Outpatient Surgery Magazine

Salary Survey - January 2020 - 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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Special in-services are needed for members of the surgical team, who must be taught about the enhanced coordination these cases demand. The team works alongside and communicates constantly with the hypnotherapist, who remains by the patient's side for the entire procedure. Anesthesia providers, in particular, work closely with the hypnotherapist and the surgical team to titrate local anesthet- ics — appropriate dosages of local are calculated before procedures begin and on hand in the room, ready for administration — at the sur- gical site based on the patient's level of hypnosis. Consider the benefits Patients could undergo hypnosedation to eliminate the common side effects associated with general anesthesia, avoid intubation so as to not exacerbate severe TMJ disorders or sidestep worries about the link between inhalational gases and post-op cognitive dysfunction. Hypnotized patients require no benzodiazepines, volatile anesthetics or propofol for cases that would otherwise require the administration of all 3 medications. Plus, the OR is an appropriate setting to attempt hyp- nosedation for patients who express interest in the technique because you can easily transition to administering general anesthesia if patients don't respond appropriately. We've used electroencephalogram monitoring to measure brain activ- ity in hypnotized patients and noticed increased activity in the occipital cortex, which is associated with vision, and decreased activity in some of the somatosensory pathways, which are associated with pain sensa- tions. Those fascinating results, which we published in the May 2019 issue of the journal Breast (osmag.net/b9QAuY), provide evidence of hypnosedation's effectiveness and show it's a method worthy of further investigation. After surgery, recovering patients are wide awake and ready for Anesthesia Alert AA 3 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 • J A N U A R Y 2 0 1 9

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