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Surgical Smoke Nearly Killed Me - Outpatient Surgery Magazine - February 2018

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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aspect of arthroscopy," says Dr. Owens, a profes- sor of orthopedic surgery at Brown University Alpert Medical School in Providence, R.I. "If you can't see, you can't perform sur- gery. Surgeons do fine with older pumps, but if they're struggling with visualization, a new pump can help." He performs complex knee and shoulder procedures and has essen- tially eliminated tourniquet use and associated complications —post- op pain, DVT and post-op bleeding — by using a high-quality pump to maintain a bloodless field. Surgeons must sustain constant pressure within the joint in order to maintain capsular integrity, but must also avoid fluid extravasation and "red out," which occurs when blood and fluid in the joint create an opaque cloud. "That's a frustrating scenario, which can be avoided by increasing the pressure and maintaining an adequate flow of fluid to clear blood from the field of vision," says Dr. Owens. He says older pumps feature pressure-sensing transducers that read how much pressure is being generated within the pump line, but that reading doesn't always translate to the pressure within the joint. Newer pump systems are controlled by pressure and flow, and automatically adjust the amount of fluid delivered to the joint based on those 2 factors. The latest pump systems are also integrated into arthroscopy 5 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • F E B R U A R U Y 2 0 1 8 • BIG-SCREEN SURGERY Large 4K monitors help orthopedic surgeon Joseph Kendra, MD, trim torn cartilage more efficiently. Ric Moseley

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