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.

Issue link: http://outpatientsurgery.uberflip.com/i/926595

Contents of this Issue


Page 6 of 66

pain-free surgery. Most surgeons knew that was an unrealistic expectation, but were also aware that that was the standard by which they'd be measured. Many surgeons have relied on opi- oids ever since to make their patients as comfortable as possi- ble, so surgery's contribution to today's epidemic comes as no surprise to those of us who have watched and perhaps con- tributed to the troubling over-prescribing trend. The biggest hope of minimizing post-op opioid addiction poten- tial is to increase the awareness and implementation of the alter- ative means available for managing surgical pain, including nerve blocks, epidurals and IV acetaminophen. When all of those modal- ities are maximized, it's truly incredible how comfortable patients feel after even the most invasive procedures. If multimodal pain control becomes common practice before, during and after all surgeries, opioid use will drop precipitously. Of course, the hope is that pharmaceutical researchers will also continue their search for more effective non-opioid pain control options. Forward momentum Jack Welch, the former CEO of GE, once said if your rate of inter- nal change is less than the rate of external change, you've already become irrelevant. That's a sobering thought. Change is inevitable; the only question is whether your facility will be ahead or behind the evolution curve. If you're simply maintaining your current standing, you're actually falling further and further behind the competition. OSM Dr. Talamini (mark.talamini@stonybrookmedicine.edu) is chair of sur- gery and chief of surgical services at Stony Brook (N.Y.) Medicine and former chair of surgery at UC San Diego, where he pioneered natural orifice translu- minal endoscopic surgery. J A N U A R Y 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 7

Articles in this issue

Links on this page

Archives of this issue

view archives of Outpatient Surgery Magazine - Special Outpatient Surgery Edition - Megatrends - January 2018