Outpatient Surgery Magazine

Same-Day Joints - March 2013 - 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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OS_1303_part2_Layout 1 3/8/13 10:35 AM Page 57 P A I N & P O N V post-op pain and limiting PONV risks are essential to maintaining clinical efficiencies, patient satisfaction and overall surgical success. Here's how we keep your patients comfortable, from the moment they arrive to the time they're ready for discharge. Pre-op prescriptions Patients are prepped and ready for surgery about an hour before undergoing involved procedures such as ACL or shoulder repairs. "Effectively controlling post-op pain and PONV will keep you on the cutting edge of outpatient surgical care." They receive 200mg of celecoxib and 650mg of acetaminophen. An important note: Aspiration risks increase if the drugs are given less than an hour before the procedure's start time. These patients also have nerve blocks placed. (Most aren't sedated before block placement, but those that are receive 1mg of midazolam.) One of the biggest contributors to the evolution of outpatient orthopedics is the growing popularity and use of nerve blocks to control patients' discomfort. When performed effectively, nerve blocks essentially eliminate pain throughout the surgical procedure and immediately post-operatively, usually for 24 hours, and sometimes for up to 48 hours. The most important benefit of regional blocks, however, occurs during procedures, when getting ahead of patients' pain lets anesthesia providers M A R C H 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 5 7

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