Outpatient Surgery Magazine

Compounding Disaster - July 2016 - 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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Imprimis Pharmaceuticals | MKO Melt Imprimis is on a mission to save health care billions of dollars by marketing low- cost therapeutics that have the same essential efficacy as much more expensive products. Sure the company makes money, but it's not trying to gouge physicians and patients. I respect that. At this year's show, Imprimis introduced MKO Melt, a sublingual IV-free sedation alterna- tive. Patients place 1 to 2 of the small tablets under the tongue, where the midazolam, ketamine and ondansetron compound (the MKO in the product's name) dis- solves into the bloodstream in a matter of minutes. A company rep says Melt's sedative effect is more consistent than IV sedation and leaves the bloodstream in a couple hours, which helps speed recov- eries and improve OR efficiencies. The rep also says several eye facilities have used Melt to go IV-free and say it has made the patient experience much more enjoyable. There's definitely a market for this form of sedation in cataract surgery, even for facilities that can't or don't want to eliminate IVs altogether. There are always patients in whom starting a line is difficult, if not impossible — elderly cancer patients, for example. For those patients, the anesthesia provider might titrate Xanax or sublingual Versed to an effective dose. Using Melt in those instances would provide a more consistent dose and predictable results. I think keeping a stock of these tablets on the shelf in case you can't start an IV would be useful. Imprimis says Melt costs $25 for a 2-Trokie dose, which is the most you'd need to sedate a patient. 9 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 6

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