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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OSE_1212_part2_Layout 1 12/5/12 9:50 AM Page 76 F R O M T H E S H O W F L O O R tion, the "ecoFLOW" application graphically displays the amount — and cost — of the anesthetic agents used and oxygen consumed during surgery. The whole idea of cost-efficient anesthesia is good, and a significant factor for us right now. There's no way we're going to compromise patient care, but case costs are a pressure. This immediate feedback can assist us in those aims, by showing us how much we can do with low-flow anesthesia. The big question is: If your anesthesia providers know how much the gas is costing as it's being delivered, will it influence how they practice? The ecoFLOW offers a polite (and optionally visible) reminder that they could go lower, but it's dependent on them to heed those numbers. Dr. Bloom is skeptical, too, about the widespread adoption of virtualized touchscreen controls for gas delivery over the tactile feedback of the mechanical dials and bobbins we trained with. KARL STORZ-ENDOSCOPY Flexible Intubation Video Endoscope (FIVE) As soon as Dr. O'Neill had this scope in his hands, he wanted it for his cases. The lighter handpiece, the equilibrium point, the hand control's nicely ergonomic neutral position (with tactile and audible signals): It's all about the simple pleasures. This flexible video endoscope has a CMOS video chip at the distal end instead of a CCD chip at the handpiece, as fiber-optic scopes do. 7 6 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 | D E C E M B E R 2012

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