By Peter S.A. Glass MD
This factor brings the anesthesiologist brand new on present crucial issues in ambulatory anesthesia. issues coated contain obstructive sleep apnea, pediatric ambulatory anesthesia, supraglottic airway units, matters in office-based ambulatory anesthesia, advanced sedation, the position of local anesthesia within the ambulatory surroundings, local catheters, postoperative discomfort administration for the ambulatory sufferer, and updates on PONV and PDNV. Authors additionally discover the questions of the way a lot checking out may be performed, easy methods to make your self ASC fascinating to sufferers and surgeons, and extra.
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Additional info for Ambulatory Anesthesia, An Issue of Anesthesiology Clinics (The Clinics: Surgery) , 1st Edition
The changing role of non-opioid analgesic techniques in the management of postoperative pain. Anesth Analg 2005;101:5–22. 62. Hofer RE, Sprung J, Sarr MG, et al. Anesthesia for a patient with morbid obesity using Dexmedetomidine without narcotics. Can J Anesth 2005;52:176–80. 63. Ramsay MA, Saha D, Hebeler RF. Tracheal resection in the morbidly obese patient: the role of Dexmedetomidine. J Clin Anesth 2006;18:452–4. 64. Bamgbade OA, Alfa JA. Dexmedetomidine anaesthesia for patients with obstructive sleep apnoea undergoing bariatric surgery.
62 Of importance for improving the quality of pain control and facilitating recovery in the future is the need to educate patients and their family members (caregivers) about the importance of continuing their analgesic medications after the patient leaves the hospital or day-surgery center. 63 A critical assessment of the peer-reviewed literature regarding the optimal analgesic therapies for outpatient laparoscopic cholecystectomy by Bisgaard64 concluded that a multimodal analgesic regimen consisting of a preoperative single dose of dexamethasone, incisional local anesthetics (at the beginning and/or end of surgery), and continuous treatment with NSAIDs (or COX-2 inhibitors) during the first 3 to 4 days provided the best clinical outcome.
Anesth Analg 1996;83:44–51. 14. Eriksson H, Tenhunen A, Korttila K. Balanced analgesia improves recovery and outcome after outpatient tubal ligation. Acta Anaesthesiol Scand 1996;40:151–5. 15. White PF, Sacan O, Tufanogullari B, et al. Effect of short-term postoperative celecoxib administration on patient outcome after outpatient laparoscopic surgery. Can J Anaesth 2007;54:342–8. 16. Gan TJ, Joshi GP, Viscusi E, et al. Preoperative parenteral parecoxib and followup oral valdecoxib reduce length of stay and improve quality of patient recovery after laparoscopic cholecystectomy surgery.