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Manual of Ambulatory Surgery

George W. Machiedo, MD
JAMA. 1984;251(14):1904-1905. doi:10.1001/jama.1984.03340380080036.
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In the modern world of ever-increasing medical care costs, there have been many attempts at cost containment. One which has achieved some success is the concept of ambulatory or same-day surgery. In this volume, one of the Comprehensive Manuals of Surgical Specialties, Kassity and his coauthors do an outstanding job of presenting the rationale behind ambulatory surgery, including a detailed analysis of the cost advantages. It must be emphasized that ambulatory surgery, as described in this volume, is not to be confused with minor surgery. Many of the procedures are performed under general anesthesia and the authors point out that only 10% of the patients operated on in their facility are given local anesthesia without an anesthesiologist in attendance.

The initial section of the book is devoted to problems in development of an ambulatory surgical center (including floor plans), staffing patterns, and relationships—both physical and functional—to the "parent" hospital. Anesthetic


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