Outpatient Surgery Magazine

COVID-19 Crisis - April 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.

Issue link: http://magazine.outpatientsurgery.net/i/1234902

Contents of this Issue

Navigation

Page 60 of 114

A P R I L 2 0 2 0 • O U T PA T I E N T S U R G E R Y. N E T • 6 1 O ne of outpatient surgery's hottest specialties is fueling the rise of spinal anes- thesia. "Before we performed total joints in surgery centers, we hadn't utilized spinal anesthesia for any other procedures," says Mike MacKinnon, CRNA, who practices in Arizona. "Now we're using low-dose spinals — 0.8 cc to 1.0 cc of 0.75% bupivacaine — for total knees." Mr. MacKinnon says this low dose lets surgeons perform total knees with sedation plus an adductor canal block and iPACK or popliteal plexus block. "The spinal wears off within 30 min- utes to an hour in post-op, allow- ing the patient to start physio- therapy almost immediately," he adds. "The blocks also keep them pain free for up to 30 hours." Surgeons are better able to perform total knees with a spinal block placed because of the significant benefit total paralysis of the lower extremity provides, according to Mr. MacKinnon. Joe Paone | Senior Associate Editor Spinal Anesthesia Is the Smart Choice The lower-body blocks lead to quicker recoveries and limit opioid use. • ONE AND DONE Spinal anesthesia requires one shot, has a quick onset and can provide full numbness and paralysis for less than an hour.

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - COVID-19 Crisis - April 2020 - Subscribe to Outpatient Surgery Magazine