Outpatient Surgery Magazine

OR Excellence Awards - September 2018 - 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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closely monitor fluid levels during surgery to limit risk of post-op complications such as ileus and fluid over- load that can cause issues with edema, increase post-op pain and delay discharges. All of those elements are important to the success of the hospi- tal's multimodal pain management efforts, but administering a lidocaine infusion dur- ing surgery has proven to be the key to reduc- ing patients' post-op pain. Anesthesia providers begin the drip during surgery and continue it for 1 hour post-op if patients' pain is not well controlled. IV lidocaine has been shown to reduce the need for opioids, decrease overall pain and increase patients' mobility after surgery. Side effects associated with IV lidocaine are rare and it's affordable (about $3 per bag). Patients who receive the analgesic report lower pain scores and are able to ambulate safely sooner after surgery, says Susan Cooper, BSN, RN, CPAN, CNML, nurse manager of Presbyterian Hospital's OR and PACU. "There's a lot of literature supporting the use of IV lidocaine, and S E P T E M B E R 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 4 9 • UP TO SPEED Patients who are constantly informed about pain management options don't expect to receive opioids after surgery. Texas Health Presbyterian Hospital

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