The Division of Ambulatory Anesthesiology at Vanderbilt was formed in 2008 to provide services for a growing number of Vanderbilt University Medical Center satellite locations including the Nashville Surgery Center (NSC), Vanderbilt Outpatient Surgery Center (VOS), the Cool Springs Surgery Center (CSSC), and Vanderbilt Bone & Joint Surgery Center (VBJ.) The newest ambulatory surgery center, Vanderbilt Bone & Joint, was fully staffed by Vanderbilt providers in March 2011. The Vanderbilt Bone & Joint location specializes in orthopedic procedures and extends regional anesthesia services to Williamson County residents. In addition, the Ambulatory Anesthesiology Division’s faculty provide outpatient procedural services for the gastroenterology suite at Vanderbilt University Hospital. The Division of Ambulatory Anesthesiology provided anesthesia services for an estimated 17,000 patients in 2013.
New services have been added in the division as demand for ambulatory surgery procedures continues to grow. In October 2009, the Cool Springs Surgery Center began offering ambulatory neurological procedures and a surgical spine service, including anterior cervical discectomy and minimally invasive lumbar laminectomy. Outpatient bariatric surgery has also been added at CSSC. CSSC has enjoyed national recognition two years in a row as Symbion's "Surgery Center of the Year."
In addition to its clinical service activities, the division also provides educational experiences for residents and fellows in ambulatory anesthesia and perioperative management. Residents are extensively involved in the critical issues of patient selection and perioperative care for this increasingly complex patient population. As the NSC is primarily an orthopedic/sports medicine center, a significant portion of training in regional anesthesia occurs here. This separate and distinct rotation allows residents to focus on learning the techniques of regional blockade including the use of ultrasound and the placement of regional catheters for home-based, post-operative pain management. Residents also learn how to manage an entire system of care to deliver safe and cost-effective care while achieving high patient and surgeon satisfaction. There are opportunities within the division for scholarship in clinical research related to optimal patient assessment and outcome management.
The Division of Ambulatory Anesthesiology is lead by Dr. Katherine Dobie and includes nine full time faculty, 21 CRNAs, and two to three rotating residents.