SAMBA Talks eNewsletter - June, 2006

Volume 6, Issue 1

S A M B A T A L K S - PAGE 2

June, 2006

JOIN THE DISCUSSION - TOP

Need advice about a problem case in ambulatory anesthesia? Want suggestions about a difficult situation in your ambulatory surgery center? Have a reply to questions others have raised about ambulatory anesthesia issues?

If you answered "yes" to any of these questions, or would like to share with other professionals a comment or opinion on a topic related to ambulatory anesthesia then please "Join the Discussion" here.

To enter the Discussion with a question, reply, or other comment, please contact us. Your submission will be published in this section of the next available issue of SAMBA TALKS. Include your name (or initials), city, and state, if you would like these published. Please note that because of the high volume of questions we receive, there is often a delay of 1 to 2 months before the questions can be published.

Questions and responses from previous months are now available at the eNewsletter Discussion Archive. If you have any comments regarding the previous questions, please submit them to SAMBA Discussion, and they will be published here next month.

Please note: The information presented in the replies below does not represent SAMBA policy. The replies are solely the opinions of the individuals who wrote them.

?? - LAST MONTH'S QUESTION WITH REPLIES - ?? - TOP

I'm not sure if you can offer me assistance. I am designing a new office location. I would like to create an ambulatory surgery center with the ability to use general anesthesia with intubated, ventilated patients. I don't know what the requirements are for this, or whom to speak with to determine how to create this in my new office.

-- Elliot Baron, DDS, Red Bank, NJ

There are a number of sources of information on setting up an office practice. Several of the references are listed below. Additionally, if the plan is to set up an accredited facility, you will be able to obtain guidance from the accrediting organization. The following is contact information for these organizations:

Surgery Accrediting Organizations

Accreditation Association for Ambulatory Health Care (AAAHC).
3201 Old Glenview Road, Suite 300, Wilmette, IL 60091-2992. Telephone:
(847) 853-6060. (Source for Accreditation Handbook of Ambulatory Health
Care). http://www.aaaasf.org.
American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF).
Manual for Accreditation of Ambulatory Surgery Facilities, 1998, 5101 Washington St., Suite 2F, PO Box 9500, Gurnee, IL 60031. Telephone: (888)545-5222. http://www.aaaasf.org.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO). One Renaissance Boulevard, Oakbrook Terrace, IL 60181. Telephone: (630)792-5000. http://www.jcaho.org.
American Osteopathic Association - Healthcare Facilities Accreditation Program (AOA-HFAP), 142 E. Ontario Street, Chicago, IL 60611. Telephone: (800)621-1773, ext.8258. http:/www.aoanet.org/Accreditation/HFAP/hfapcontact.htm.

References for Setting Up Office Based Practice

American Society of Anesthesiologists.
Office-Based Anesthesia - Considerations for Anesthesiologists in Setting Up and Maintaining a Safe Office-Anesthesia Environment. May 10, 2002.
http://asahg.org.publicationsAndServices/office.pdf.
Guidelines for Office-Based Anesthesia.
American Society of Anesthesiologists - Standards, Guidelines and Statements, October 27,2003.
Ambulatory Anesthesia & Perioperative Analgesia.
Chapter 10: Office-Based Anesthesia: Regulatory and Administrative Issues
Susan Steele Editor. 2005 McGraw-Hill
American Society of Plastic Surgeons and American Society for Aesthetic Plastic Surgery.
Policy statement on accreditation of office facilites.
Web site, http://www.plasticsurgery.org/psf/psfhome/govern/officepol.cfm.
Iverson RE. ASPS Task Force on Patient Safety in Office-Based
Surgery Facilities: I. Procedures in the office-based surgery setting.
Plast Reconstr Surg 2002 Oct;110(5):1337–42.
Report of the Special Committee on Outpatient (Office-based)
Surgery. Federation of State Medical Boards of the United States,
Inc. Med. Licensure Discipline 2002;88:160–74.

-- Hector Vila MD, Tampa, FL

?? -- THIS MONTH'S QUESTION -- ?? - TOP

At my Surgicenter gastroentrologists bring patients for EGD and colonoscopy. These patients are sipping water until they enter Surgicenter. We do not do these patients for 3 - 4 hours after last drink. Gastroenterologists claim that they used to do these cases before without anesthesia and they never found water in stomach. What is your opinion for NPO status on EGD and colonoscopies.?

-- Mahendra Shah, MD, Trenton, NJ

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