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How Will You Stop Her Pain? February 2015 - Subscribe to Outpatient Surgery Magazine

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make vessels visible to increase the likelihood of first-stick success, which benefits nurses and patients as well as anesthesia providers. Reuben Wechsler, MD, MBA, chief of anesthesiology at Emory University Orthopaedic and Spine Hospital in Atlanta, Ga., sees a staffing solution in it. "It helps pre-op nurses with difficult insertions, freeing anesthesia personnel," he says. "It's rare to use ultrasound for IV access, but it's a great tool when needed," says Dr. Lineberger. Adds Dr. Friedman, "These have really helped to improve vascular access, reduce OR delays and improve patient satisfaction." 4. anesthesia information management systems The efficiency of the anesthesia care your providers deliver depends largely on how resources — from drugs and OR time to workforce management and patient monitoring — are applied to the task, says Mark E. Hudson, MD, MBA, an associate professor of anesthesia at the University of Pittsburgh (Pa.) School of Medicine. "Resource efficiency is a function of being more cognizant of where efficiency occurs," he says. "If the OR schedule isn't efficient, anesthe- sia care can't be. If we are assigned to cover something inefficient, we will be inefficient." Ashish Sinha, MD, PhD, DABA, agrees, adding insights from his own experience. "What hurts us the most is not knowing, a lack of infor- mation in the process. Video laryngoscopes can help with efficiency, smoother IV starts, too, but the real hold-up is usually a lack of infor- mation," says the vice chair of anesthesiology and perioperative medi- cine at the Drexel University College of Medicine in Philadelphia, Pa. "It's a matter of sharing where resources are being used. So the biggest efficiency builder is some sort of system that makes every player aware of everybody else, that can track the whole process." Anesthesia information management systems (AIMS) can manage the case scheduling and tracking needs that Dr. Hudson and Dr. Sinha 7 8 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 | February 2015

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