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Almost Left Behind - Subscribe to Outpatient Surgery Magazine - April 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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"vials" when ordering online, says Sheldon S. Sones, RPh, FASCP, a pharmacy consultant in Newington, Conn. A glass ampule will give you a different dosage form, but it's the same drug, he says. Similarly, you might try ordering under the trade name, Sublimaze. One adminis- trator was happy to find 20 cc ampules of Sublimaze ("not too expen- sive for the waste," she says) as well as 1 ml and 2 ml Sufenta (sufen- tanil). 4. Caution when using alternative drugs. If you consider using other formulations such as meperidine and Dilaudid (hydromor- phone), be aware of the risk of an error or adverse outcome when using unfamiliar alternative drugs. Not all injectable opioids are inter- changeable for all indications. During a similar shortage in 2010, 2 patients died when IV hydromorphone was administered at the intended dose for morphine. 5. Non-opioid multimodal pain management. In some cases, you can mitigate post-op pain by attacking it before surgery with nerve blocks or non-opioid analgesics. For example, you can give Celecoxib with 975 mg of acetaminophen, says Mr. Sones, who cautions that celecoxib is contraindicated for use in patients allergic to sulfon- amides. — Outpatient Surgery editors A P R I L 2 0 1 8 • O U T PA T I E N TS U R G E R Y. N E T • 1 3

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