Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Anesthesia - July 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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the amount of anes- thetic that's delivered allows for a smoother anesthetic experience. This is especially help- ful at the beginning of cases, when you're try- ing to reach an ade- quate depth of anes- thesia, and at the end of cases, when you're lightening the anes- thetic so patients emerge as surgeons place the last stitch. Sophisticated ventila- tor modes function with nearly the same precision as ICU venti- lators. This allows the provider to tailor the optimal ventilator mode for a particular patient's sur- gery and medical condition. Older machines were limited to a simple choice of either volume control or pressure control mode. For patients undergoing laparoscopic cases with high intra-abdominal pressures, or patients who have poor lung compliance, this could raise the risk of both barotrauma and inadequate ventilation. Newer machines allow hybrid modes to ensure both optimal inspiratory pressures and adequate tidal volume. It's extremely valuable to have the capability to dial in exact tidal volumes and pressures, and to have those settings repeat reliably. In addition, integrated monitors that measure complex respiratory J U L Y 2 0 1 8 • O U T PA T I E N TS U R G E R Y. N E T • 4 9 • GO GREEN Breathing circuits on newer machines are designed to limit wasting of gas into the atmosphere to shield your staff from exposure to greenhouse gases.

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