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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 > December, 2007 Vol. VIII, No. 12

Letters & E-mails

Treat the Patient, Not the Monitor
Re: "The Case for Capnography" (November, page 55). Just finished reading Mr. Snyder's article on capnography for use during "MAC or IV sedation cases." I have a couple of quick comments. I do these cases on almost a daily basis and have done so for more than 20 years. I have rarely used, nor felt the need to use, capnography to increase the level of safety I provide for my patients. I feel that the routine use of this technology may lead to treating the monitor rather than treating the patient. I use a cheap and simple device known as a pre-tracheal or pre-cordial stethoscope on every case. Changes in respiratory patterns are recognized in a more timely fashion than with capnography and require no expensive monitor or fancy cannula. I also do not send my patients to PACU in a condition where they run much of a risk for further airway obstruction. In fact, most walk with me, even after an eight-hour procedure, or would be capable of walking.

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