Outpatient Surgery Magazine

Ambulatory Anesthesia Supplement - July 2013

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/140227

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Page 58 of 58

Ambulatory_Anesthesia_2013_Layout 1 6/26/13 2:22 PM Page 59 P A T I E N T M O N I T O R I N G It's also important to continuously Noback. "The latest data show the monitor the blood sugar of diabetic anesthesia complication rate — com- patients. Stress on the body and a plications, not deaths — to be 1 in steroid in the IV can cause blood sugar 400,000 cases. That's all due to moni- spikes, which can be handled with toring changes that have let anesthesia short-acting insulin until the stress can providers be more vigilant about be resolved by pain medication, and the micromanaging the surgical environ- patient can get back on a normal insulin ment." OSM and eating schedule. There are now devices that transcutaneously assess E-mail swasek @outpatientsurg ery.net. blood sugar, which makes maintaining normal levels easier, says Dr. Noback. Rules to monitor by When Dr. Noback worked at Harbor-UCLA Medical Center, a sign read: "The 7 rules of anesthesia are vigilance, vigilance, vigilance, vigilance, vigilance, vigilance, vigilance." It's true: Micromanagement of small details has increased anesthesia safety remarkably. "When I started medical school, anesthesia-related deaths were 1 in 3,000 to 5,000 procedures," says Dr. J U LY 2013 | S U P P L E M E N T TO O U T PAT I E N T S U R G E R Y M A G A Z I N E 5 9

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