I.    A.   Ambulatory Surgical Facilities - TOP

Office-Based Anesthesia

   1.   Industry trends
   2.   Industry press
   3.   Other medical society activities
   4.   Anesthesia publications
   5.   Lectures/outlines from anesthesia meetings
   6.   Related journal articles
   7.   Economics
   8.   Lay press
   9.   ASA Newsletter articles

II.   Preoperative Evaluation - TOP

A.   Modes of preoperative screening and the usefulness of preoperative patient contact
B.   Laboratory testing
C.   Patient selection
   1.   Length of surgery
   2.   The need for transfusion
   3.   Adults with diseases and older patients
   4.   Children with diseases and the very young
   5.    Infectious disease risk

III.   Preoperative Preparation and Premedication - TOP

A.   NPO status
B.   Drugs that reduce the risk of aspiration
C.   Postoperative nausea treated preoperatively
   1.   Overview, including the problem with certain drugs (narcotics)
   2.   Treatment
   3.   Problems associated with treatment
   4.   Prevention by the choice of anesthetic
   5.   Reversal of muscle relaxation contributes to postoperative nausea and vomiting      6.   The choice of anticholinergic drug in the reversal of neuromuscular block may increase the incidence of postoperative nausea and vomiting
D.   Anxiolytics, sedatives, and opioids
   1.   Existence of anxiety
   2.   Treatment of anxiety, including the uncooperative child
E.   Chronic medications

IV.   Anesthetic Management - TOP

A.   What type of anesthetic is appropriate: general, regional, sedation or local?
B.   Intraoperative consideration of postoperative problems
   1.   Pain
     a.   Arthroscopy
     b.   Laparoscopy
     c.   Herniorrhaphy
   2.   Time spent in the PACU
     a.   Propofol
     b.   Desflurane
     c.   Sevoflurane
     d.   Narcotics
     e.   Regional/spinal/local
   3.   Postoperative nausea and vomiting
C.   General anesthesia
   1.   Induction
   2.   Maintenance
   3.   Narcotics
   4.   Drugs used to relax muscles
   5.   Laryngeal mask
   6.   Special procedures
     a.   Laser surgery
     b.   Anesthesia outside the operating room, including MRI and radiation therapy
     c.   Electroconvulsive therapy
     D.   Lithotripsy
   7.   Miscellaneous topics
D.   Regional anesthesia
   1.   Upper extremity
     a.   Intravenous regional anesthesia (IVRA)
     b.   Brachial plexus block
     c.   Peripheral nerve blocks
   2.   Lower extremity
     a.   Compartment blocks (sciatic femoral, 3-in-1)
     b.   Intravenous regional anesthesia
   3.   Central neural blocks
     a.   Epidural
     b.   Caudal
     c.   Spinal, including continuous spinal
   4.   Retrobulbar/peribulbar eye blocks
   5.   Local infiltration
   6.   Local anesthetics
   7.   Miscellaneous topics
   8. Monitored Anesthesia Care Sedation Techniques
F.   CNS Monitoring
G.   Costs

V.   Postoperative Care - TOP

A.   Defining and evaluating the discharge process
B.   Phase one recovery (postanesthesia care unit [PACU)
   1.   Monitoring and equipment
   2.   Effects of minor preexisting conditions on the recovery profile
   3.   Postoperative pain management
   4.   Postoperative antiemesis management
   5.   Flumazenil
   6.   Complications
C.   Phase two recovery
   1.   Discharge criteria
   2.   Discharge teaching and instructions
   3.   Complications
   4.   Psychometric testing
D.   Postoperative follow-up
   1.   Outcome after ambulatory surgery
   2.   Unplanned admissions
   3.   Minor side effects

TOP

© SOCIETY FOR AMBULATORY ANESTHESIA
520 N. Northwest Highway Park Ridge, Illinois 60068-2573
Tel: (847) 825-5586 Fax: (847) 825-5658
E-mail: samba@asahq.org