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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > October, 2007 Vol. VIII, No. 10

How to Make Continuous Infusions Work

10 tips from experienced practitioners.

Dianne Taylor, Contributing Editor

When continuous peripheral nerve block infusions work, they are as close to a panacea for post-op pain as you can get. Yet many anesthesiologists hesitate to send patients home with infusions in place, concerned over complications or patients managing their own care. Here's advice from experienced practitioners.

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Categories: Anesthesia, Patient Management
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1. Screen patients; 2. Transition anesthesia carefully; 3. Secure the catheter; 4. Consider extra padding; 5. Ensure bolus capability; 6. Tighten all connections; 7. Educate patients and caregivers; 8. Rx opioids for breakthrough pain; 9. Be available 24-7; 10. Let patients remove their catheters; Anesthesiology Department; California San Diego Anesthesiology Department; Catheters; Center; Department; Diego Anesthesiology Department; Distinguish; Dr. Ilfeld; Dr. Ilfeld. Stress; Dr. Sullivan. Due; Due; Educate; Ensure; Ilfeld; Ilfeld. Stress; Jersey Shore University Medical Center; Manage; Mana... show all keywords
1. Screen patients; 2. Transition anesthesia carefully; 3. Secure the catheter; 4. Consider extra padding; 5. Ensure bolus capability; 6. Tighten all connections; 7. Educate patients and caregivers; 8. Rx opioids for breakthrough pain; 9. Be available 24-7; 10. Let patients remove their catheters; Anesthesiology Department; California San Diego Anesthesiology Department; Catheters; Center; Department; Diego Anesthesiology Department; Distinguish; Dr. Ilfeld; Dr. Ilfeld. Stress; Dr. Sullivan. Due; Due; Educate; Ensure; Ilfeld; Ilfeld. Stress; Jersey Shore University Medical Center; Manage; Management; Medical Center; N.J. Research; Neptune, N.J. Research; Ocean Medical Center; Pain Management; Patients; Popliteal; Prepare; Research; Rx; San Diego Anesthesiology Department; Screen; Secure; Set; Shore University Medical Center; Show; Sullivan. Due; Surgery; Tighten; Transition; University; University Medical Center; ability; accurately; adhesive; adjunctive; advice; affect; agree; allergies; analgesia; analgesic; analgesics; anatomic; anesthesia; anesthesiologist; anesthetic; anesthetic-related; anterior; application; approaches; asked; associate; avoid; back-up; bandage; basal; bear; begin; block; blocks; bloody; bolus; boluses; bony; breakthrough; built; bupivacaine; call; calls; careful; caregivers; caretaker; catheter; catheters; centers; cervical; challenges; chore; clear; close; closer; cognitive; comfortable; common; complete; complications; comply; concerned; connections; contact; continuous; crutches; cryotherapy; decrease; deep; depend; depending; designed; device; diaphragm; dilute; director; disease; dislodgement; dose; doses; dramatic; dressing; drive; duration; easy; effect; effects; entire; exclude; expect; experienced; extra; facilities; facility; factors; falling; feel; fill; follow-up; forget; function; hair; happier; hard; heart; heavy; helps; hepatic; hesitate; higher; hole; home; homecare; immediately; impossible; improperly; inadvertently; including; increases; infusion; infusions; initial; insensate; instructions; insufficiency; interscalene; ipsilateral; larger; lasts; lateral; latex; leakage; leave; leaving; leery; lighten; limb; liquid; local; locking; locks; long; longer; loose; loosen; loosening; lot; lung; maintain; maintenance; make; managing; matter; maximize; measures; medial; medical; methods; minutes; moistens; motor; movement; muscle; nerve; number; numbness; numerous; nurse; nursing; offering; operate; opiates; opioids; oral; outpatient; overlap; overuse; padding; pain; pain-relief; panacea; paravertebral; patient; patient-controlled; patients; peel; percent; perform; peripheral; phone; phrenic; physical; placement; podiatric; post-op; practitioner; predict; prescribe; prescription; present; prevent; professor; prominences; protect; provide; pulling; pump; quickly; rate; realized; receive; recovery; reduce; regains; relief; remains; removal; remove; removing; renal; require; reservoir; resolve; restlessness; review; rise; risk; safety; self-administer; self-bolus; send; sending; shows; signs; site; slide; slight; slightly; special; specially; stabilization; stand; standard; starting; stay; subcutaneous; suggests; support; surgeon; surgery; surgical; symptoms; syringe; system; tailor; tapes; targeted; telephone; tells; threshold; tibial; tight; top; total; tunneling; turn; type; typically; unacceptable; uncommon; understand; verbal; wake; wears; weight-bearing; wet; work; works

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