible number of patients with the lowest known risks 5 , 14 …”

“…Therefore, the difference in income to cost ratios between blind percutaneous and sonographically guided release is probably much smaller. All cost‐benefit considerations aside, we believe that the potential complications of the different blind percutaneous techniques 5 , 18 , 19 exceed their potential clinical and economic gain; thus, we have not included them in the cost‐effectiveness/efficiency analysis in this work. Further studies should be conducted to verify this theory.…”

“…Ambulatory surgical care can be classified into office‐based ambulatory surgery, with no necessity for hospital admission, and day surgery, for which admission is limited to 1 working day 2 . Office‐based procedures are performed in consulting/examination rooms with local anesthesia and no need for special postoperative care 2 , 5 , 6 . In hand surgery, large cost savings have been described 7 – 14 for ambulatory surgical care settings (day surgery and office‐based) versus formal standard operating rooms.…”

Anaesthesiological considerations in small‐incision and laparoscopic cholecystectomy in symptomatic cholecystolithiasis: implications for pulmonary function. A randomized clinical trial*

“…The inclusion criteria were as follows: male or female patients with symptomatic cholecystolithiasis; age of 18 years or older at recruitment; American Society of Anesthesiologists (ASA) classification I or II (23); no known relevant allergies; a signed informed consent letter. Obesity was not considered as an exclusion criterion.…”