By Michael Lavan R.N., Judy Swanson R.N., Andrea Ferrara M.D. (auth.), H. Randolph Bailey M.D., Michael J. Snyder M.D. (eds.)
Ambulatory Anorectal Surgery is a easy reference on all features of office-based anorectal surgical procedure for working towards normal surgeons and surgeons in education. Well-illustrated, this useful handbook exhibits step by step strategies for: - Hemorroidectomy - fix of anal fissures - upkeep of Fistula in-ano - Colonoscopy - Pilondial cyst. The textual content comprises ancillary concerns of ambulatory surgical procedure with well timed chapters on set-up of the power, anesthesic concerns, choice of sufferers, pre-op and post-op administration, nursing facets, and coding and billing. A needs to for all basic surgeons.
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Additional info for Ambulatory Anorectal Surgery
Laryngeal mask airway. Advantages Less hemodynamic instability No need for muscle relaxants No sore throat Disadvantages Aspiration pneumonitis which greatly exceeds that of the benzodiazepines and barbiturates. 3). The LMA is a short endotracheal tube attached to an ovoid facemask. When properly positioned and inflated, the facemask lies directly over the laryngeal inlet. The benefits of the LMA are numerous. It eliminates the noxious stimulus of laryngoscopy and intubation and the need for muscle relaxants to secure the airway.
It is very important that all persons using ESUs be thoroughly trained in their use and be able to troubleshoot problems that might occur during their use. When the functioning of the unit is in doubt, the unit should be removed from service until a trained biomedical technician has evaluated the unit and certifies that it is working properly. Cleaning and Disinfection/Sterilization The cleaning process has four stages: manual cleaning, disinfection, rinsing, and drying. Cleaning begins at the bedside upon completion of the examination and is an essential step in the procedure.
The standard in the community regarding laboratory tests for elective anorectal surgery has changed in recent years. Measurements of the hemoglobin level and hematocrit and a pregnancy test are recommended for women of childbearing age. Patients who are taking antihypertensives, heart medications, or diuretics should have their electrolytes evaluated. Men over age 50 and postmenopausal women with cardiac risk factors require a screening electrocardiogram. Preoperative Medications Sedation: Diazepam There has been a considerable change in preoperative sedation techniques for patients undergoing outpatient surgery.