Volume 7, Issue 4 S A M B A T A L K S - PAGE 2 September, 2007

JOIN THE DISCUSSION - TOP

Need advice about a problem case in ambulatory anesthesia? Suggestions about a difficult situation in your ambulatory surgery center? A reply to questions others have raised about ambulatory anesthesia issues?

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.

?? - LAST MONTH'S QUESTIONS WITH REPLIES - ?? - TOP

Question 1

I am and anesthesiologists from the Philippines and I am interested in setting up an ambulatory clinic, with focus on cosmetic procedures. Are there specific guidelines or protocols that need to be followed in setting up such facilities? Also, since I am based in a hospital I would also like to know what are the standard equipment and facilities needed for outpatient surgeries in general.

Thank you.

-- From: Irminia Montecillo M.D., Phillipines (icmontecillo@yahoo.com)

Question 2

I am an anesthesiologist interested in learning how to sedate patients in an office setting. Do you know of any training I can get for this?

-- From: Donald Cochran,MD

Reply

Consider taking a look at the recently published Manual of Office-Based Anesthesia Procedures edited by Fred E. Shapiro.  This book has collected almost all of the relevant American Society of Anesthesiologists’ guidelines, reviews significant pharmacology and discusses some of the authors’ preferred techniques for sedation and anesthesia.

-- From: T. J. Conahan, M.D. Philadelphia, PA

If you are unable to obtain the published text mentioned above, the ASA website will have the published practice guidelines for the topics of your concern.

-- From: Ali Jahan, MD

?? -- THIS MONTH'S QUESTION -- ?? - TOP

I have a question about using stimulants for ADHD and other conditions and their place in anesthesia.  Recently we have seen an increase in the use of stimulants such as dextroamphetamine or modafinil for adult ADHD and for treatment of narcolepsy, sleep apnea, chronic pain, etc.  Should we be administering these preoperatively to our patients prior to surgery just as we do a beta blocker?  I have had conflicting advice since our pediatric colleagues feel that they make the operative experience better for children.  In adults, I am not so sure and I would appreciate advice on this topic.  Thanks.

-- From: Dana N Wiener, M.D. Durham, NC (WIENE003@mc.duke.edu)

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