Ep. 224 Safety & Preparedness in Office Based Procedures with Dr. Scott Fortune

The best doctors aren’t lucky—they’re prepared. Discover how to keep your office safe during in-office procedures. In this episode of BackTable ENT, Dr. Scott Fortune, an otolaryngologist from Allergy and ENT Associates of Middle Tennessee, discusses office-based procedural safety with Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS The doctors delve into the importance of preparedness in handling potential complications, emphasizing the necessity of having the right equipment and protocols in place. Dr. Fortune provides detailed guidelines on managing anesthesia, preventing and handling bleeding, and addressing possible complications such as vasovagal reactions and anaphylaxis. The conversation covers practical tips, including the use of local anesthetics, sedatives, and the importance of patient history and clearance forms. This comprehensive discussion is a valuable resource for ENT professionals looking to enhance the safety and efficacy of their office-based procedures. --- TIMESTAMPS 00:00 - Introduction 01:34 - Discussing Safety in Office Procedures07:47 - Safety Protocols and Equipment19:11 - Anesthesia and Sedation Protocols27:29 - Handling Emergencies and Reversal Agents30:00 - Local Anesthesia and Toxicity38:29 - Effective Anesthesia Techniques for Office Procedures41:25 - Bleeding Control in Office Procedures53:36 - Handling Office Procedure Complications01:00:19 - Final Thoughts and Contact Information --- RESOURCES Dr. Scott Fortune https://www.enthealth.org/find-ent/d-scott-fortune/ Patient Selection, Safety, and Preparedness for Office-Based Otolaryngology Procedureshttps://www.oto.theclinics.com/article/S0030-6665(25)00020-9/abstract AAOA anaphylaxis guidelineshttps://www.aaoallergy.org/wp-content/uploads/2017/05/2015-Clinical-Care-Statements-Anaphylaxis.pdf