Korttila K
Acta Anaesthesiol Belg. 1984;35 Suppl:399-411.
When suitable, local anesthetic techniques are preferable for ambulatory short diagnostic procedures. If general anesthesia is used no or only very light premedication, induction with a short acting i.v. agent and the maintenance of anesthesia with nitrous oxide plus oxygen plus an inhalational agent or alternatively with short acting i.v. anesthetic and analgesic seems today to provide fastest recovery. Patients should always arrange for a responsible adult to accompany them home. Minimal requirements for safe discharge should in addition to stable vital signs and the ability to maintain oral fluids include that patients are able to dress themselves and able to walk out. These criteria, however, do not indicate that patients are fully recovered after anesthesia. In most cases patients are not fully recovered when discharged from hospital after even brief anesthesia and they should refrain from driving, operating machinery, and delay making important decisions for at least 24 hours after anesthesia.
对于门诊短时间诊断性操作，合适时局部麻醉技术更佳。若使用全身麻醉，不进行或仅给予极少量术前用药，采用短效静脉麻醉药诱导，并以氧化亚氮加氧气加吸入性麻醉药维持麻醉，或者交替使用短效静脉麻醉药和镇痛药，目前看来可实现最快恢复。患者应始终安排一名负责任的成年人陪同其回家。除生命体征稳定和能够维持口服液体外，安全出院的最低要求还应包括患者能够自行穿衣并能够走出医院。然而，这些标准并不表明患者在麻醉后已完全恢复。在大多数情况下，即使是短暂麻醉后出院，患者也并未完全恢复，他们应避免驾驶、操作机器，并在麻醉后至少24小时内推迟做出重要决定。
