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How Do You Measure Up? - October 2013 - Subscribe to 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 85 of 118

OS_1310_part2_Layout 1 10/7/13 10:26 AM Page 86 P A I N M A N A G E M E N T Privacy for pain patients If your facility has a C-arm, an imaging table and time on the schedule, you're probably hosting or considering pain management injections. They're quick, inexpensive and profitable. (See "Adding Pain Management Painlessly," Outpatient Surgery Magazine, October 2012, tinyurl.com/mczp6fm.) You can work in your existing ORs and procedure rooms, but for preprocedure handling, there's a lot of value in a separate space. Pain patients tend to have difficulties with standing, sitting and ambulating. The bright lighting, stiff chairs, captive audience and anxious pediatric ARE STEROIDS NECESSARY? Injecting Other Fluids Also Effective Against Pain hen anesthesiologists at Johns Hopkins University School of Medicine reviewed the existing literature on chronic back pain treatments, they weren't surprised to find that epidural injections of steroids were more effective than intramuscular injections of steroids, saline or local anesthetic. But they didn't expect to discover that epidural injections of saline or analgesic were also more effective for pain relief than intramuscular shots were. In a study appearing in the October issue of the journal Anesthesiology (tinyurl.com/k86wqfd), the researchers report that the simple act of injecting liquid into the epidural space seems to offer relief, without steroids' potential adverse effects. This may have been overlooked, they note, since previous studies compared epidural steroids against control injections that were not placebos but actual treatments. While they don't recommend an end to the use of steroids in pain management, they point out that, if further research supports their findings, smaller — David Bernard doses might provide the same benefits. W 8 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 | O C T O B E R 2013

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