Outpatient Surgery Magazine

Salary Survey - January 2020 - 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/1199007

Contents of this Issue


Page 79 of 110

laryngoscopes have improved so much that, "with a little bit of train- ing, you can turn everybody into someone who can successfully intu- bate 90% of the American public," says Tom Losasso, MD, staff anes- thesiologist with Summit Anesthesia/Orthopedics in Eagan, Minn. "Every [outpatient facility] should have a video laryngoscope because it makes everybody more effective." Emerging disposable video laryngoscopes could make economic sense for smaller facilities as opposed to buying a single reusable scope that costs thousands of dollars and requires maintenance and cleaning, says Dr. Berkow, while larger facilities with dozens of ORs may be better served buying multiple $15,000 reusable scopes rather than hundreds of disposable ones. Supplemental oxygen devices Supplemental oxygen devices are gaining favor in response to treating older, heavier patients with several comorbidities. "You can be really facile with a video laryngoscope," says Dr. Berkow. "but if your patient starts to desaturate the minute you give sedation, you also need a plan to oxygenate and ventilate." One such plan uses a device that delivers humidified nasal oxygen at up to 30 liters a minute that's "surprisingly well-tolerated by patients," says Dr. Berkow, adding it's proven effective on patients with some airway stenosis or ENT lesions. Another is a CPAP-like device that fits over the nose and hooks up to high-flow oxygen. "It stents the airway open, so they're really valu- able for patients with morbid obesity or obstructive sleep apnea," says Dr. Berkow. "You can put these devices on before they go to sleep and leave them on during airway management, because they're delivered through the nose." High-flow nasal oxygen could let your providers sedate more patients with an uncontrolled airway rather than intubating or placing 8 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 2 0

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Salary Survey - January 2020 - Subscribe to Outpatient Surgery Magazine