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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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didate for same-day surgery. "It's not What do you weigh? but rather What is your body mass index? that we ask," says anesthesiologist Steven Gayer, MD, MBA, chief of surgery and anesthesia at Bascom Palmer Eye Institute in Miami, Fla., and chair of the American Society 8 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 • A P R I L 2 0 1 8 BMI alone will not tell you whether the patient will have problems during sur- gery, says Steven Gayer, MD, MBA, chief of surgery and anesthesia at Bascom Palmer Eye Institute in Miami, Fla., and chair of the American Society of Anesthesiologists' Ambulatory Surgical Care Committee. Dr. Gayer says you should consider other risk factors, including: • Environmental. Your equipment can be a limiting factor in treating high-BMI patients. "Do you have an OR table that can accommodate patients that size? Transport beds? Blood pres- sure cuffs?" says Dr. Gayer. • Surgical. You have more leeway with procedures that can be done with minimal or no sedation and have a minor physiological Risk Factors Besides BMI • WEIGHING HEAVILY Facilities everywhere are struggling to deal with larg- er and larger patients. PROBLEM PATIENT?

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