Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
Issue link: http://outpatientsurgery.uberflip.com/i/1324438
closed with absorbable sutures that are attached with a clear dermal glue dressing, which patients never have to clean or change. The less responsi- bility you give them after surgery, the better off they are. • Pain control. This is the biggest barrier to per- forming shoulder arthroplasties on an outpatient basis. In general, shoulder replacements are more painful than hip procedures. Nerve blocks have rev- olutionized how we can control pain over the past decade. Patients who underwent total shoulder sur- geries in hospitals used to be given hydromorphone. Now we can use non-narcotic pain regimens using multiple modes of relief, which is obviously pre- ferrable in light of the opioid addiction crisis. My patients are given IV acetaminophen preoperatively and a single-shot interscalene nerve block with long- acting liposomal bupivacaine during surgery. The biggest issue shoulder patients experience after surgery is finding a comfortable position in which to sleep. During the initial days of recovery, they should try to sleep in a recliner or propped up in bed with pillows, rather than lying flat or on their side. Instruct patients to use ice at 20-minute inter- vals to control pain and swelling for the first two to three days post-op. I tell patients that a frozen bag 2 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 MOTION TABLED Several positioning aids are needed to stabilize and protect patients placed in the beach chair position. Penn Medicine Light Wands – Short and Small Diameter Designed by Anthony Unger, MD Short wand useful for proximal illumination, while thin diameter wands help illuminate deep cavities such as the femoral shaft PRODUCT NO'S: 8011-01-L [Short Light Wand] 8011-02-L [Short Thin Light Wand] 8011-03-L [Long Thin Light Wand] Short Wand Short Thin Wand Long Thin Wand Light wands come with one (1) Disposable LED Light Source (#8010-01). Can also be attached to a fiber optic light cable with ACMI (female) connector. Designed to help provide effective suction with the addition of a light source for enhanced visualization Lighted Yankaur Suction Device Designed by Adolph V. Lombardi Jr., MD g p p a light source for enhanced visualization Designed by Adolph V. Lombardi Jr., MD PRODUCT NO: 8016 -L-01 PRODUCT NO'S: 8010-01 PKG OF 1 8010-10 PKG OF 10 Disposable LED Light Source FREE TRIAL ON MOST INSTRUMENTS 1 . 8 0 0 . 5 4 8 . 2 3 6 2 103 Estus Drive, Savannah, GA 31404 www.innomed.net info@innomed.net Phone 912.236.0000 Fax 912.236.7766 © 2020 Innomed, Inc. Instruments & Patient Positioners for Orthopedic Surgery ISO 13485:2016 Fromm Femur & Tibia Triangles Radiolucent aluminum triangles used for femur and tibia positioning during knee and foot/ankle procedures Designed by S.E. Fromm, MD PRODUCT NO'S: 2760-00 [Set of 3] 2760-01 [11"] 2760-02 [14"] 2760-03 [16"] Sold Separately – Not In Set: 2760-XS [8.5"] Extra small size designe by S.E. Fromm, MD & Kenneth Merriman, MD Device comes with one (1) Disposable LED Light Source. Can also be attached to a fiber optic light cable with ACMI (female) connector.