Outpatient Surgery Magazine - Subscribers

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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1 0 0 • 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 W orking through small pupils during cataract sur- gery must be as frustrat- ing as trying to squeeze a profit out of what You Can't Put a Price on Pupil Dilation Don't hesitate to invest in the drugs and devices that make cataract surgery safer and more efficient. • EYE OPENING Jeffrey Whitman, MD, injects a compounded mixture of phenyle- phrine and lidocaine into the anterior chamber to maintain mydriasis. Medicare pays your facility to host the case. Reimbursements cer- tainly aren't going to increase anytime soon and inadequate intra- operative mydriasis is becoming an increas- ingly common prob- lem, so team up with your surgeons to find a cost-effective way to dilate pupils and dial up revenues. A growing number of cataract patients are showing up with small pupils in part because more male patients are using prostate medications, which affect the iris dilator muscle. Intraoperative floppy iris syndrome (IFIS) occurs in at least 75% of men on those med- Jeffrey Whitman, MD Daniel Cook | Executive Editor

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