Who Should Know About an Alcohol Ankle Monitor Before Surgery?

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A published case report described a patient whose alcohol ankle monitor was noticed in the operating room after intubation for elective robotic surgery. The authors reported a gap in documentation and handoff between the preoperative and operating-room teams. The procedure went ahead after the team reassessed its plan, and the report described no ankle injury.

The handoff has two sides

The medical team needs to know the device is present so it can plan positioning and equipment use. The supervision or monitoring contact can explain how any required interruption or equipment handling should be documented. Early communication allows those two discussions to happen before the procedure, when there is time to reconcile their requirements.

What the case supports

The experience describes one patient and one operative plan. It provides an example of how an unnoticed device can complicate preparation. A medical team evaluates the actual procedure and equipment, and counsel can help establish whom to contact about the terms of a monitoring arrangement.

Source

Peri-Operative Management of Patients with Continuous Alcohol Monitoring Devices, Journal of Anesthesia and Anesthetic Drugs

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