Wetchler B V
Urol Clin North Am. 1987 Feb;14(1):31-42.
By the year 1990, it is projected that 50 per cent of all surgery in the United States will be performed on an outpatient basis. Both surgeons and anesthesiologists must understand patient and procedure prerequisites for outpatient surgery. The surgeon, prior to scheduling the operation, must evaluate the patient as to acceptability and provide that patient with complete information about the proposed outpatient experience. Anesthesia techniques (premedication, intravenous, inhalational, regional) must be modified and adapted to accomplish early patient ambulation and discharge to home on the same day as surgery. Patients must meet established clinical criteria prior to discharge and must be examined by a physician at the time these criteria have been met. The physician's clinical judgment is the single most important factor in determining the patient's home readiness.
预计到1990年，美国所有外科手术的50%将在门诊进行。外科医生和麻醉师都必须了解门诊手术的患者和手术前提条件。外科医生在安排手术前，必须评估患者的可接受性，并向患者提供有关拟议的门诊手术体验的完整信息。麻醉技术（术前用药、静脉注射、吸入、区域麻醉）必须加以改进和调整，以实现患者早日下床活动，并在手术当天出院回家。患者在出院前必须符合既定的临床标准，并且在达到这些标准时必须接受医生检查。医生的临床判断是决定患者是否适合出院回家的唯一最重要因素。
