Development of National Guidelines for Office-Based Otolaryngology Procedures

Abstract

Objectives:

(1) Describe the various basic recommended guidelines to safely perform office-based procedures in otolaryngology (levels of anesthesia, staff training, pre/post procedure care, critical equipment and supplies, and hospital transfer). (2) Discuss state-specific guidelines for office-based procedures. (3) Describe the basic equipment and room setup to ensure safe, efficient, and successful office-based procedures for anesthesia without sedation. (4) Develop a national standard for office-based procedures in otolaryngology that will act as a guideline for the office-based surgeon.

Methods:

Office-based procedures will continue to gain significant popularity in otolaryngology as more surgeons take advantage of this safe and effective alternative to procedures based in the operating room. This paper involved examining the various existing guidelines for office-based procedures, including necessary equipment, staff training, anesthesia protocols, and documentation. The various state guidelines on office-based procedures were reviewed on an individual basis to produce a set of guidelines that any otolaryngologist can use to develop an office-based procedure practice.

Results:

A guideline has been developed covering all critical aspects necessary to perform safe, effective, and successful office-based procedures, focusing on anesthesia without sedation, for the otolaryngology surgeon. This guideline will help outline the necessary steps for the creation of an office-based procedure practice for otolaryngologists across the country.

Conclusions:

Office-based otolaryngology procedures are quickly increasing in popularity and frequency. National guidelines are necessary to ensure these procedures continue to be successful, safe, and patient focused.