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Outpatient Surgery E-Weekly

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Tip of the week Are red-bag wastes, sharps, recyclables and unshredded sensitive paperwork routinely ending up in your regular trash bins? Line those ...

InstaPoll: Do You Check Your Work E-Mail on Vacation?

Be honest: When you're on vacation, do you feel compelled to check your work e-mail 2 or 3 or 4 times a day? Or do you manage to leave it all behind...

N.Y. Hepatitis Outbreaks Linked to Propofol Reuse

An investigation into a pair of hepatitis outbreaks in New York City has revealed that the same anesthesiologist was responsible for spreading 6 cas...

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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