1. The relationship between the surgeon and anesthesiologist must be one of mutual trust and understanding. There have been cases reported of surgeons performing procedures for which they have little or no training.
2. A system should be in place for monitoring continuing medical education as well as peer review and performance improvement for both surgeons and anesthesiologists (Table 31-4: Sentinel Events that Should Trigger a Chart Review and be Presented at a Performance Improvement Quality Assurance Meeting).

Office-Based Anesthesia

1. Brief Historical Perspective of Office-Based Anesthesia
2. Advantages and Disadvantages
3. Office Safety
4. Patient Selection
5. Surgeon Selection
6. Office Selection and Requirements
7. Procedure Selection
8. Anesthetic Techniques
9. Postanesthesia Care Unit (PACU)
10. Regulations
11. Business and Legal Aspects
12. Conclusions