Outpatient Surgery Magazine

Manager's Guide to Ambulatory Anesthesia - July 2014

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/339830

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Page 38 of 38

3 9 J U LY 2 0 1 4 | S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E occur at any time," she says. Even patients who've had previous surgeries without experiencing MH might be at risk, notes Ms. Clifford, adding that it can take up to 6 exposures to anes- thesia to have an event. "ASCs can provide a safe anesthetic," says Mr. Klotz, who cares for patients in both surgery centers and hospitals. "The real issue surrounds the safe transport of stricken patients to a hospital for definitive care." So can high-risk patients be safely operated on in outpatient facilities? "Absolutely," says Ms. Clifford. "Knowing that they have the propensity for an event is half the battle. There are better anesthetic techniques now that don't require use of triggering agents." When sedating high-risk patients, MHAUS recommends you flush anesthesia circuits with pure oxygen for 20 minutes and monitor them longer than normal in PACU. Pre-anesthesia assess- ments are a good screen- ing tool that help identify at-risk patients, but you'll never know for sure. Always expect the unex- pected, and practice emer- gency responses often enough so your surgical staff feels as if they've already seen their life-sav- ing response in action. OSM E-mail dcook @outpa - tientsurg ery.net . P A T I E N T S A F E T Y SS_1407_Layout 1 7/1/14 2:24 PM Page 39

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