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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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General Anesthesia: Overview01:24

General Anesthesia: Overview

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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One-Compartment Open Model for IV Bolus Administration: General Considerations01:19

One-Compartment Open Model for IV Bolus Administration: General Considerations

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The one-compartment model is a pharmacokinetic tool that models the body as a single, uniform compartment, facilitating the understanding of drug distribution and elimination. This model is particularly beneficial for intravenous (IV) bolus administration, where the drug rapidly circulates throughout the body.
The drug's presence in the body is defined by an equation representing the difference between the rates of drug entry and exit. Key parameters—elimination rate constant,...
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Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

537
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
537
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

505
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

276
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Related Experiment Video

Updated: Sep 17, 2025

Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 4. Medical Imaging Procedures
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Volume and Safety Profile of Office-Based Procedures.

Nisha Rehman1, Irving Jorge2, Megan Nelson1

  • 1General Surgery Residency, Department of General Surgery, Mayo Clinic, AZ, USA.

The Surgical Clinics of North America
|June 28, 2025
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Summary

Outpatient surgeries in office-based settings are generally safe, with low adverse outcomes. Following recommendations like careful patient selection and checklists can further enhance safety for these procedures.

Keywords:
Office-based surgeryOutcomesSafetyVolume

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Area of Science:

  • Medical Safety
  • Surgical Procedures
  • Healthcare Regulation

Background:

  • Increasing trend of outpatient surgeries, especially in office-based settings.
  • Significant state-to-state variations in the regulation of surgical facilities.
  • Growing need for safety assessments in non-hospital surgical environments.

Purpose of the Study:

  • To evaluate the safety of office-based surgical facilities.
  • To identify key recommendations for ensuring patient safety in these settings.
  • To inform regulatory practices for outpatient surgical centers.

Main Methods:

  • Literature review on safety of office-based surgical facilities.
  • Analysis of adverse outcome rates in outpatient settings.
  • Synthesis of expert recommendations for surgical safety.

Main Results:

  • Office-based surgeries demonstrate generally safe outcomes.
  • Adverse event rates in these settings are typically low.
  • Specific protocols are crucial for maintaining high safety standards.

Conclusions:

  • Office-based surgical facilities can be safe when established protocols are followed.
  • Recommendations include stringent patient/procedure selection and credentialing.
  • Checklists and volume requirements are vital for mitigating risks.