Hausman Laurence M, Dickstein Elisha J, Rosenblatt Meg A
Mount Sinai School of Medicine, New York, NY, USA.
Mt Sinai J Med. 2012 Jan-Feb;79(1):107-15. doi: 10.1002/msj.21285.
Over the past several decades, there have been evolutionary changes in both surgery and anesthesia. Newer anesthetics have excellent safety profiles and are associated with fewer hemodynamic side effects and rapid elimination from the body. Innovative surgical techniques are less invasive and cause less perioperative patient pain. These developments have fueled the growth of office-based surgery and anesthesia. All types of anesthesia, including local, monitored anesthesia care, general, and regional anesthesia, have been used safely within the private practitioner's office. Because of the remote nature of the private surgeon's office, the proper selection of both patient and procedure to be performed is of utmost importance. It is likewise imperative that the practitioner assures that the patient does not experience excessive postoperative pain and/or nausea and vomiting. It is of the utmost importance that the practicing anesthesiologist assure that every location in which procedures and surgeries are performed is a safe anesthetizing location.
在过去几十年里，外科手术和麻醉领域都发生了演变。新型麻醉剂具有出色的安全性，血流动力学副作用较少，且能迅速从体内消除。创新的手术技术侵入性较小，围手术期患者疼痛也较轻。这些进展推动了门诊手术和麻醉的发展。包括局部麻醉、监护麻醉、全身麻醉和区域麻醉在内的所有麻醉类型，都已在私人执业医生办公室安全使用。由于私人外科医生办公室位置偏远，正确选择患者和要进行的手术至关重要。同样，从业者必须确保患者术后不会经历过度疼痛和/或恶心呕吐。至关重要的是，执业麻醉医生要确保进行手术和操作的每个地点都是安全的麻醉场所。
