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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"For those interested in making outpatient surgery as affordable and feasible as possible, the role for peripheral nerve catheters is a signifi- cant one," says Christopher Canlas, MD, an assistant professor of clin- ical anesthesiology in the division of ambulatory anesthesiology at Vanderbilt University Medical Center in Nashville, Tenn. "They play an important role in reducing hospital days and increasing patient com- fort." There are a wide variety of block and pump features to consider. Here are the factors you should weigh to choose the best options for your facility. 1. The pump manufacturer But one of first things to consider isn't the pump itself. It's the pump manufacturer, says Brandon Winchester, MD, an anesthesiologist at the Andrews Institute for Orthopaedics and Sports Medicine in Gulf Breeze, Fla. "Be sure to consider how stable the company is and how much con- fidence you'll have implementing a program and knowing that the pump is still going to be around in 6 months or 6 years," says Dr. Winchester, the co-founder of the educational regional anesthesia website, blockjocks.com. "At another institution, we got burned after about a year-long trial of 5 different pumps," he recalls. "We'd in-serviced the whole hospital and trained about a thousand nurses and 50 anesthesiologists. Then, several weeks later, the company whose pump we'd chosen announced they were no longer in the pump business." F E B R U A R U Y 2 0 1 8 • O U T PA T I E N TS U R G E R Y. N E T • 1 0 9 Some patients may get better relief with a lower basal rate with a higher bolus rate that has lockout capabilities.

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