• Ali Shariat, Berend Marcus, and Malikah Latmore.
• Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, Mount Sinai Morningside Medical Center, New York, New York, USA.
• Curr Opin Anaesthesiol. 2021 Oct 1; 34 (5): 659665659-665.

Purpose Of ReviewThe trend in the perioperative management of patients having orthopedic surgery in the ambulatory setting emphasizes time-efficiency and rapid turnovers. Anesthetic techniques and management continue to evolve to increase efficiency and decrease time spent in recovery.Recent FindingsMinimizing time patients spend in phase 1 recovery or bypassing phase 1 altogether, known as fast-tracking, has become an important goal in containing costs in high turnover, ambulatory settings. Anesthetic techniques, particularly implementation of regional anesthesia and multimodal analgesia, have evolved to maximize efficiency.SummaryAnesthetic goals in the setting of high-turnover orthopedic surgery include effective multimodal analgesia, decreasing monotherapy with opioids, and patient education. Regional anesthesia as part of a multimodal analgesic regimen is increasingly used in ambulatory surgery fast-tracking protocols.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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