Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Megatrends - January 2018

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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2. Peripheral nerve modulation Peripheral nerve modulation uses a technique that's more commonly used for chronic pain in targeting post-op pain sensations. Providers place a small electrical device next to peripheral nerves to control pain by delivering pulses of electricity to the nerves. "This may be the difference for some patients in being able to taper off of opioids after joint replacement," says Dr. Mariano. Although peripheral nerve modulation has yet to undergo large trials, Dr. Mariano is opti- mistic that it will be a useful way to keep patients moving down the road of recovery after surgery without relying on opioids. "While nerve modulation might not be needed for every patient, we can identify patients ahead of time that might have greater-than- expected post-op pain," he says. 3. Cryoanalgesia Cryoanalgesia is just as it sounds: freezing the affected nerves to numb pain. A needle-like probe delivers an extremely cold sensation to nerves, causing an interruption of pain impulses to the brain. The 5 4 • 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 A N U A R Y 2 0 1 8 • SPOT ON Ultrasound guidance lets providers place Interfascial plane blocks in connective tissue without fear of injuring solid organs. Pamela Bevelhymer, RN, BSN, CNOR

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