By Peter S.A. Glass MD
This factor brings the anesthesiologist modern on present crucial themes in ambulatory anesthesia. subject matters lined contain obstructive sleep apnea, pediatric ambulatory anesthesia, supraglottic airway units, concerns in office-based ambulatory anesthesia, advanced sedation, the function of local anesthesia within the ambulatory setting, local catheters, postoperative soreness administration for the ambulatory sufferer, and updates on PONV and PDNV. Authors additionally discover the questions of ways a lot trying out can be performed, find out how to make your self ASC fascinating to sufferers and surgeons, and extra.
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Extra resources for Ambulatory Anesthesia, An Issue of Anesthesiology Clinics (The Clinics: Surgery)
Byard RW, Gilbert JD. Narcotic administration and stenosing lesions of the upper airway – a potentially lethal combination. J Clin Forensic Med 2005;12: 29–31. 60. Bolden N, Smith CE, Auckley D, et al. Perioperative complications during use of an obstructive sleep apnea protocol following surgery and anesthesia. Anesth Analg 2008;105:1869–70. 61. White PF. 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.
Efficacy of continuous wound catheters delivering local anesthetic for postoperative analgesia a quantitative and qualitative systematic review of randomized controlled trials. J Am Coll Surg 2006;203: 914–32. 57. Ilfeld BM, Le LT, Ramjohn J, et al. The effects of local anesthetic concentration and dose on continuous infraclavicular nerve blocks: a multicenter, randomized, observermasked, controlled study. Anesth Analg 2009;108:345–50. 58. Kim KS, Nam YM. The analgesic effects of capsicum plaster at the Zusanli point after abdominal hysterectomy.
Sedative premedication should be avoided. PREOPERATIVE PAP THERAPY Conventional PAP therapy acts as an airway stent and is the primary treatment of patients with OSA. There are several kinds of PAP devices: continuous PAP, autotitrating PAP, and bilevel PAP. 3 However, high level of evidence is lacking in the perioperative context. It is still unclear if the use of PAP therapy reduces adverse events attributed to OSA in rigorous randomized controlled trials. 33 Based on consensus opinion, patients already on treatment with PAP should be advised to continue the treatment perioperatively, and to bring the PAP device to the hospital on admission.