CIRUGÍA AMBULATORIA: SELECCIÓN DE PACIENTES Y PROCEDIMIENTOS QUIRÚRGICOS

Abstract

Ambulatory surgery: patients and surgeries selection Outpatient surgery is being performed with increasing frequency due to its significant benefits, including lower costs in health care, and lower incidence of complications and mortality, requiring an appropriate selection of patients and surgeries to be performed in this setting. To select patients and surgeries to be operated on an ambulatory basis, it is relevant an adequate preoperative evaluation. Regarding the risks of patient, it is important the comorbidities and the American Society of Anesthesiologists classification. Risks associated with the type of surgery are divided according to their cardiovascular risk and duration of the procedure. Both will define those suitable for outpatient surgery. Serious complications and associated mortality are infrequents nowadays, therefore it is necessary to take into account other indicators, such as unanticipated hospital admission, hospital readmission and prolonged postoperative stay. There are some patients that require more specific preoperative evaluation, such as the elderly, obese, among others.