Outpatient Surgery Magazine

Queasy Feeling - April 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.

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Page 41 of 154

inner-ear surgery or an eye-muscle surgery, or pretty much any kind of plastic surgery — all of these will expose the patient to a higher PONV risk. 3 Avoid volatile anesthetics. Unless someone who has a personal history of nausea and vomit- ing tells you upfront, "Yes, I'm going to have a problem," there's no tried-and-true way to predict when PONV will be an issue. But using volatile anes- thetics, including nitrous oxide, is sure to ratchet up the risk. So when and if you can avoid volatile anesthetics, ask yourself: What is a safe alternative? Whenever possi- ble, I'd suggest using a propofol infusion in their place. Other consid- erations: Is regional anesthesia or neuroaxial anesthesia an option, given the nature of the procedure? Also, using opioids to manage a 4 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 • A P R I L 2 0 1 7 Chances are you've seen anesthesiologist Edna Ma's face before. She was one of 18 castaways com- peting for the $1 mil- lion purse on CBS's long-running reality show Survivor: South Pacific. She spent 33 days on the island of Upolu, Samoa, and outlasted all but 6 of her fellow castaways. Two years later, she appeared on ABC's Shark Tank. There she promoted Dr. Edna's BareEASE, the skin anesthetizer and moisturizer she dreamed up after receiving her first "needlessly painful" Brazilian bikini wax. Her inspiration (osmag.net/7YbRNj) came in part from EMLA cream, the local anes- thetic. — Bill Donahue IN THE SPOTLIGHT Dr. Ma Shines on Reality TV Shows Survivor and Shark Tank • BIG FISH Dr. Ma on Shark Tank. • CASTAWAY Dr. Ma on Survivor: South Pacific.

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