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Info eNEWSLETTER (eBoletín) Other Issues
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JOIN THE DISCUSSION - TOP If you answered "yes" to any of these questions, or would like to share with other professionals a comment or opinion on a topic related to ambulatory anesthesia then please "Join the Discussion". Your question, reply or comment will be published in the next available issue of SAMBA TALKS. Include your name (or initials), email address, city, and state, if you would like these published. Please note that because of the high volume of questions we receive, there is often a delay of 1 to 2 months before publication. SAMBA Talks will include all discussion questions we receive considered of interest to the membership at large. We will endeavor to publish a response to at least one of these questions. The response will be from experts in the field, and from those willing to express a view on a particular topic, backed by experience and/or published evidence. Where email addresses are published, those individuals have indicated their interest in discussing the published questions. Questions and responses from previous months are now available at the eNewsletter Discussion Archive. If you have any comments regarding the previous questions, please submit them to SAMBA Discussion, and they will be published here next month. Please note: The information presented in the replies below does not represent SAMBA policy. The replies are solely the opinions of the individuals who wrote them.
Does your ambulatory facility routinely use the BIS monitor? If not, are there specific cases that they are used for? -- From: Anonymous Reply We do not use the BIS monitor on a routine basis in our office based practice except when caring for patients about to undergo electroconvulsive therapy. It is not uncommon that when providing a dosage that is based on weight (and clinical signs) ends-up being too high, preventing the generation of an adequate convulsion. With the use of the BIS monitor we are able to decrease our propofol dosage and facilitate therapy without the danger of providing an inadequate depth of anesthesia. -- From: Michael J. Haag, M.D., Switzerland
Question 1: We perform anesthesia for colonoscopies using propofol and regard this as general anesthesia. However, ASA guidelines seem to indicate that end-tidal CO2 monitoring is a standard of care for general anesthesia. Do you regard end-tidal CO2 monitoring a standard of care for colonoscopy with propofol? -- From: John Booth, Richmond, VA (booth006@mac.com) Question 2: What guidelines are ASCs following regarding sleep apnea patients? Specifically for mild and moderate sleep apnea patients having peripheral surgery, how long post surgery do they remain in the ASC? -- From: Richard F. Gargiulo, M.D. (Rgargiulo@virtua.org)
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