Ambulatory Anesthesia & Perioperative Services

Ambulatory Anesthesia & Perioperative Professional Services

It is our expectation to provide professional anesthesia services in all open operative rooms on a daily basis. This would include all aspects of perioperative medicine, including preoperative preparation, intraoperative care, and postoperative care through discharge. Every attempt is made to maximize ease and convenience to the patient and surgeon, with a goal of eliminating same-day cancellations. All patients should be optimally prepared medically by their surgeon and primary care physician prior to arrival at the center on the day of surgery. This process may be more involved for patients in higher risk categories than for otherwise healthy patients. For Category I and II patients, generally nothing more than a phone interview prior to the day of surgery is all that is necessary. Category III patients generally need nothing more than an interview so that all are aware of any possible risks to the patient. However, on occasion, a Category III patient may need additional lab work or other evaluation preoperatively, depending on the severity of illness. It would be anticipated that if a Category IV patient is to have a procedure at the center, preoperative testing and preoperative medical evaluation would be performed in each case. In these patients, the ultimate decision to proceed would be a joint decision between the anesthesia providers and the surgeon.

Anesthesia Concepts (AC) believes that appropriate anesthesia risk categories for surgeries performed should be American Society of Anesthesiologists (ASA) Categories I, II, and III. ASA Category IV patients may be considered on a case-by-case basis, depending on the type of surgical or diagnostic procedure being performed, as well as the reason for the classification. Each Category IV patient would be addressed individually with the surgeon, and appropriate procedures followed. Medical evaluation preoperatively would often be advisable for these types of patients. It would be our intention to keep patient safety and comfort as a priority in all cases.

All nationally recognized accreditation organizations require that a complete history and physical be performed on any patient presenting for a surgical procedure. AC supports this philosophy and will remain in compliance with these requirements. Finally, AC would be intimately involved in pre-admission testing.


  • Provide certified and credentialed medical staff of the highest caliber to staff the facility and assure full coverage at all times.
  • Contribute to and/or oversee purchasing and routine maintenance of anesthesia equipment and supplies so that the most up-to-date equipment is utilized.
  • Develop accurate record keeping techniques and construct efficient and effective forms which meet accreditation standards, including preoperative, intraoperative, and postoperative forms.
  • Work with pharmacy to provide appropriate, up-to-date and cost-effective use of drugs during anesthesia.
  • Work closely with the nursing staff in every way, including development of policies and procedures, credentialing, education, and patient care.
  • Work closely with nursing, pharmacy, and purchasing staff to provide the safest product in the most cost effective way.
  • Help develop a friendly and professional working relationship with surgeons and consultants to facilitate referral of their patients for surgery.
  • Help provide a comfortable and caring environment so that patients experience the least amount of anxiety during surgery.
  • Assure that patients are adequately prepared for surgery and that they receive the safest and most appropriate anesthetic in a cost effective way.
  • Help develop and participate in a system for operating room turnover so that downtime is minimized between cases.
  • Participate in the development of a system for monitoring patient satisfaction, postoperative follow-up, and quality assurance (QA) to improve overall care.
  • Participate in relevant committees such as QA, pharmacy, credentials, equipment, education, policies and procedures, PACU, etc.
  • Negotiate in good faith with patients and third party payers to assure that services are provided in a way that is financially appropriate for all parties involved.
  • Support and assist Ambulatory Surgery Centers (ASC) with community relations and marketing efforts.