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P O S T- O P
M A N A G E M E N T
consequences among patients with
PACU pearls
sleep apnea, the move away from nar-
When you think about what patients
cotic sedation can also remove a large
go through at the end of surgery, as
trigger for nausea. Combining intraop-
they're emerging from anesthesia, it's
erative dexmetedomidine, ketamine,
a wonder that only about a third of
clonidine or remifentanil with
them wake up nauseous.
We turn off the gas or IV anesthetic,
NSAIDs (such as IV ibuprofen and IV
acetaminophen) or local anesthetics
exposing them to the pain of surgery.
to assist in post-op pain management
We slide a Yankauer into their
can prove effective.
oropharynx to suction out secretions
and pull the pinky-thick endotracheal
4 8
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O U T PAT I E N T S U R G E R Y M A G A Z I N E | J U LY 2013