Outpatient Surgery Magazine

Why Can't He Eat or Drink After Midnight? - March 2016 - 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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2 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 6 A nesthesia providers love laryngeal mask airways (LMAs), but they can disagree about the best time to remove supraglottic airway devices from patients. There are two camps: those who think patients should still be "deep" during removal and those who think they should be fully awake. Nearly two-thirds (63%) of the 305 readers Outpatient Surgery polled last month remove LMAs before the patient emerges. Let's talk about the advantages and disadvantages of both approaches. Removing LMAs in awake patients Those who prefer to remove the LMA after the patient's awake believe there should be minimal manipulation of the LMA until the patient's The Great LMA Debate Should you remove it before or after the patient wakes up? Anesthesia Alert Perry V. Ruspantine, CRNA, APRN • PROS AND CONS Some say wait until the patient's reflexes have returned to remove the LMA. Others say don't wait, extubate: Patients will be ready to move sooner. Pamela Bevelhymer, RN, BSN

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