Outpatient Surgery Magazine

Worth Every Penny - January 2021 - 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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W ith opioid- sparing pro- tocols firmly positioned as the standard for managing post-op pain, sur- geons and anesthesiologists have become masters of multimodal analgesia, perfectly combining a little bit of this and a little bit of that to send satisfied patients home in as little pain as possible. With that in mind, here are the key strategies that should be a part of your facility's pain man- agement efforts. • Regional anesthesia. For notoriously painful procedures, nerve blocks — delivered via a single-shot block or continuously through the aid of a pain pump — have become a staple of opioid- sparing techniques in recent years. And for good reason. These blocks provide sufficient analgesia for 24 to 48 hours after surgery and, in some cases, even longer. That's a critical window for managing post-op pain caused by tissue inflammation following the trauma of surgery. The inflammation maxes out in 48 hours and then rapidly decreas- es, says Ashish Sinha, MD, PhD, DABA, MBA, FASA, a professor at the University of California Riverside, and designated insti- tutional official and program director of anesthesiology at UC Riverside/Riverside Community 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 • J A N U A R Y 2 0 2 1 The Pillars of Post-Op Pain Control Combining regional anesthesia with the right multimodal drug cocktail keeps patients' discomfort to a bare minimum. EXTENDED PLAY For notoriously painful procedures such as total joint replacements, long-acting local anesthetics can give patients effective relief during the initial post-op recovery. Pamela Bevelhymer Jared Bilski | Managing Editor

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