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  What Must I Consider to Safely Anesthetize Someone in the Office Setting?   Chapter 47:  Evidence based practice of anaesthesiology Dr.ANVAR SADATH.A.E.
INTRODUCTION   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPONENTS OF OFFICE SAFETY   ,[object Object],[object Object],[object Object]
Physical Considerations   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physician Qualifications   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient and Procedure Selection   ,[object Object],[object Object],[object Object],[object Object]
EVIDENCE   ,[object Object],[object Object],[object Object],[object Object]
Evidences  ,[object Object],[object Object],[object Object],[object Object],[object Object],9.2 /100000 66 /100000 Office surgery 0.78/ 100000 5.3 /100000 Ambulatory surgery Death rate Adverse events
Evidences, DVT, PE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors for the Development of Deep Vein Thrombosis (DVT   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preoperative hematology consultation with consideration of perioperative antithrombotic therapy  Procedure >30 min  Treatment as per patients with moderate risk  Age >40 with concomitant risk factors  High risk Frequent alterations of the operating room table Oral contraceptive use Intermittent pneumatic compression of calf or ankle (before sedation and continued until patient is awake and moving)  Procedure >30 min Proper positioning  Age >40 with no other risks Moderate risk Avoid constriction and external pressure  Short duration Knees flexed at 5 degrees  Uncomplicated surgery Comfortable position  No risk factors Low risk   Treatment   Cohort
GUIDELINES   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OSA ,[object Object],[object Object],[object Object],[object Object]
Duration of procedure   ,[object Object],[object Object],[object Object],[object Object]
AREAS OF UNCERTAINTY   ,[object Object],[object Object],[object Object]
AUTHORS' RECOMMENDATIONS   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
thank you

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Considerations for Safely Anesthetizing Patients in the Office Setting

  • 1.   What Must I Consider to Safely Anesthetize Someone in the Office Setting? Chapter 47: Evidence based practice of anaesthesiology Dr.ANVAR SADATH.A.E.
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  • 11. Preoperative hematology consultation with consideration of perioperative antithrombotic therapy Procedure >30 min Treatment as per patients with moderate risk Age >40 with concomitant risk factors High risk Frequent alterations of the operating room table Oral contraceptive use Intermittent pneumatic compression of calf or ankle (before sedation and continued until patient is awake and moving) Procedure >30 min Proper positioning Age >40 with no other risks Moderate risk Avoid constriction and external pressure Short duration Knees flexed at 5 degrees Uncomplicated surgery Comfortable position No risk factors Low risk Treatment Cohort
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