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 common surgeons and surgeons in education. Well-illustrated, this sensible guide indicates step by step systems for: - Hemorroidectomy - fix of anal fissures - maintenance 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, number of sufferers, pre-op and post-op administration, nursing points, and coding and billing. A needs to for all common surgeons.
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Extra info for Ambulatory Anorectal Surgery
In fact, the intravenous catheter is not inserted until the patient begins to feel the calming effect of the drug. Another advantage of diazepam is the ability to administer it prior to the arrival of the surgeon. Unlike intravenous midazolam, patients taking diazepam are cognizant enough to converse with the surgeon and are reasonably calm. Diazepam is certainly more costeffective, and there is little difference between the two medications in the recovery phase. With oral diazepam, precise timing is not as critical to patient care, and if the surgeon is delayed it does not appear to be as significant an imposition.
Older units are equipped to handle only glutaraldehyde solutions. A discussion of currently available solutions is provided later in this section. It is important that the automatic processor be set for the correct 26 disinfectant exposure time to achieve high-level disinfection. Most processors will also accommodate biopsy forceps and other immersible accessories, although coiled biopsy forceps should be placed in an ultrasonic cleaner before being exposed to the disinfectant. Some flexible endoscopic accessories can be autoclaved after proper manual cleaning.
Equipment Colonoscopy is accomplished with a flexible endoscope approximately 120 to 180 cm in length. Older flexible endoscopes transmit images via a fiberoptic bundle back to a lens system that focuses the image at the eyepiece. This system allows only the endoscopist to view the colon. The modern colonoscope is a video endoscope that transmits the image from a camera chip on its tip to a video monitor. The monitor allows the entire endoscopy team to participate in the examination. Video endoscopes still use fiberoptic technology for light transmission from the light source to the colon.