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Almost Left Behind - 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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least part of the equation. Of course, there are drawbacks to prefilled syringes; namely, pricing. A prefilled syringe of ephedrine, say, could run you $10 and those costs add up. But it's often worth the cost to remove the extra step of drawing up a drug and thus, running the risk of contamination. Moreover, prefilled syringes hold anesthetists accountable so there is no risk of "double dipping" into a vial. • Micron syringe filters. I rarely see anesthesia providers using these filters, but they can catch a whole host of potentially harmful microorganisms. One downside to filters: you can't inject propofol through them because it's too viscous of a drug. But that's only one of many drugs you use in your practice so it's worth considering filters for all other injections. A 25 mm, 0.2 micron syringe filter costs around $5 online, half the price of some prefilled syringes. A pack of 50, 32 mm, 0.2 micron filters can cost around $100 — even cheaper. Chuck Biddle, CRNA, PhD Virginia Commonwealth University Medical Center Richmond, Va. cjbiddle@vcu.edu 2 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 • A P R I L 2 0 1 8

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