racy of LRI incisions to correct astigmatism. In her facility, she says,
"the outcomes sell this procedure."
Preloaded IOLs
The use of preloaded IOLs is up slightly, and the satisfaction with
these systems is up a lot. Well over half of all facility managers say
they are "very satisfied" with the devices' efficiency, infection control
and ability to satisfy surgeons.
"They are very easy to use for the surgical tech and surgeon," says
Ms. Picano-Wilson. "The preloaded lenses help the procedure move a
few seconds quicker," says the clinical manager of a Florida ASC.
"The fact that misloaded lenses from human error is removed from
the equation also helps."
But little less than half say they're "very satisfied" with the cost of
these devices. "We have tried several, but the additional cost does not
warrant their usage," says a Virginia ASC coordinator. "Surgeons don't
care. They just want the case finished."
"IV-free" anesthesia
One in 10 facilities has tried the MKO Melt IV-free anesthesia tablet,
where patients put 1 or 2 tablets containing midazolam, ketamine and
ondansentron under the tongue and go to sleep. The sublingual seda-
tive dissolves within 2 to 5 minutes.
The drug gets good marks for patient and surgeon satisfaction —
35% each call these "excellent." A nurse administrator of a Texas ASC
says, "Patient satisfaction with their surgery experience is better." And
Melody Hargrove, BSN, director of nursing at the busy Ophthalmology
Surgery Center of Dallas, says the surgeon who's using the drug at her
facility likes the "still eye" it produces.
But a lot of facilities (40%) say the drug is not predictable. "Results
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