Outpatient Surgery Magazine

Her Loss, Their Gain - October 2019 - 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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At Montefiore, sur- geons perform numer- ous arthroscopic orthopedic proce- dures, and a signifi- cant amount of these are done with the aid of regional anesthesia. For example, shoul- der arthroscopy patients receive inter- scalene brachial plexus blocks and, in some cases, a superfi- cial cervical plexus block. For extremity procedures, anesthe- sia providers place supraclavicular brachial plexus blocks in combination with intercostobrachial nerve blocks. • Systemic pharmacological therapies. Multimodal drug therapies are built using core agents such as NSAIDS, alpha-agonists, NMDA receptor blockers, membrane stabilizers like pregabalin (Lyrica) and dexamethasone. The ultimate goal is to maximize the drugs' benefits for analgesia in the most opioid-sparing way possible, while also minimizing the risks that are inherent with the medications because, as Dr. Choice puts it, "Nothing's free — everything that we give also has some side effects." When it comes to structuring your multimodal drug regimen, you need 7 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 • O C T O B E R 2 0 1 9 • GOOD TALK Having anesthesia providers explain to patients everything they can expect post-op is a critical part of the education process.

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