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Sa ki soti nan reyinion avec MSPP jodia :

  • MSPP di li vle pou fomasyon Rezidan , Entenn , eksten,MDS lopital jeneral la reprann pi vit posib (men Kibo??)
  • MSPP di gen 2 opsyon pou lopital jeneral : 1) Kraze l net epi voye tout pesonel la nan lot sant sante 2) Kraze epi rekonstwi an menm tan ke l'ap fonksyone (Li pa janm anvizaje pou li annik konstwi lopital la sou lot sit epi leu li fini yo t ap voye pesonel ladan li?)
  • MSPP di rekonstriksyon lopital la ap pran mwens tan ak lajan si yo femen l e rebati (Pouki yo pa jus bati l yon lot kote?)
  • MSPP vle voye Rezidan , Inten , Eksten ak MDS nan sant sante ki pa menm gen kote pou mete yo , ni ekipman.

Sa nou konprann :

  • Grev la pa yon priyorite
  • Rekonstriksyon ap fet an bouyi vide
  • MSPP pa p reflechi ak kesyon fomasyon vreman.

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Systemic Lidocaine Decreased the Perioperative Opioid Analgesic Requirements but Failed to Reduce Discharge Time After Ambulatory Surgery

Perioperative systemic lidocaine significantly reduces opioid requirements in the ambulatory setting without affecting time to discharge. Postoperative pain is the most common reason for delay in discharge and unplanned hospital admission after ambulatory surgery. 1–3 Because postoperative pain is to a large extent an inflammatory phenomenon, administration of systemic local anesthetics, which have inflammatory modulatory properties, 4 could significantly reduce pain and therefore allow more rapid discharge. 5 Lidocaine has an excellent safety record when administered by low-dose infusion. 5–7 However, whereas decreased hospital stay after inpatient surgery has been demonstrated, the effect of intraoperative and early postoperative lidocaine infusion on duration of stay after ambulatory surgery is not known. Although it see...