BookKanishka Rajput, Nalini Vadivelu, Alan David Kaye, Rinoo Vasant Shah, editors.
Summary: This book provides a comprehensive review of the, challenges, risk, stratification, and 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. .
Contents:
Academic and Non-academic Ambulatory Surgery Centers and Hospital Outpatient Departments
Opioid Epidemic
Current US Policy for Opioid Prescribing
Rationale and Goals for Optimal Pain Control in ASCs
Challenges of Pain Control in Ambulatory Surgery Setting
Assessment and Optimization of Available Resources for Pain Control
Benefits of optimum pain control in ASCs
Structuring Pain Control Regimens in ASCs
Preoperative Planning
Comprehensive Pain Management: Opioid Naïve Vs Opioid Tolerant
Risks and Benefits of Opioids in Chronic/Cancer Pain
Maximization of non-opioid multimodal therapy in ASCs
Use of Ultrasound in an Ambulatory Setting
Use of Regional anesthesia/Neuraxial anesthesia in ASCs
Ketamine infusions
Management of Perioperative Nausea and Intractable Pain in Outpatient Surgery
Sedation for Interventional Pain Procedures
Sedation and Analgesia for GI Procedures
Management of Perioperative Pain for IR Procedures
Management of Perioperative Pain for Bronchoscopy
Perioperative management of obstructive sleep apnea patients in an ambulatory setting
Special Considerations
Management of Pediatric Pain in an Ambulatory Setting
Pain management in former addicts on MAT (Medication assisted treatment)
Special Considerations
Medical Marijuana and Active Substance Abuse
Special Considerations
Indwelling Intrathecal Pumps and Spinal Cord Stimulators
Discharge from Recovery Room in Ambulatory Surgery Centers
Recovery Room Protocols for nursing in ASCs and HOPDs
Weaning protocols for Ambulatory Surgery
Role of a Focused Ambulatory Pain Specialist
Inclusion of mandatory pain management services in ASCs
New Vistas: Opioid Sparing Multimodal Therapy in the Post-Operative Period. .