Pain Control in Ambulatory Surgery Centers

Description:

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.

Table of Contents:

Cover

Front Matter

Part I. Introduction

1. Academic and Non-academic Ambulatory Surgery Centers and Hospital Outpatient Departments

2. Opioid Epidemic

3. Current US Policy for Opioid Prescribing

4. Rationale and Goals for Optimal Pain Control in Ambulatory Surgical Centers

5. Challenges of Pain Control in Ambulatory Surgery Setting

6. Assessment and Optimization of Available Resources for Pain Control (In Ambulatory Surgery Setting)

7. Benefits of Optimum Pain Control in the Ambulatory Surgery Centers

8. Analgesic Strategies in Ambulatory Surgery Centers

9. Preoperative Planning of Acute Pain Management in an Academic Ambulatory Surgical Center

Part II. Multimodal Analgesia

10. Comprehensive Pain Management: Opioid-Naïve Versus Opioid-Tolerant Patients

11. Opioid Use in the Treatment of Pain States

12. Maximization of Non-opioid Multimodal Therapy in Ambulatory Surgery Centers

13. The Role of Ultrasound in the Ambulatory Setting

14. Use of Regional Anesthesia/Neuraxial Anesthesia in Ambulatory Surgery Centers

15. Ketamine Infusions: Role and Use in Ambulatory Surgery Centers

16. Management of Perioperative Nausea and Intractable Pain in Outpatient Surgery: Mechanisms, Strategies, and Clinical Considerations

Part III. NORA Locations

17. Sedation for Interventional Pain Procedures

18. Sedation and Analgesic Considerations for Gastrointestinal Procedures

19. Management of Perioperative Pain and Sedation for Interventional Radiology Procedures

20. Management of Perioperative Pain for Outpatient Bronchoscopy

Part IV. Special Patient Populations

21. Perioperative Management of Sleep Apnea Patients in an Ambulatory Surgical Setting

22. Special Considerations: Management of Pediatric Pain in an Ambulatory Setting

23. Pain Management in Former Addicts on Medication-Assisted Treatment (MAT) Program

24. The Impact of Marijuana and Other Drugs of Abuse on Pain Control in Ambulatory Anesthesia

25. Special Considerations – Indwelling Spinal Cord Stimulators and Intrathecal Pumps

Part V. Discharge Considerations

26. Discharge from Recovery Room in Ambulatory Surgery Centers

27. Recovery Room Protocols for Nursing in Ambulatory Surgery Centers (ASCs) and Hospital Outpatient Departments (HOPDs)

28. Weaning Protocols After Ambulatory Surgery

29. Role of a Focused Ambulatory Pain Physician

30. Inclusion of Pain Management Services in Ambulatory Surgical Centers

31. New Vistas in Ambulatory Postoperative Pain Management