Outpatient Surgery Magazine

The Affordable Care Act - March 2015 - 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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though, is much different. They have the blocks, the pre-op cocktail, the pain pump, and the post-op narcotics." Almost all experts tout multimodal anesthesia for these procedures. Dr. Kohen says that his patients are given a pre-op pain cocktail that typically includes Celebrex or IV acetaminophen to "take the edge off." Then anesthesia providers deliver multiple blocks, typically a sci- atic and a femoral block for knee replacements. Dr. Berger notes that while inpatient procedures rely on general anesthesia to paralyze a patient, the use of blocks means surgeons will need to adapt. "The muscles are no longer loose and have more tension, and it becomes harder to position the extremity the way you want to," Dr. Berger says. "It becomes more complicated." After surgery, patients typically receive a mix of narcotics and anti-

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