• Caroline D Fosnot, Lee A Fleisher, and John Keogh.
• Department of Anesthesiology & Critical Care, Hospital of University Pennsylvania, Perelman School of Medicine, University of Pennsylvania School of Medicine, University of Pennsylvania, 3400 Spruce Street, Dulles Building, 7th Floor, Suite 700, Philadelphia, PA 19104, USA. Electronic address: fosnotc@uphs.upenn.edu.
• Anesthesiol Clin. 2015 Dec 1; 33 (4): 731-8.

AbstractAmbulatory anesthesia's popularity continues to increase and techniques continue to adapt to the needs of patients. Alterations in existing medications are promising. Postoperative nausea and vomiting, pain, obstructive sleep apnea, and chronic comorbidities are concerns in ambulatory settings. Regional anesthesia has multiple advantages over general anesthesia. The implementation of the Affordable Health Care Act specifically affects ambulatory settings as the demand and need for patients to undergo screening procedures with anesthesia. The question remains what the best strategy is to meet the needs of our future patients while preserving economic feasibility within an already strained health care system. Copyright © 2015 Elsevier Inc. All rights reserved.

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