Outpatient Surgery Magazine

Manager's Guide to Abdominal Surgery - March 2014

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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3 6 S U P P L E M E N T T O O U T P AT 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 | M O N T H 2 0 1 4 H E R N I A R E P A I R F ollowing hernia surgery, it's standard procedure to give patients acetaminophen, ketoro- lac or another non-steroidal anti-inflam- matory medication, either intravenously or orally. But your post-op pain man- agement regimen can still be actively working for days after patients arrive home. Many abdominal surgeons swear by continuous local anesthetic infusion pumps, strategically placing their catheters beneath the skin at the end of the case. The pump's elastomeric reser- voir begins infusing long-lasting bupiva- caine or ropivacaine into the surgical site or over the abdominal nerves on its own and counteracts the effects of sur- gical pain before the patient even leaves the room. The take-home, disposable pain pumps, available in different sizes and with a range of dosing features and set- tings, make a surgery that once required 2 or 3 days of recovery in the hospital into one that involves discharging patients within a day and letting them get back to normal sooner. "I can't overstate the value they offer," says Rita Hadley, MD, PhD, FACS, a general surgeon at Miami Valley Hospital in Dayton, Ohio. "Fear is a terrible negative motivator. 'I'm in pain' can easily lead to 'I won't be able to take care of myself,' and that step can make for a difficult recovery. Pain pumps lend patients in recovery an enormous amount of confidence." — David Bernard PUMP IT UP Continuous local anesthetic infu- sion can smooth patients' recovery in PACU as well as at home. DELAY-FREE DISCHARGE Are Pumps Part of Your Pain Plan? 1403_AbdominalSurgeryGuide_Layout 1 2/24/14 10:36 AM Page 36

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