24 de abril de 2013

Artigo recomendado: Regional Anesthesia For Ambulatory Surgery - The Ideal Technique for a Growing Practice


Sylvia H. Wilson, Carl Rest, Beverly Pearce-Smith, Mark E. Hudson, Jacques E. Chelly

Anesthesiology News - Independently Developed by McMahon Publishing - April 2013

Ambulatory surgery is one of the fastest growing segments of surgery, increasing 67% between 1996 and 2006. With the development of minimally invasive techniques and changes in reimbursement, many surgical procedures are shifting from inpatient to ambulatory settings. Proficient ambulatory centers depend on anesthetics that provide quality anesthesia and postoperative analgesia while expediting discharge, minimizing postoperative nausea and vomiting (PONV), and preventing unplanned admission.

Postoperative pain management represents a particular challenge in ambulatory surgery. As many as 40% of patients experience severe pain despite conventional treatment. Regional anesthesia (RA) has been shown to improve pain scores, decrease use of narcotics, and lower the incidence of PONV, allowing more patients to be discharged home in less time with high satisfaction. Consenquently, RA has increased in popularity for ambulatory surgery as both the primary anesthetic and as an anesthetic adjunct to improve postoperative analgesia.

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