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https://www.selleckchem.com/products/sitagliptin.html Use of this medication may be of value to other anesthesia providers caring for patients with PPS in an operative setting.In outpatient gastrointestinal (GI) endoscopy, for which postanesthesia care unit (PACU) stays are expected to be brief, sedative choices by anesthesia providers can affect costs. The purpose of this project was to evaluate the cost of propofol monotherapy compared with combination sedation consisting of propofol with any of the following midazolam, fentanyl, dexmedetomidine, and/or ketamine. A total of 277 patients who underwent outpatient GI endoscopy were included in this retrospective medical record review. Patients were separated into 2 groups propofol monotherapy (n = 233) or combination sedation (n = 44). Outcomes included PACU length of stay, episodes of postoperative nausea and vomiting (PONV), PACU costs, and medication costs. The average PACU length of stay was 35.0 minutes for propofol monotherapy and 35.75 minutes for combination sedation (P = .918). The average PACU cost was $566.37 for propofol monotherapy and $578.44 for combination sedation (P = .918). The average cost for sedatives was $3.13 for propofol monotherapy and $3.34 for combination sedation (P = .964). There was 1 incident of nausea among all patients. There were no significant differences in PACU length of stay, PACU cost, medication costs, and episodes of PONV between propofol monotherapy and combination sedation for outpatient GI endoscopy.Production pressure and/or normalization of deviance contribute to poor patient outcomes. The purpose of this study was to explore the relationship between production pressure and normalization of deviance to poor patient outcomes. A team of experienced qualitative researchers conducted a metasynthesis of all qualitative closed claims studies that used the American Association of Nurse Anesthetists (AANA) Foundation Closed Claims database and were accepted for publication at th

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