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 trouble-free reference on all points of office-based anorectal surgical procedure for practising common surgeons and surgeons in education. Well-illustrated, this useful guide indicates step by step techniques 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 elements, and coding and billing. A needs to for all common surgeons.
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D"W, D"LR, or D"NS). Also, should any fluids need to be given during the procedure, an intravenous line is readily available. The cost of the intravenous catheter plus the bag of intravenous fluid is comparable to the multiple small vials of normal saline used for flushing the medications into the vein. After any premedications, such as intravenous antibiotics, have been given, the patient is transported to the procedure room. A sturdy cloth pad or draw sheet on the stretcher may be useful for repositioning a sleepy patient during the procedure.
In some cases patients request to speak directly with the anesthesiologist. This often decreases the anxiety levels of the patient and family. During this preoperative visit, the nurses inform the patient about any special dietary modifications that are required. The nurses also instruct the patients on the medications they need to continue or omit on the day of surgery. It is standard practice to continue cardiac medications, antihypertensives, and antidepressants on the day of surgery. Diabetic patients are given specific instructions depending on their medication and dosages.
He or she may be 23 asked to assist with the advancement of the endoscope itself. " Often, gentle pressure on the abdomen will assist the advancement of the scope and may be accompanied by well-timed deep breaths on the part of the patient. It may be necessary to turn the patient on his or her back or even on the right side to facilitate passage of the scope beyond a particularly difficult segment of the colon. Therapeutic Colonoscopy In the case of a diagnostic colonoscopy, the activities described above may be all that is required, but many times a diagnostic colonoscopy will identify polyps or other abnormalities that require intervention.