Outpatient Surgery Magazine

Special Outpatient Surgery Edition - OR Excellence Program Preview - June 2017

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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J U N E 2 0 1 7 O U T P A T I E N TS U R G E R Y. N E T 4 1 O utpatient spine is here, and it's going to get bigger — much bigger. The combination of innovative techniques, motivated patients, new ways to con- trol pain and nausea, and financial incentives are going to make it too attractive to ignore. John C. Liu, MD, co-director of the USC Spine Center at Keck Medicine of USC and one of the pioneers of outpatient spine, will explain what's needed to succeed, so you don't get left behind. • The inspiration. Patients and insurance compa- nies are both driving this trend. Patients obviously are much happier recovering at home, and insurance companies want it because it's much less expensive overall. With the advent of minimally invasive tech- niques and other innovations, it's become safe to get people home on the same day. Considered one of the pioneers in minimally invasive surgical techniques for spine. Has had nearly 100 papers pub- lished on spine pro- cedures and other topics. Named USC teacher of the year in 2013. John C. Liu, MD Outpatient Spine Is Surgery's Next Big Thing Choosing the right patients and controlling costs are key. • Pain control. We try to reduce the use of opi- ates before the operation. The more opiate naïve people are, the better we can control post-op pain. We also use intra-opera- tive techniques, such as long-lasting local anes- thetics or cocktails of steroids and pain medica- tions. We pre-medicate with things like gabapentin and IV aceta- minophen — membrane- stabilizing medications. We send opiates home with patients, but many patients — at least with the smaller operations — don't end up taking them.

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