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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 > February, 2007 Vol. VIII, No. 2

Letters & Emails

No scientific evidence on anesthesia provider preference

RMV->) Re: "Finding the Right Anesthesia Provider" (2007 Manager's Guide to New Surgical Construction, January supplement, page 92). Having set up three outpatient facilities myself (in Ohio and Florida), I can attest to the sensibility of most of what Paul Patane, MD, MBA, writes. However, I take issue when he says that, "at a minimum, you should have a board-certified anesthesiologist in your facility whenever a patient is receiving an anesthetic or recovering from one." There's no credible scientific evidence to support this advice. And you may have left the impression that not having an anesthesiologist is somehow dangerous or a lesser standard of care. As a CRNA with almost 20 years experience and thousands of cases performed without a single complication, none of my patients would have benefited from the presence of an anesthesiologist. As a member of Outpatient Surgery's editorial board, I didn't think it would be fair to my CRNA colleagues or to the magazine if I didn't write this note.

Jay Horowitz, CRNA
Sarasota, Fla.
writeMail("unconscious@verizon.net")

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Thumbs Down on ASCs That Bill as Hospitals; Pols Should Stay Out; Surgery's Ten Commandments; Jay Horowitz, CRNA; Cheryl Stanley, RN, CASC; Stephanie T. York, CPC, CPC-H; Teresa Nosek, RN, BSN, CNOR, ONC; Janice Gadbaw, RN; Kathy Simmons, RN, MS; ASCs Bill; Bill; CASC Director Elkhart Clinic Endoscopy; CRNA; Clinic Endoscopy; Commandments; Construction, January; Days; Endoscopy; Guide; January; MS Perioperative; Manager's Guide; Ohio; Outpatient Surgery's; RN, CASC Director Elkhart Clinic Endoscopy; RN, MS Perioperative; Sad Days; Simmons, RN, MS Perioperative; Stanley, RN, CASC Director Elkha... show all keywords
Thumbs Down on ASCs That Bill as Hospitals; Pols Should Stay Out; Surgery's Ten Commandments; Jay Horowitz, CRNA; Cheryl Stanley, RN, CASC; Stephanie T. York, CPC, CPC-H; Teresa Nosek, RN, BSN, CNOR, ONC; Janice Gadbaw, RN; Kathy Simmons, RN, MS; ASCs Bill; Bill; CASC Director Elkhart Clinic Endoscopy; CRNA; Clinic Endoscopy; Commandments; Construction, January; Days; Endoscopy; Guide; January; MS Perioperative; Manager's Guide; Ohio; Outpatient Surgery's; RN, CASC Director Elkhart Clinic Endoscopy; RN, MS Perioperative; Sad Days; Simmons, RN, MS Perioperative; Stanley, RN, CASC Director Elkhart Clinic Endoscopy; Stephanie; Surgery's; Surgical Construction, January; Ten Commandments; anesthesiologist; anesthetic; appreciated; attest; benefited; black; board-certified; businesses; calling; cases; colleagues; credible; dangerous; editorial; ethical; evidence; experience; facilities; facility; fair; find; giving; hospitals; hurts; impression; industry; intimate; issue; jump; laugh; left; lesser; line; listen; magazine; make; member; money; nursing; orthopod's; outpatient; page; patient; performed; politicians; practice; presence; prides; print; provide; read; receiving; recovering; scientific; sensibility; set; share; single; slightly; space; specialty; staff; standard; step; support; taxpayers; thing; thousands; time; wait; walking; working; worth; write; years

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