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Pushing For Change - July 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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J U L Y 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 1 5 CONSCIOUS SEDATION Give Patients a Mint With Their MKO Melt F or cataract patients who have an aver- sion to IV needles or who have chronic opi- oid issues, an MKO melt is a wonderful alternative. The sub- lingual sedation, which consists of midazolam (3 mg), ketamine HCI (25 mg) and ondansetron (2 mg), is placed under the patient's tongue just before surgery and takes effect within minutes. But some patients can't stand the taste of these tablets. Here's a simple solution: After the tablet dissolves under the patient's tongue, give them a mint or a Life Saver so they won't leave with a bad taste in their mouth. T. Hunter Newsom, MD Newsom Eye & Laser Center Tampa, Fla. hunter@newsomeye.net MINT CONDITION After the patient's tablet dissolves under their tongue, offer them a mint to mitigate any unpleasant reaction to the taste of the conscious sedation.

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