Outpatient Surgery Magazine

Unsung Heroes - November 2019 - Subscribe to Outpatient Surgery Magazine

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

Issue link: http://outpatientsurgery.uberflip.com/i/1183510

Contents of this Issue


Page 102 of 146

the blocked extremity. "If a patient reports any of these symptoms, they should clamp the catheter on an elastomeric pump or turn an electronic pump off, and immediately go to an emergency room for care," says Ms. Winchester. • Infection. Infection rates associated with continuous catheters are very low, says Ms. Winchester. Indications of infection include fever, red or warm-to-the-touch skin at the insertion site, or a foul-smelling discharge present where the catheter is placed. Patients who suspect the incision site is infected should contact a healthcare provider, remove the catheter and seek follow-up care. "You have to explain to patients very carefully in a short period of time how the system they'll be going home with will work, how to monitor the catheter placement, when it's supposed to come out and what to look for while it's still inside them," says Dr. Margulis. "I've therefore found that continuous catheters are most effective for patients who are active participants in their own care and able to follow detailed discharge instructions, and who have a support structure in place at home." Choosing to place CNBs should ultimately be done on a case-by- case basis. Don't let concerns about managing the blocks from afar prevent your patients from experiencing the benefits of longer-lasting pain relief that CNBs provide. With proper oversight and planning, the analgesic benefits far outweigh the potential patient safety risks. OSM N O V E M B E R 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 1 0 3

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Unsung Heroes - November 2019 - Subscribe to Outpatient Surgery Magazine