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Obamacare, You're Fired - December 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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E ric Haas, MD, a colorectal surgeon at Houston Methodist Hospital, swung by the PACU to check on a patient a little earlier than usual one day. What he saw stopped him in his tracks. His patient was writhing in pain. "Why is this happening?" he asked a PACU nurse. "What do you mean?" she replied. "This is normal." "Normal? What do you do now?" he asked. "We just give more fentanyl and Dilaudid," said the nurse. "By the time you see them, they look great." Dr. Haas was incredulous. He began to visit the PACU soon after his surgeries ended and noticed patient after patient waking up in pain and nurses routinely loading them up with dose upon dose of opioids. He D E C E M B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 5 9 Say Yes to Opioid-Free Surgery A hospital eliminated opioids from surgery and removed prescription painkillers from its post-op pain control protocol. Daniel Cook | Executive Editor • HOLD THE OPIOIDS Methodist Hospital's opioid-sparing protocol includes regional blocks, local anesthesia, IV NSAIDs and muscle relaxants.

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