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Academic and Non-academic Ambulatory Surgery Centers and Hospital Outpatient Departments
Pages 3-11
This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed.
Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three then explore facets of multimodal analgesia and non-operating room locations, including the use of ultrasounds, sedation in specific procedures, regional anesthesia, ketamine infusions, and the management of perioperative nausea and intractable pain in outpatient surgery. Section four examines the unique challenges physicians face with certain patient demographics, such as the pediatric population, those suffering from sleep apnea, and those with a history of substance abuse. The book closes with information on discharge considerations, ambulatory surgery protocols, recovery room protocols, and mandatory pain management services.
An invaluable reference for all health personnel and allied specialties, Pain Control in Ambulatory Surgery Centers (ASCs) meets the unmet need for a resource that covers optimum pain control in patients undergoing outpatient surgery as well as the urgent ASCs challenges that are presented on an immense scale with national and international impact.
Academic and Non-academic Ambulatory Surgery Centers and Hospital Outpatient Departments
Pages 3-11
Opioid Epidemic
Pages 13-28
Current US Policy for Opioid Prescribing
Pages 29-41
Rationale and Goals for Optimal Pain Control in Ambulatory Surgical Centers
Pages 43-48
Challenges of Pain Control in Ambulatory Surgery Setting
Pages 49-64
Assessment and Optimization of Available Resources for Pain Control (In Ambulatory Surgery Setting)
Pages 65-77
Benefits of Optimum Pain Control in the Ambulatory Surgery Centers
Pages 79-89
Analgesic Strategies in Ambulatory Surgery Centers
Pages 91-109
Preoperative Planning of Acute Pain Management in an Academic Ambulatory Surgical Center
Pages 111-120
Comprehensive Pain Management: Opioid-Naïve Versus Opioid-Tolerant Patients
Pages 123-131
Opioid Use in the Treatment of Pain States
Pages 133-152
Maximization of Non-opioid Multimodal Therapy in Ambulatory Surgery Centers
Pages 153-168
The Role of Ultrasound in the Ambulatory Setting
Pages 169-178
Use of Regional Anesthesia/Neuraxial Anesthesia in Ambulatory Surgery Centers
Pages 179-202
Ketamine Infusions: Role and Use in Ambulatory Surgery Centers
Pages 203-210
Management of Perioperative Nausea and Intractable Pain in Outpatient Surgery: Mechanisms, Strategies, and Clinical Considerations
Pages 211-227
Sedation for Interventional Pain Procedures
Pages 231-244
Sedation and Analgesic Considerations for Gastrointestinal Procedures
Pages 245-256
Management of Perioperative Pain and Sedation for Interventional Radiology Procedures
Pages 257-280
Management of Perioperative Pain for Outpatient Bronchoscopy
Pages 281-288
Perioperative Management of Sleep Apnea Patients in an Ambulatory Surgical Setting
Pages 291-298
Special Considerations: Management of Pediatric Pain in an Ambulatory Setting
Pages 299-307
Pain Management in Former Addicts on Medication-Assisted Treatment (MAT) Program
Pages 309-325
The Impact of Marijuana and Other Drugs of Abuse on Pain Control in Ambulatory Anesthesia
Pages 327-334
Special Considerations – Indwelling Spinal Cord Stimulators and Intrathecal Pumps
Pages 335-343
Discharge from Recovery Room in Ambulatory Surgery Centers
Pages 347-353
Recovery Room Protocols for Nursing in Ambulatory Surgery Centers (ASCs) and Hospital Outpatient Departments (HOPDs)
Pages 355-367
Weaning Protocols After Ambulatory Surgery
Pages 369-377
Role of a Focused Ambulatory Pain Physician
Pages 379-389
Inclusion of Pain Management Services in Ambulatory Surgical Centers
Pages 391-414
New Vistas in Ambulatory Postoperative Pain Management
Pages 415-420
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