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The procedure does not require a breathing tube, so we’ll administer the sedation and be vigilant regarding what happens to the patient’s vitalsigns. As with all anesthetics, the patient will be fully monitored for heart rate, blood pressure, oxygen saturation, respiratory rate, and exhaled carbon dioxide level.
How soon will we see robotic anesthesia in our hospitals and surgery centers? Most of these discoveries originated in Silicon Valley, just miles outside Stanford University Hospital where I’ve been working for the past 42 years. Our medical world inside the hospital has changed more slowly. Relatively little.
Let’s examine five actual post-extubation scenarios that caused death, complications, or a near-miss: During my first month of anesthesia training at a county hospital in San Jose, California, I chose to try to wake up a healthy patient without the presence of my faculty member. A myocardial infarction was ruled out by blood tests.
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.
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