Outpatient Surgery Magazine

Anesthesia Plus - February 2013 - Outpatient Surgery Magazine - Subscribe

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 79 of 159

OSE_1303_part2_Layout 1 2/7/13 4:27 PM Page 80 I N H A L A T I O N A L A N E S T H E S I A 1. Cost savings Where is low-flow use most widespread? In third-world countries where the high cost of volatile agents desflurane and sevoflurane demand cost-savings measures wherever possible. The expense of volatile anesthetics directly affects your anesthesia budget — if your providers dropped flow rates from 2L per minute to 500cc per minute, for example, you'd realize several thousand dollars a year in savings per OR — so convince your providers to limit flows of the costliest agents. Isoflurane is inexpensive, so the potential cost savings of using it during low-flow anesthesia is nominal. If your providers use sevoflurane or desflurane, however, the cost savings can add up. 2. Less waste The higher the flow of air and oxygen through your anesthesia machine, the more volatile agent the flow picks up and potentially releases into the atmosphere. The negative impact of waste anesthetic gases on the atmosphere is very small, but very real, and something you need to be conscious of limiting. Perhaps a more immediate and tangible danger hits closer to home: Waste anesthesia gas also contaminates the OR and could harm your surgical team members, a potential danger regulated by OSHA. No worker should be exposed to a concentration of waste anesthetic gases >2 parts per million (ppm) of any halogenated anesthetic agent, according to OSHA recommendations. When such agents are used in combina8 0 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 | F E B R U A R Y 2013

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