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The anesthesiologist is responsible for the safety and care of his or her patient, and the highest continuity of care occurs when the anesthesiologist who managed the emergency attends to the patient during the transfer to the hospital. Why Did Take Me So Long To Wake From GeneralAnesthesia?
Some brain cells start dying within five minutes after the oxygen supply disappears, and brain hypoxia can rapidly cause severe brain damage or death. 1,2) In malpractice cases I’ve consulted on, a five-minute window is an accepted duration for low bloodoxygenlevels to cause permanent brain damage. Anticipate and Plan.
Both patients and endoscopists expected deep generalanesthesia, not moderate sedation. Gastroenterologists were ill-equipped to shoulder the responsibility of generalanesthesia and airway management. It seems likely that cognitive robots which follow algorithms can increase patient safety.
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