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The LMAs also have dual-gastric access with suction to provide a conduit of least resistance in the event of aspiration. The company is planning a limited release in the next few months, and a full-market release in mid-2017. The question, says Eugene Viscusi, MD, a pro- fessor of anesthesiology and the director of acute pain management at Thomas Jefferson University in Philadelphia, is whether decision- makers will be willing to pay more in the absence of hard data show- ing benefits. "It does look like a better product," he says. "I like it, I think it's really cool. But ultimately it's all about the evidence. I need to be able to convince the C suite to pay for a more expensive product. And for that, I may need hard data." D E C E M B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 1 0 5 *from the date of manufacture † or until solution is clear Important Safety Information The use of Revonto in the management of malignant hyperthermia crisis is not a substitute for previously known supportive measures. These measures must be individualized, but it will usually be necessary to discontinue the suspect triggering agents, attend to increased oxygen requirements, manage the metabolic acidosis, institute cooling when necessary, monitor urinary output, and monitor for electrolyte imbalance. Patients who receive i.v. dantrolene sodium preoperatively should have vital signs monitored. If patients judged malignant hype If patients judged malignant hyperthermia susceptible are administered dantrolene sodium preoperatively, anesthetic preparation must still follow a standard malignant hyperthermia susceptible regimen, including the avoidance of known triggering agents. Monitoring for early clinical and metabolic signs of malignant hyperthermia is indicated because attenuation of malignant hyperthermia, rather than prevention, is possible. Despite initial satisfacto Despite initial satisfactory response to i.v. dantrolene there have been reports of fatality, which involve patients who could not be weaned from dantrolene after initial treatment. The administration of i.v. dantrolene is associated with loss of grip strength and weakness in the legs, as well as drowsiness and dizziness. There have been reports of thrombophlebitis following administration of intravenous dantrolene. Tissue necrosis secondary to extravasation has been reported. Injection site reactions (pain, erythema, swelling), commonly due to extravasation, have been reported. Fatal and non-fatal liver disorders of an idiosyncratic or hypersensitivity type may occur with dantrolene sodium therap type may occur with dantrolene sodium therapy. To see the full prescribing information visit www.revonto.com. © 2016 US WorldMeds, LLC. Revonto is a registered trademark of US WorldMeds, LLC. 36 month shelf life* Ready to administer in 20 seconds † Visit www.revonto.com or call (877) 411-USWM (8796) to learn more about Revonto and to see the full Prescribing Information. REV-P81-1215 ® Are You Prepared for a CRISIS?