What equipment is necessary to provide safe OBA? Is it the same as for the hospital setting?
An office-based anesthetic should be as safe as a traditional hospital-based anesthetic. A reliable source of oxygen with back-up, suction, resuscitation equipment, and emergency drugs should be available. Back-up electrical power should be available for lights, monitors, anes-thesia machine, and surgical equipment in the event of an electrical outage. Monitoring must be consistent with the ASA “Standards for Basic Anesthetic Monitoring.” This would include an electrocardiograph, end-tidal carbon dioxide monitor, pulse oximeter, noninvasive blood pressure device, and temperature monitor. Airway devices, such as oral and nasal airways, masks, laryngoscope handles, appro-priate-sized blades, tracheal tubes, and laryngeal mask airways should also be readily available. There must also be a means of delivering positive-pressure ventilation. If the practice includes pediatrics, age appropriate equipment must be available. Proper maintenance, testing, and care of all equipment should be carried out in accordance with the manufacturer’s recommendations and should be properly documented.