Hausman Laurence M
Ambulatory Surgery, The Mount Sinai School of Medicine, New York, NY 10029, USA.
Curr Opin Anaesthesiol. 2003 Aug;16(4):421-7. doi: 10.1097/01.aco.0000084476.59960.db.
The practice of office-based anesthesia is quickly emerging as an important field for the anesthesia provider. The number of procedures being done in offices around the country has steadily increased, as has the invasiveness of these procedures. This creates new anesthetic considerations. To date most training programs have not addressed this area of practice. As practitioners enter the field, however, they should have information as to how to provide quality care in a location where very often they are completely alone. Many of the safety mechanisms we as anesthesia providers take for granted in a hospital setting are often not present in a surgical office, and it becomes our responsibility to help in establishing standards.
Some questions exist as to the 'safety' of many surgical offices in which anesthesia care is provided. Many medical professional societies have begun issuing recommendations as to the standards of care that should exist. Different anesthetic techniques are also emerging that are appropriate to the office setting.
As office-based anesthesia continues to mature as a specialty, we the anesthesia providers must be proactive in establishing guidelines and recommendations to make the practice safe. We should be informed of the rules and regulations that exist in our states, and we should provide a voice for the patients who put their faith in us.
门诊麻醉实践正迅速成为麻醉从业者的一个重要领域。全国各地门诊进行的手术数量稳步增加，这些手术的侵入性也在增强。这带来了新的麻醉考量。迄今为止，大多数培训项目尚未涉及这一实践领域。然而，随着从业者进入该领域，他们应该了解如何在常常完全孤立无援的场所提供优质护理。我们麻醉从业者在医院环境中视为理所当然的许多安全机制，在外科门诊往往并不存在，因此我们有责任协助制定标准。
对于许多提供麻醉护理的外科门诊的“安全性”存在一些疑问。许多医学专业协会已开始就应有的护理标准发布建议。也出现了适用于门诊环境的不同麻醉技术。
随着门诊麻醉作为一个专业不断成熟，我们麻醉从业者必须积极主动地制定指南和建议，以确保该实践的安全性。我们应该了解所在州的规章制度，并且应该为信任我们的患者发声。
