Author Affiliation: Department of Anesthesiology, Acute Pain Service, Wake Forest University School of Medicine, Winston-Salem, NC.
Contempo Updates Section Editor: Janet M.
Torpy, MD, Contributing Editor.
Office-based surgical procedures account for up to 25% of all elective
surgical procedures performed in the United States.1
Ambulatory surgical procedures now make up 70% of the total volume of hospital-based
elective surgical procedures.2 More major surgical
procedures are being performed on an ambulatory or 23-hour hospital stay basis
including intra-abdominal, intrathoracic, and major orthopedic procedures.
Postoperative pain, nausea, and vomiting are the most common factors leading
to delays in outpatient discharge and admissions to the hospital following
ambulatory surgery.3,4 An understanding
of the pharmacologic concepts and pain management techniques for those office-based
procedures performed within the scope of a primary care practice, and for
patients undergoing hospital-based ambulatory (outpatient) surgical procedures,
is a crucial component in the continuing education of the primary care physician.
Crews JC. Multimodal Pain Management Strategies for Office-Based and Ambulatory Procedures. JAMA. 2002;288(5):629-632. doi:10.1001/jama.288.5.629