1. Criteria for patient and surgical case selection for ambulatory surgery (social, medical, surgical, and anesthetic factors) – including unstable ASA physical status 3 or 4, use of MAOI, morbid obesity, acute substance abuse, psychosocial difficulties, surgical procedures with potential for massive bleeding.
2. Benefits and limitations of ambulatory surgery (patient preferences, cost … etc.)
3. Principles and practice of fast-tracking in an ambulatory surgical unit.
4. Discharge criteria and determining home readiness.
5. The ideal anesthetic for same day surgery: fast acting inhalational agents (sevoflurane, desflurane).
6. Advantages and disadvantages of Total IntraVenous Anesthesia (TIVA) in the ambulatory setting.
7. Assessing anesthetic depth with Bispectral (BIS) monitoring.
8. The principles of conscious sedation and Patient Controlled Sedation.
9. Advantages and disadvantages of spinal and epidural anesthesia in ambulatory anesthesia.
10. Managing complications of spinal anesthesia (PDPH, transient radicular irritation (TRI)).
11. Multimodal approach to managing postoperative pain in ambulatory surgery.
12. PONV - prevention and treatment in the ambulatory setting.