Pain Control in Ambulatory Surgery Centers

ISBN-13: 9783030552619 / Angielski / Miękka / 2021 / 430 str.

Nalini Vadivelu; Kanishka Rajput; Alan Kaye

Spis treści

Pain control in ambulatory surgery centers  (ASCs)

1. Academic and nonacademic ambulatory surgery centers  

2. The unmet need for optimum pain control in ambulatory Surgery centers ASCs

3. Innovation of pain control with the resources present in an ambulatory surgery center

4. Challenges of pain control in an ambulatory surgery setting 

5. Management of patients with chronic pain in ambulatory surgery centers

6. Perioperative Pain control in patients with history of opioid abuse

7. Structuring of individual pain control regimen in ambulatory surgery centers 

8. Maximization of non-opioid multimodal therapy in ambulatory surgery centers

9. Use of regional anesthesia in outpatient ambulatory surgery centers 

9. Perioperative management of pain control in patients on methadone and suboxone for opioid addiction

10. Benefits of optimum pain control in ambulatory surgery centers

11. Concept of a focused ambulatory pain specialist on site at each ASC 

12. Inclusion of mandatory pain management services within each ASC

13. Weaning protocols in outpatient surgery

14. Management of perioperative nausea and intractable pain in outpatient surgery 

15. Pain control follow up after discharge from ambulatory surgery centers (ASCs) 

16. Role of policy makers towards implementation of payment to provide pain services within ASCs

O autorze

 Kanishka Rajput

Department of Anesthesiology

Division of Pain Medicine

 Yale University School of Medicine

New Haven, CT

Nalini Vadivelu

Department of Anesthesiology

Division of Ambulatory Surgery

Yale University School of Medicine, New Haven, CT

 

Alan David Kaye

Louisiana State University Health Sciences Center

Shreveport, LA

 

Rinoo Vasant Shah

Louisiana State University Health Sciences Center

School of Medicine

Shreveport, LA

Blurb

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.