Outpatient Surgery Magazine

The Great Prepping Debate - December 2012 - 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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Page 98 of 159

OSE_1212_part2_Layout 1 12/5/12 9:52 AM Page 99 C H A L L E N G I N G I N T U B A T I O N S RECORDKEEPING Document That Difficult Airway F lag histories of or potential for difficult airways on patients' charts, just as you would for known allergies, says Heidi Koenig, MD, president of the Kentucky Society of Anesthesiologists and professor of anesthesiology and perioperative medicine at the University of Louisville School of Medicine. When an intubation proves challenging, complete a standardized difficult airway form that Dr. Koenig created to improve communication of airway troubles between providers and facilities. The form includes checkboxes for noting the patient's body-mass index, mouth-opening size, what took place during airway management, the Cormack/Lehane laryngoscopic view, and the ultimate results of intubation and extubation. Include the form in the patient's chart and send copies to the patient's home, his surgeon and primary care physician. Sending written notification to patients and their loved ones is important as they often are more concerned after surgery about pain management, wound care and the logistics of going home than they are about airway jargon, says Dr. Koenig. — Daniel Cook ON THE WEB Download a copy of Dr. Koenig's difficult airway letter at www.outpatientsurgery.net/resources/forms. professor of anesthesiology and pain management at the University of Texas Southwestern Medical School in Dallas; the director of perioperative medicine and ambulatory anesthesia at Parkland Health and Hospital Systems in Dallas; and on the board of directors of the Texas Society of Anesthesiologists and the Accreditation Association for Ambulatory Health Care. ON THE WEB Download the references for this article at www.outpatientsurgery.net/forms. See the SAMBA consensus guidelines for OSA patients at tinyurl.com/bhbmuhy. D E C E M B E R 2012 | 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 9 9

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