The goals of anesthesia for ambulatory surgery are to provide a patient-chosen level of consciousness with control of surgical stimuli during the procedure, followed by rapid recovery with minimal side effects, so that the patient can return to normal function as soon as possible.
Reaching these goals is based on detailed understanding of pharmacokinetics and pharmacodynamics. The Ambulatory research program studies the use of drugs currently available and drugs under development, which have included sedatives, analgesics, inhalants, and antiemetics. We study hemodynamic and respiratory responses to the drugs during anesthesia and in the early postoperative period, subjective and objective measures of psychomotor recovery, nausea/vomiting and patient satisfaction with anesthetic techniques. We evaluate the use of these drugs in a range of applications for general anesthesia and sedation, such as inhalation anesthesia, intravenous bolus administration and continuous administration of inhaled and IV drugs. Ambulatory Anesthesia research also addresses Patient Outcomes, and Leadership and Management. Topic areas in this field include leadership, negotiation, management/business, efficiency, and quality improvement. This research program encompasses single-site to multi-national, commercially sponsored projects. We utilize the active ambulatory surgery service in the Day Surgery Unit, operating rooms and procedural locations, with involvement from the Anesthesia Bioengineering Group.