/_media/adv/web/images/2011/20111124_Arthrex_TB-378x82.jpg

Subscriptions

Advertising

Resources

About Us

Contact Us

Create An Account Forgot Your Password?
Trouble logging in or creating an account? click here
Home This Month E-Weekly Newsletter Building a Facility Article Archive Second Opinions
Search:
Benchmarking
General Surgery
Accrediting/Quality
Anesthesia
Code/Bill/Reimburse
Building/Renovating
/_media/adv/web/images/2012/20120126_ASP_LB-154x100.gif
/_media/adv/web/images/2012/20120126_APIC_LB-154x100.jpg
/_media/adv/web/images/2012/20120201_Provation_LB-154x100.gif
/_media/adv/web/images/2011/20110502_Provista_LB-154x100.gif
Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive >  Ambulatory Anesthesia 2008

Making Time for Blocks

6 ways to more than make up for the minutes you'll spend performing the block and waiting for it to take effect.

Michael Mulroy, MD

Multiple scientific studies and articles in this publication have touted the advantages of regional anesthesia for ambulatory surgery patients.1 The superior pain relief allows for a dramatically rapid recovery, with patients often leaving within 15 minutes of the end of a procedure. With excellent analgesia, there is no need to titrate intravenous or oral opioids with the associated risks of nausea and vomiting.2 The greatest advantages are seen when peripheral nerve blocks are used, since they do not limit ambulation. Even spinal anesthesia, with the right choice of drugs and dosages, can provide competitive discharges in the outpatient setting, and the short duration spinal anesthetics do not carry the risk of urinary retention previously associated with the longer-acting blocks.3

Sign in to continue reading.
Email Address:
Password:
Categories: Anesthesia
Keywords:
A, Fanelli G, Danelli G, Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; A, Tein T, Pitkänen M. Spinal; A. Spinal; ACL; Allen HW, Neal JM, Pollock JE. Dose-response; Ambulatory; Ambulatory Surgery? With; Anesthesia; Barbagallo A. Spinal; Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; Blocks; Brivio M, Putzu M, Barbagallo A. Spinal; Bupivacaine; Casati; Casati A, Fanelli G, Danelli G, Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; Choose; Clinical; Combine; D, Brivio M, Putzu M, Barbagallo A. Spinal; DJ, Rapp SE, Polissar NL, Malmgren JA, Koerschgen M, Keyes ... show all keywords
A, Fanelli G, Danelli G, Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; A, Tein T, Pitkänen M. Spinal; A. Spinal; ACL; Allen HW, Neal JM, Pollock JE. Dose-response; Ambulatory; Ambulatory Surgery? With; Anesthesia; Barbagallo A. Spinal; Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; Blocks; Brivio M, Putzu M, Barbagallo A. Spinal; Bupivacaine; Casati; Casati A, Fanelli G, Danelli G, Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; Choose; Clinical; Combine; D, Brivio M, Putzu M, Barbagallo A. Spinal; DJ, Rapp SE, Polissar NL, Malmgren JA, Koerschgen M, Keyes H. Factors; DJ. Spinal; Danelli G, Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; Dose-response; Educate; FV, Larkin KL, Polissar NL. Ambulatory; Factors; Fanelli G, Danelli G, Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; Find; G, Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; G, Danelli G, Berti M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; Good; H. Factors; HW, Neal JM, Pollock JE. Dose-response; Intrathecal; Intravenous; JA, Koerschgen M, Keyes H. Factors; JE. Dose-response; JE. Transient; JM, Pollock JE. Dose-response; Judicious; KL, Polissar NL. Ambulatory; Keyes H. Factors; Koerschgen M, Keyes H. Factors; Kopacz; Kopacz DJ. Spinal; Kouri ME, Kopacz DJ. Spinal; Larkin KL, Polissar NL. Ambulatory; Lidocaine; Liu SS, Ware PD, Allen HW, Neal JM, Pollock JE. Dose-response; M, Barbagallo A. Spinal; M, Ghisi D, Brivio M, Putzu M, Barbagallo A. Spinal; M, Keyes H. Factors; M, Putzu M, Barbagallo A. Spinal; M. Spinal; ME, Kopacz DJ. Spinal; MF, Salinas FV, Larkin KL, Polissar NL. Ambulatory; Malmgren JA, Koerschgen M, Keyes H. Factors; Master; Mulroy MF, Salinas FV, Larkin KL, Polissar NL. Ambulatory; Multiple; NL, Malmgren JA, Koerschgen M, Keyes H. Factors; NL. Ambulatory; Neal JM, Pollock JE. Dose-response; PACU; PD, Allen HW, Neal JM, Pollock JE. Dose-response; PONV; Patients; Pavlin DJ, Rapp SE, Polissar NL, Malmgren JA, Koerschgen M, Keyes H. Factors; Pitkänen M. Spinal; Polissar NL, Malmgren JA, Koerschgen M, Keyes H. Factors; Polissar NL. Ambulatory; Pollock JE. Dose-response; Pollock JE. Transient; Preparation; Prolongation; Putzu M, Barbagallo A. Spinal; Rapp SE, Polissar NL, Malmgren JA, Koerschgen M, Keyes H. Factors; Regional; Role; SE, Polissar NL, Malmgren JA, Koerschgen M, Keyes H. Factors; SS, Ware PD, Allen HW, Neal JM, Pollock JE. Dose-response; Salinas FV, Larkin KL, Polissar NL. Ambulatory; Sell A, Tein T, Pitkänen M. Spinal; Spinal; Spinal Anesthesia; States, Casati; Success; Surgery? With; T, Pitkänen M. Spinal; TNS; Tein T, Pitkänen M. Spinal; Transient; United States, Casati; Ware PD, Allen HW, Neal JM, Pollock JE. Dose-response; adaptations; addition; additional; adequate; admitting; adult; advance; advantages; adverse; affecting; alternatives; ambulatory; amount; analgesia; anesthesia; anesthesiologist; anesthesiologists; anesthetic; anesthetics; anesthetists; answering; anticipating; appears; approved; arose; arrive; arthroscopy; articles; aspect; asset; avoid; avoidance; aware; back; bed; benefits; block; blockade; blocks; brachial; bridge; brings; bupivacaine; busy; call; care; carry; cart; catheter; caused; centers; challenge; characteristics; choice; choices; choose; clinical; colleagues; combination; combined; comfort; comparing; comparison; competitive; completely; complex; concept; concern; conditions; confirmed; consideration; continuous; convinced; corner; cost-effective; critical; cuff; data; day; delay; delayed; delays; details; discharge; discharges; discomfort; disturbance; dose; double-blind; dramatic; dramatically; drug; drugs; due; duration; early; ease; easier; easy; educate; education; effective; efficient; effort; eliminate; employ; end; enhance; epidural; equipment; evaluate; excellent; excessive; expand; expansion; expectation; expensive; experienced; exposing; extra; facilitate; fast; femoral; fentanyl; foot; frequency; frequently; full; functions; gathering; general; generally; gloves; good; graduating; greatest; greatly; group; guidance; headache; helpful; hesitation; high; high-volume; higher; highest; holding; home; hours; ideal; implement; implications; important; improved; improvements; inadequate; incidence; include; infusions; injection; intravenous; introduce; investment; involves; irritation; justification; knee; leaving; legs; levels; lidocaine; limb; limit; limited; lithotomy; local; localization; location; lockable; long; long-acting; longer; longer-acting; low; lower; machine; major; marked; medical; mepivacaine; midazolam; mind; minutes; mobile; monitor; monitoring; moving; narcotics; nausea; needed; nerve; neuraxial; neurologic; newer; newest; numerous; nurse; occurs; offer; onset; opioids; opportunities; opportunity; optimum; option; oral; originally; orthopedic; outpatient; pain; pain-free; paresthesias; patient; patients; peace; percent; perception; perform; performed; performs; peripheral; persists; personnel; phone; physicians; place; placement; plain; popular; positioning; post-dural; potential; potentially; practical; practice; practices; practitioners; pre-operative; pre-operatively; predictability; predictable; prefer; preliminary; preparation; prepare; prepping; preservative-free; previous; previously; price; procaine; procedure; procedures; process; produce; productive; programs; prolonged; proposition; prospect; prove; provide; provider; publication; puncture; purchase; questions; quick; quicker; radiating; rapid; rapidly; re-exploration; re-introduction; reality; reap; recent; recognize; recovers; recovery; reduce; reduction; regard; regional; related; reliability; relief; rely; repair; repeat; reported; require; requirement; residency; resolution; resuscitation; retention; risk; room's; rotator; routine; safety; satisfaction; scheduling; sciatic; scientific; sedation; send; set-up; short; short-acting; short-duration; shorten; side; significant; similar; single-injection; site; skill; sleep; slower; small; space; speed; spinal; staff; standard; started; starts; stimulation; stimulator; studies; success; successfully; sufficient; suggestion; suggests; suitable; superior; surgeons; surgery; surgical; symptoms; syndrome; takes; team; technique; techniques; terms; time; times; titrate; tourniquet; touted; transient; tray; troublesome; true; turned; turnover; two-hour; ultrasound; uncomfortable; urinary; variability; virtually; void; voiding; wasted; ways; wears; well-established; wide; work; workshops; worthwhile; years

© Copyright Herrin Publishing Partners LP 2011. REPRODUCTION OF THIS COPYRIGHTED CONTENT IS STRICTLY PROHIBITED. We encourage LINKING to this content; view our linking policy here.

PRODUCT & SERVICE RESOURCES
Did You See This?
A showcase of products and services geared to make your facility better.

Architects' Showcase
Is a beautiful, efficient new facility in your future?
Other Articles That May Interest You
How Do You Deal With Drug Shortages?
What to do when critical medications are in short supply.
Sutter Health Accused of Fraudulent Anesthesia Billings
Lawsuit joined by state of California claims health network reaped "hundreds of miliions of dollars" in fraudulent charges.
Is Propofol Getting a Bad Rap?
Trial of Michael Jackson's physician unfairly maligning useful drug, some say.