• Elin Karlsson and Jan G Jakobsson.
• Department of Anaesthesia & Intensive Care, Institution for Clinical Sciences, Karolinska Institutet at Danderyds University Hospital, Stockholm, Sweden.
• Curr Opin Anaesthesiol. 2021 Dec 1; 34 (6): 690694690-694.

Purpose Of ReviewAmbulatory surgery is increasing, more procedures as well as more complex procedures are transferred to ambulatory surgery. Patients of all ages including elderly and more fragile are nowadays scheduled for ambulatory surgery. Enhanced recovery after surgery (ERAS) protocols are now developed for further facilitating readily recovery, ambulation, and discharge. Thus, to secure safety, a vigilant planning and preparedness for adverse events and emergencies is mandatory.Recent FindingsProper preoperative assessment, preparation/optimization and collaboration between anaesthetist and surgeon to plan for the optimal perioperative handling has become basic to facilitate well tolerated perioperative course. Standard operating procedures for rare emergencies must be in place. These SOPs should be trained and retrained on a regular basis to secure safety. Check lists and cognitive aids are tools to help improving safety. Audit and analysis of adverse outcomes and deviations is likewise of importance to continuously analyse and implement corrective activity plans whenever needed.SummaryThe present review will provide an oversight of aspects that needs to be acknowledged around planning handling of rare but serious emergencies to secure quality and safety of care in freestanding ambulatory settings.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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