Outpatient Surgery Magazine

Calm & Cool in a MH Crisis - Subscribe to Outpatient Surgery Magazine - March 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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fate. Post-op: Repeat the APAP IV 6 hours after the procedure. Provide the patient with oral APAP for 2 days. If necessary, administer an ultra- sound-guided fascia iliaca block with 0.5% ropivacaine plus decadron for breakthrough pain. Or you can schedule a ketorolac IV every 8 hours twice daily. Dr. O'Con explains: Pre-op: Administer a fascia iliaca nerve block using ropiva- caine + epi along with a subarachnoid nerve block using the tetra- caine. The nerve blocks are adequate to keep the patient pain free for 12-hours after surgery. Intra-op: The CRNA may administer minimal amounts of ketamine and propofol if necessary and if surgery is done with blocks as the sole-anesthetic. Post-op: Handled by surgeon. OSM 9 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M a r c h 2 0 1 7 Robert Bland, CRNA Pre-op: • 1000 mg APAP IV • 200 mg celecoxib • 300-400 mg gabapentin Intra-op: • Exparel - encapsulated bupi- vacaine (surgeon) • Ketamine + decadron (optional) • 2 mg of magnesium sulfate (optional) • 0.5% ropivacaine + 10mg decadron (optional) Post-op: • 1000mg APAP IV • Oral APAP • 15 mg ketorolac IV (optional) • 0.5% ropivacaine + 10 mg decadron (optional) Hips Katrina O'Con, DNAP, CRNA Pre-op: • 40cc of 0.5% ropivacaine + epinephrine • 1-1.3mL of 1% tetracaine Intra-op: • Ketamine (optional) • Propofol (optional) Hips

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