Outpatient Surgery Magazine

Special Edition: Orthopedics- September 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.

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Page 29 of 35

A safe and speedy recovery is the result of a compre- hensive process that begins long before incisions are made and continues well after patients exit your facility. From the moment patients first meet with one of your nurses for pre-operative edu- cation sessions until final physical therapy sessions are in the books, there are myriad opportunities to enhance their recoveries — and virtually guarantee they spread the word about the peerless care they received from your facility. Ahead of the pain Ultimately, positive recoveries depend on controlling patients' post-op pain in an efficient and targeted manner. Unfortunately, the pain associated with many orthopedic procedures, especially spine surgeries, is still primarily controlled with high-dosages of opioids, which is archaic and bar- baric — not to mention inefficient and side-effect inducing. The good news is we're beginning to use a more targeted approach to pain control that makes low-dose opioids the last resort for post-op pain control. What's more, we're bolster- ing this approach with better pre-op education and more convenient and effective post-op rehab. A multimodal analgesia (MMA) approach is the way to go. Using different-acting medications in small amounts means a smaller amount of post- operative opioids are needed, which in turn removes a cascade of negative side effects for patients. A suc- cessful MMA protocol — coupled with solid pre- and post-op patient education and rehab — is crucial for outpatient orthopedic facilities. At least 85% of spine repairs, the specialty in which I focus, are open surgeries, which often require providers to medicate patients with large amounts of opioids afterward. Of course, opioids are also used to manage post-op pain after plenty of other common orthopedic procedures such as 3 0 • S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 2 0 Kern Singh, MD | Chicago Recoveries Patients Rave About Improved pre-op education, multimodal analgesia and virtual physical therapy decrease post-op pain and recovery times. PREVENTATIVE MEASURE Patients of Kern Singh, MD, receive small amounts of opioid-free drugs before and during surgery to minimize the need for large amounts of narcotics. Midwest Orthopaedics at Rush

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