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AMBULATORY ANESTHESIA

Fast-Tracking After Outpatient Laparoscopy: Reasons for Failure After Propofol, Sevoflurane, and Desflurane Anesthesia

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas

Address correspondence to Dr. Paul F. White, Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9068. Address e-mail to paul.white{at}utsouthwestern.edu No reprints will be available.

Implications: In this study, although 41%–94% of the patients were fast-track eligibleafter laparoscopic surgery, only 35%–53% of the patients actuallybypassed the postanesthesia care unit (PACU) because of anesthetic-relatedfactors and surgical complications. Residual sedation was the most commonanesthetic-related cause of failure to bypass thePACU.

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