Anesthesiology clinics
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Anesthesiology clinics · Jun 2014
ReviewNonoperating room anesthesia for the gastrointestinal endoscopy suite.
Anesthesia services are increasingly being requested for gastrointestinal (GI) endoscopy procedures. The preparation of the patients is different from the traditional operating room practice. ⋯ The postprocedure care is also unique. The future needs for anesthesia services in GI endoscopy suite are likely to expand with further developments of the technology.
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Anesthesiology clinics · Jun 2014
ReviewAnesthesia information management systems in the ambulatory setting: benefits and challenges.
Adopting an anesthesia information management system (AIMS) is a challenge for anesthesia departments. The transition requires a physician champion and the support of members in every section. ⋯ Once implemented, the benefits outweigh the challenges, but understanding where the potential obstacles lie is critical to removing them efficiently and effectively. As different AIMS continue to spread throughout the medical world, so will their benefits.
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This article provides a review of key concepts in quality management (QM) for ambulatory anesthesia. The importance of collecting data from every case is emphasized, and important outcome measures are recommended. The use of specific data collection tools and methodologies is discussed, including the national registry projects of the Society for Ambulatory Anesthesia and the Anesthesia Quality Institute. A brief overview is provided of how to use QM data to improve patient outcomes within an anesthesia practice.
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Anesthesiology clinics · Jun 2014
ReviewLong-acting serotonin antagonist (Palonosetron) and the NK-1 receptor antagonists: does extended duration of action improve efficacy?
In a growing outpatient surgical population, postdischarge nausea and vomiting (PDNV) is unfortunately a common and costly anesthetic complication. Identification of risk factors for both postoperative nausea and vomiting and PDNV is the hallmark of prevention and management. New pharmacologic interventions with extended duration of action, including palonosetron and aprepritant, may prove to be more efficacious.
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This article updates acute pain management in ambulatory surgery and proposes a practical three-step approach for reducing the impact and incidence of uncontrolled surgical pain. By identifying at-risk patients, implementing multimodal analgesia, and intervening promptly with rescue therapies, the anesthesiologist may improve outcomes, reduce cost, and optimize the patient's experience and quality of recovery.