Surgeon and patient demands are already pushing the limits of ambulatory surgical care for morbidly obese patients despite an increased risk of perioperative cardiorespiratory adverse events. Available evidence currently support the premise that ambulatory anesthesia for the fit obese patient is safe. Careful patient selection, written guidelines, experienced anesthesiologists and surgeons, and appropriate perioperative care components are the keys to success. Preferably, outpatient facilities should not be isolated and written guidelines should be readily available as well as devices adapted to those patients peculiar needs. In addition, there should be a low threshold for extending the perioperative care for this group of patients which should be coupled with close postdischarge followup and readmission to hospital whenever necessary.
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine