providers say they do
both, depending on the
patient. "This requires a
specific patient to dis-
cuss accurately," says
William Landess, CRNA,
MS, JD, corporate direc-
tor of anesthesia at
Palmetto Health in
Columbia, S.C., "as there
is no one cookie cutter
approach to this difficult
patient population."
Relatively few, mean-
while, routinely check
urine drug screens pre-
operatively (12.2%) or
screen for substance
abuse and refuse to do
outpatient procedures
on those who fail
(10.2%).
Planning for nausea
Another impressive step forward: Providers are being proactive and
preemptive regarding nausea, with only 12% saying they take a "wait-
and-see" approach.
The vast majority either routinely give "triple therapy" (scopo-
lamine, ondansetron and dexamethasone) to every patient (33.3%),
screen for PONV risk and treat those at risk (25.4%), routinely give
F E B R U A R Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 1 2 5
• GENERAL AVOIDANCE The vast majority of survey respondents say they prefer to use regional anes-
thesia whenever possible.
