/_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/2012/20120201_Provation_LB-154x100.gif
/_media/adv/web/images/2011/20111202_Arthrex_LB-154x100.jpg
/_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 2009

The Nerve Block Option

A review of 4 regional anesthesia techniques that speed recovery times and reduce the need for opioids to manage post-op pain

Edward Mariano, MD, MAS

General anesthesia is not the right choice for every case performed in the outpatient setting, where a growing number of patients are presenting with co-morbidities such as respiratory disease, coronary artery disease, peripheral vascular disease, diabetes and obstructive sleep apnea. How well will these patients tolerate hypotension upon induction of general anesthesia? Will tracheal intubation and subsequent mechanical ventilation be difficult? Will they be at risk of stroke from hypertension during emergence? Choosing regional anesthesia over general anesthesia may be the best way to avoid these questions altogether. Let's review 4 common types of nerve blocks and what you should consider before using them for your outpatient procedures.

Sign in to continue reading.
Email Address:
Password:
Categories: Not yet reviewed
Keywords:
1. Infraclavicular brachial plexus blockade for distal hand and wrist surgeries.; 2. Interscalene brachial plexus blockade for shoulder surgery.; 3. Nerve blocks for lower extremity surgeries.; 4. Spinal for lower extremity or lower abdominal and pelvic procedures.; Beyond patient safety; On the Web; Barry Cranfill, CRNA, MHS, MBA Mr. Cranfill; CRNA, MHS, MBA Mr. Cranfill; Choosing; College; Cranfill; Cranfill, CRNA, MHS, MBA Mr. Cranfill; General; Infraclavicular; Interscalene; Intralipid; Intralipid; IV; Lipid Rescue Local; LipidRescue; MBA Mr. Cranfill; MHS, MBA Mr. Cranfill; Management; Me... show all keywords
1. Infraclavicular brachial plexus blockade for distal hand and wrist surgeries.; 2. Interscalene brachial plexus blockade for shoulder surgery.; 3. Nerve blocks for lower extremity surgeries.; 4. Spinal for lower extremity or lower abdominal and pelvic procedures.; Beyond patient safety; On the Web; Barry Cranfill, CRNA, MHS, MBA Mr. Cranfill; CRNA, MHS, MBA Mr. Cranfill; Choosing; College; Cranfill; Cranfill, CRNA, MHS, MBA Mr. Cranfill; General; Infraclavicular; Interscalene; Intralipid; Intralipid; IV; Lipid Rescue Local; LipidRescue; MBA Mr. Cranfill; MHS, MBA Mr. Cranfill; Management; Medical College; Nerve; PACU; Patients; Practitioners; Proper; Rescue Local; Sentry Anesthesia Management; Spinal; Toxicity Lipid Rescue Local; Web References; abdominal; ability; absorbed; achieve; adjunct; advanced; advantage; adverse; agents; airway; alternative; ambulation; ambulatory; anatomically; anesthesia; anesthesia-controlled; anesthesiologist; anesthetic; anesthetic-related; anesthetics; anesthetize; ankle; anticipated; approach; area; artery; article; associates; attributed; average; avoid; avoiding; axillary; benefit; bioavailability; block; blockade; blocks; blood; body; bottom; brachial; bringing; bupivacaine; capacity; cardiac; careful; carefully; case; case-by-case; cases; catheter; challenging; chemically; choice; clear; clinical; close; co-morbidities; cognitive; combination; combined; comfort; common; commonly; compared; compensates; complete; complex; complications; compromising; concerns; consist; consumption; contralateral; convenient; conventional; coronary; criteria; cuff; current; danger; dantrolene; decrease; delays; depending; designated; determining; developing; diabetes; diaphragmatic; discharge; discussion; disease; distal; dose; drug; due; duration; earlier; easy; education; effect; effective; effects; efficiency; employ; emulsion; event; ever-present; evidence; expertise; expiration; extremity; facilities; facility's; faculty; faster; fatal; femoral; fending; fewer; fluid; foot; forced; found; frequently; function; general; genitourinary; good; growing; guidance; hand; healthy; helps; hemidiaphragmatic; high; holding; hope; human; hyperbaric; hypertension; hypotension; impairment; improve; inability; inadvertently; incidence; increase; induction; inexpensive; information; infraclavicular; infusion; injection; interscalene; intubation; ipsilateral; kit; knee; lacks; large; level; lidocaine; limited; lipid; lipid-soluble; loading; local; location; long-term; longer; low; lower; lumbar; lung; maintain; major; manage; management; marked; mechanical; medication; member; minimized; minute; morbidity; mortality; moving; nausea; needle; neighborhood; nerve; neurological; number; obstructive; operating; opioid; opioid-sparing; opioids; options; outpatient; pain; paralysis; patient; patients; pay; pelvic; perform; performed; performing; peripheral; pharmacy; phrenic; place; placement; plastic; plexus; positioned; positioning; post-op; post-operative; potential; practicing; pre-operative; pre-operatively; prefer; preparations; presenting; preserved; prevent; price; primary; principal; printout; procedural; procedures; proficiency; programs; prolong; prolonged; properties; proven; provide; provider; proximity; pulmonary; put; questions; quicker; quickly; randomized; rapid; real; receive; recover; recovery; red; reduce; reducing; reduction; refractory; regional; repair; reported; require; requires; residency; resolves; respiratory; rest; result; resulting; reverses; review; risk; room; rotator; safe; saphenous; sciatic; sealed; sedative; seized; selective; sequester; setting; severe; short-acting; short-term; shorter-acting; shoulder; side; similar; single; site-specific; sleep; small; specialized; specificity; speed; speeding; spinal; staffed; stock; stroke; study; subjects; subsequent; sufficient; suitable; support; surgery; surrounding; system; tag; team; technically; techniques; testing; throughput; tidal; time; times; tissues; tolerate; total; tourniquet; toxicity; tracheal; trained; training; transient; treatment; turnover; types; typically; ultrasound; undergoing; underway; undesirable; unilateral; unit; unwanted; upper; vacated; variety; vascular; ventilation; vital; voiding; volume; volumes; volunteers; wears; weigh; working; wrist

© 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?
/_media/adv/web/images/2011/20111111_CareFusion_AR-300x250.jpg
Other Articles That May Interest You
Operating on Heavier Patients Can Be a Good Thing
Staffing
The Art of the Employee Interview
Envisioning the Environmentally Friendly OR