Outpatient Surgery Magazine - Subscribers

6 Positioning Principles - June 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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OSE_1306_part2_Layout 1 6/3/13 3:41 PM Page 93 ments, opioid-related side effects and sleep disturbances, thus decreasing required nursing interventions. In addition, time until discharge may be decreased with ambulatory infusion, reducing facility and personnel costs, freeing additional post-op beds and permitting an increased surgical volume. Providing analgesia is the primary indication for post-operative CPNB, and most CPNB benefits appear to hinge on successfully improving pain control. Potent analgesia is most dramatic for surgical sites that are completely innervated by nerves affected by the perineural infusion, as is often the case for shoulder and foot procedures (interscalene and sciatic perineural catheters, respectively). Drawbacks include increased expense (if paying out-of-pocket), additional equipment to carry (infusion

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