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Worth of Every Penny - January 2021 - 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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their neck or groin or leg in the pre-op phase, this new informa- tion is going to make some patients uncomfortable," says Dr. Shaparin. At Montefiore, surgeons elimi- nate uncomfortable surprises by having all patients who will receive a nerve block watch a video about the process before they arrive for surgery. Fewer opioids, less pain Ultimately, an effective pain management regi- men has a pre-op component, an intraoperative component and a post-op component — and it should include non-opioid analgesics, says Dr. Shaparin. However, while Dr. Shaparin obviously believes narcotic-reducing pain management is important, he makes a key distinction in opioids' role in surgery: "It's important to note that opioid- sparing does not mean opioid-free," he says. "Those phrases aren't the same. We're not trying to eliminate opioids altogether, we're just trying to use less of them." Thanks to evolving regional blocks and tried-and- true multimodal cocktails, in most cases you can use fewer opioids to effectively manage patients' post-op pain. OSM J A N U A R Y 2 0 2 1 • O U T P A T I E N T S U R G E R Y . N E T • 4 1 Be"er opioid-sparing results. Extend analgesia up to 5 days to avoid POD3 or 4 rebound pain that can trigger post-op opioid need, unplanned readmissions. Be"er infusion management. Nimbus PainPRO pump Delay Start begins the infusion as your intra-op block is receding at 2AM. Be"er patient outcome. IntermiHent Bolus capability in Nimbus PainPRO enhances anesthetic spread achieving results your elastomeric pain pump can't touch. You and your patient want opioid-sparing recovery. That's why: We make pain pumps. Better. Get be"er with Nimbus PainPRO pump: www.nimbuspainpro.com or call +1 (844)-479-8500. Patients must understand that there will be some pain — and we'll do our best to manage it as effectively and as safely as possible. — Naum Shaparin, MD

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