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Elective Surgery is Essential - August 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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the next two years. Interestingly, however, more than 80% of centers that aren't using femto lasers say it's unlikely they'll be performing laser cataract surgery in the next two years, which indicates a leveling out of the market. "We've been performing femtosecond cataract surgery for eight years, and our volume and per- centages have been steady over time," says one respondent. Another predicts laser cataract procedures will grow sig- nificantly in their facility because "patients are more informed and want the best outcomes." A nurse manager at a Michigan surgery center cited laser's virtues as "ease of use, less trauma to the eye and better outcomes," and adds their surgeons love it. However, a significant minority has yet to embrace the technolo- gy. "We did perform femto laser- assisted cataract surgery for a year and found our results were just as good without it," says Susan Marks, MS, BS, administra- tor at Augusta (Ga.) Eye Surgery. Dianna Reed, BA, administrator at Sani Eye Surgery Center in Templeton, Calif., says it's "faster for my doctors to perform surgery without the laser." An administra- tor at a New York City surgery center says they simply don't have room for the platform. Still others are on the fence. Kathy Young, RN, BS, director of nursing and administrator at the Colorado Eye Institute's Peak Surgery Center in Colorado Springs, says she expects the vol- ume of laser procedures to grow only moderately at her facility because of the extra cost associ- ated with the procedure. • IV-free surgery. Usage of "under the tongue" anesthesia as an alternative to starting an IV remains relatively minimal, although centers reporting adoption rose from 9% in 2018 to 16% this year. All told, 63% of respondents who aren't using IV-free anesthesia said they don't expect to adopt it over the next two years. Kim Nordby, RN, MSN, CNOR, administrator at NovaMed Surgery Center Chicago Northshore, says "99% of our cases are IV-free." 3 6 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 2 0 COMMON COMBINATION Microinvasive glaucoma surgery (MIGS) is performed simultaneously with cataract procedures at about 70% of surgery centers. By comparing responses from our 2018 and 2020 surveys, we found increased usage of femtosecond lasers, IV-free anesthe- sia and dropless procedures, while usage of intracameral antibiotics and MIGS stayed roughly level. 2018 2020 Offering femtosecond laser? 40% 60% Using "IV free" anesthesia? 9% 16% Offering "dropless"? 31% 45% Using intracameral antibiotics? 45% 45% Offering MIGS? 73% 71% SOURCE: Outpatient Surgery Magazine online survey, July 2020. Based on 68 responses. Adoption of New Procedures and Protocols

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