Anesthesiology clinics
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Chronic pain is a symptom that patients fear significantly. To treat and alleviate pain, physicians perform various interventions for which patients often need to be immobile for long periods of time. To improve patient satisfaction and relief anxiety of those complex procedures, pain physicians use various anesthetic techniques for their pain-relieving procedures that range from local skin infiltration to general anesthesia with endotracheal intubation. This article describes the anesthetic techniques used in interventional pain procedures and their indications, side effects, and complications.
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This article informs anesthesiologists of some of the legal issues they may encounter in connection with ambulatory surgical center-based or office-based practice. The primary legal issues that anesthesiologists face in connection with practice in such settings can be broken down into practice-related issues and ownership-related issues. Given the complexity of legal issues relating to ambulatory anesthesia, anesthesiologists are advised to consult counsel at an early stage so as to understand the issues that may apply to their practices.
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Anesthesiology clinics · Jun 2014
ReviewInitial results from the National Anesthesia Clinical Outcomes Registry and overview of office-based anesthesia.
Safe office-based anesthesia practices dictate proper patient and procedure selection, appropriate provider qualifications, adequately equipped facilities, and effective administrative infrastructure. Analysis of patient outcomes can help reduce mortality and morbidity by identifying high-risk patients and procedures. ⋯ Increased regulation and standardization of care, such as the use of checklists and professional guidelines, can advance safe practices. There is increasing emphasis on continuous quality improvement, electronic health records, and outcomes data reporting.
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Novel anesthetic and analgesic agents are currently under development or investigation to improve anesthetic delivery and patient care. The pharmacokinetic and analgesic profiles of these agents are especially tailored to meet the challenges of rapid recovery and opioid minimization associated with ambulatory anesthesia practice.
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In this article, recent literature related to airway management in the ambulatory surgery setting is reviewed. Practical pointers to improve clinical success and avoid complications of newer airway management techniques are provided.