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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 > November, 2008 Vol. IX, No. 11

A Challenging Cataract Surgery Case

How we dealt with a patient who was unable to tolerate the supine position for routine cataract surgery.

Maria Tietjen, RN

As challenging cataract cases go, this one had it all. Mrs. V, a 5-foot-1, 341-pound, 67-year-old female with multiple co-morbid conditions, including hypertension, diabetes, obesity and sleep apnea, presented for surgery on her right eye. She uses nasal oxygen at 2 liters and ambulates with the aid of a walker, but with some difficulty. At bedtime, she needs at least two pillows and can't lie flat.

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