The Department of Anesthesia, University of Toronto, 150 College Street, Room 121, Fitzgerald Building, Toronto, Ontario M5S 3E2, Canada.
Can J Anaesth. 2010 Mar;57(3):256-72. doi: 10.1007/s12630-009-9238-z. Epub 2010 Jan 15.
Ambulatory office-based anesthesia (OBA) is a relatively new but rapidly growing field. OBA requires a different approach than that used in the hospital, because there are unique considerations that must be recognized when administering anesthesia in a free-standing office facility. This review provides a summary of the important issues and aspects of safe patient care.
The Medline, Embase, Biological Abstract, Science Citation Index, and Healthstar databases were searched under the key words "office-based anesthesia" for relevant English language articles from 1966 to December 2008. Relevant publications were queried from governing institutions, such as the American Society of Anesthesiologists (ASA), as well as from colleges in various provinces across Canada.
Office-based anesthesia remains poorly regulated in many parts of Canada (and the US). Despite continuing concerns regarding patient safety, the rates of death and reported major complications for OBA appear to be very low, especially in accredited facilities. Multiple considerations for facility design, administration, and patient care need to be taken into account.
Appropriately so, an increasing number of provinces (Canada) and states (US) are beginning to regulate office-based facilities and require accreditation.
门诊办公室麻醉（OBA）是一个相对较新但发展迅速的领域。OBA 需要一种不同于在医院使用的方法，因为在独立的办公场所进行麻醉时，必须认识到独特的考虑因素。本综述提供了安全患者护理的重要问题和方面的摘要。
在 Medline、Embase、Biological Abstract、Science Citation Index 和 Healthstar 数据库中，使用“门诊麻醉”这一关键词，对从 1966 年至 2008 年 12 月的相关英语文献进行了检索。从美国麻醉师协会（ASA）等管理机构以及加拿大各省的各学院查询了相关出版物。
在加拿大（和美国）的许多地区，门诊麻醉的监管仍然很差。尽管人们对患者安全持续存在担忧，但 OBA 的死亡率和报告的主要并发症似乎非常低，尤其是在经过认证的设施中。需要考虑设施设计、管理和患者护理的多个方面。
越来越多的省份（加拿大）和州（美国）开始对门诊设施进行监管并要求认证，这是恰当的。
