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  • Book
    Kanishka 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. .
    Digital Access Springer 2021