Nagelhout Highlights

Question 1

outpatient surgery and prematurity

Answer 1

inappropriate candidate for outpatient surgery.

Question 2

what can we give full term infants to decrease risk of post operative apnea

Answer 2

20mg/kg of caffeine citrate.

Question 3

how do we determine if a patient with known OSA is appropriate for ASC

Answer 3

if the patient is optimized and discharge with their cpap- they are appropriate

presumptive diagnosis of osa- if post op pain can be managed with nonopoid analgesics & their co morbid conditions are optimized- they are candidates.

Question 4

sickle cell disease

Answer 4

no major organ disease

no crisis for 1 year

live within 15 minutes of hospital

close followup

Question 5

social considerations in ambulatory surgery

Answer 5

patient compliance
presence of responsible caregiver
discharge accomidations
access to assistance
financial and insurance considerations

Question 6

general safety protocol for surgical lasers

Answer 6

warning sings laser in use
eye protection- colored
matte finish black surgical instruments
lowest concentration of 02
avoid using n20
laser should be in standby when not used
use ett specific for lasers
inflate cuff with methylene blue
all adjacent tissue should be shielded with wet cause to prevent damage from reflected beam
plume should be suctioned and evacuated from surgical field
plume-smoke and vapors from cutting with laser