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AMBULATORY ANESTHESIA

Fast-Track Office-Based Anesthesia: A Comparison of Propofol Versus Desflurane with Antiemetic Prophylaxis In Spontaneously Breathing Patients

Jun Tang, MD^*, Paul F. White, PhD, MD, FANZCA^*, Ronald H. Wender, MD, Robert Naruse, MD, Robert Kariger, MD, Alexander Sloninsky, MD, Mitchell S. Karlan, MD, Robert Y. Uyeda, MD, Scott R. Karlan, MD, Carol Reichman, RN, and Brian Whetstone, ORT

*Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center at Dallas, Texas, Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, California, and Bedford Surgical Center, Beverly Hills, California

Address correspondence to Paul F. White, PhD, MD, Professor and McDermott Chair of Anesthesiology, Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, F2.208, Dallas, Texas 75390-9068. Address e-mail to paul.white{at}utsouthwestern.edu

Implications: Compared to propofol, maintenance of anesthesia with desflurane provided significantly better intraoperative conditions during office-based surgery. In addition, desflurane with routine antiemetic prophylaxis was associated with a faster early recovery and similar incidence of postoperative side effects.

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