By Peter S.A. Glass MD
This factor brings the anesthesiologist brand new on present crucial subject matters in ambulatory anesthesia. subject matters coated comprise obstructive sleep apnea, pediatric ambulatory anesthesia, supraglottic airway units, concerns in office-based ambulatory anesthesia, advanced sedation, the function of nearby anesthesia within the ambulatory setting, local catheters, postoperative ache administration for the ambulatory sufferer, and updates on PONV and PDNV. Authors additionally discover the questions of ways a lot checking out could be performed, how you can make your self ASC fascinating to sufferers and surgeons, and extra.
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Additional info for Ambulatory Anesthesia, An Issue of Anesthesiology Clinics (The Clinics: Surgery)
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Anesthesiology 2009;110:928–39. 35. Nuckton TJ, Glidden DV, Browner WS, et al. Physical examination Mallampati score as an independent predictor of obstructive sleep apnea. Sleep 2006;29: 903–8. 36. Davidson T, Patel M. Waist circumference and sleep disordered breathing. Laryngoscope 2008;118:339–47. 37. Chung F, Liao P, Sun F, et al. Nocturnal oximeter: a sensitive and specific tool to detect the surgical patients with moderate and severe OSA. Anesthesiology 2009;111:A480. 38. Patel MR, Davidson TM.
A simple screening tool in the preoperative clinic may be pulse oximetry. In the authors’ opinion, an oxygen saturation value of less than 94% in room air in the absence of other causes should be a red flag for severe long-standing OSA. The presence of comorbidities such as uncontrolled hypertension, arrhythmias, cerebrovascular disease, heart failure, metabolic syndrome, and obesity should be determined. A detailed list of associated comorbidities is found in Table 1. The use of continuous PAP or other PAP devices and the compliance with PAP therapy should be assessed for the subgroup of patients who have been prescribed with PAP therapy.