Enhanced Recovery Programs in Outpatient Surgery

Anesthesiol Clin. 2019 Jun;37(2):225-238. doi: 10.1016/j.anclin.2019.01.007. Epub 2019 Mar 15.


Although enhanced recovery pathways were initially implemented in inpatients, their principles are relevant in the ambulatory setting. Opioid minimization and addressing pain and nausea through multimodal analgesia, regional anesthesia, and robust preoperative education programs are integral to the success of ambulatory enhanced recovery programs. Rather than measurements of length of stay as in traditional inpatient programs, the focus of enhanced recovery programs in ambulatory surgery should be on improved quality of recovery, pain management, and early ambulation.

Keywords: Ambulatory surgery; Enhanced recovery after surgery; Enhanced recovery programs; Multimodal analgesia; Opioid-sparing pain management; Peripheral nerve blocks; Postdischarge nausea and vomiting; Quality of recovery.

Publication types

  • Review

MeSH terms

  • Airway Management
  • Ambulatory Surgical Procedures / methods*
  • Anesthesia / methods*
  • Anesthesia Recovery Period*
  • Humans