The transition to outpatient laryngoscopy is not novel, but as practices change, safety is paramount. Orosco and associates performed a cross-sectional analysis from the State Ambulatory Surgery Databases of 7743 cases in 4 states for 2010 and 2011. Revisit and complication rates were tracked in the corresponding State Emergency Department Databases and the State Inpatient Databases. There was a low rate of revisits, serious airway complications, other complications, and death. Not surprisingly, outpatient direct laryngoscopy was found to be safe. The next obvious step is to deal with those preoperative comorbidities that can lead to complications in the outpatient setting.
Highlights. JAMA Otolaryngol Head Neck Surg. 2015;141(8):679. doi:10.1001/jamaoto.2014.2167