Sanjib Adhikary, MD, MBBS, an anesthesiologist at Penn State Hershey
Medical Center in Hershey, Pa., has also used every type of pain pump, from elas-
tomeric pumps to the latest smart designs. "Pain management is becoming more
challenging when patients are home, because of our limitations in following up
with them," says Dr. Adhikary. "We don't truly know how much local anesthetic
patients use or how effective it is. There's a bit of disconnect there, and smart
pumps fill that gap in care."
Pain pumps let surgeons perform complex joint procedures on an outpatient
basis, points out anesthesiologist Ryan Ivie, MD, an assistant professor at
Oregon Health & Science University in Portland. "We even send total shoulders
home on the day of surgery, and we wouldn't be able to do that without infusion
pumps," he says.
Dr. Ivie prefers pumps with an easy interface for patients. "It must be simple
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