Outpatient Surgery Magazine

No Guarantees - March 2017 - 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.

Issue link: http://outpatientsurgery.uberflip.com/i/798078

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Page 26 of 138

of more than 60 but less than 75 with baseline, real-time EMG — elim- inates ketamine hallucinations and dramatically reduces loss of air- way and blood pressure drops during induction. There's no change in SpO 2 tone during induction and spontaneous ventilation is preserved. I'm now up to more than 6,000 patients, and none has ever been hos- pitalized for post-op pain management, PONV or post-op cognitive dys- function (brain fog). I practice office-based cosmetic surgery anesthe- sia. And the "nifty fifty" works just as well to prevent post-op pain when using regional anesthesia with propofol sedation as it does with general inhalational anesthesia, especially when it's given without the benefit of direct cortical response (brain) monitoring. A 14-minute YouTube video detailing the "nifty fifty" is at osmag.net/MCwCo7. I believe it's no longer acceptable to rely on the absence of heart rate and blood pressure changes to be sure you're protecting the patient's brain from incoming noxious pain signals that occur with skin incision. Heart rate and blood pressure are brain stem functions. Consciousness and pain are processed at higher cortical levels. In fact, the American Society of Anesthesiologists' awareness study M A R C H 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 2 7 Call: 888.416.2409 info@eSutures.com • eSutures.com We Stock It, So You Don't Have To! eSutures.com knows that efficient inventory management is the key to your facility's success. From sutures to endomechanicals, to implants and instruments, we have over 1 million items in stock and ready to fulfill your just-in-time ordering needs! • All orders placed by 3pm CST ship same day; expedited shipping is available. • Low prices every day - no contracts and no minimum order requirements. • Brand name products sold by the box or individual unit. Use promo code: OSM10 for 10% OFF your order of $50 or more!* *Offer expires 12/31/17. Limit 1 per customer.

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