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Consider this: A surgeon can save the life of a hemorrhaging patient by placing one finger over a bleeding artery, followed by suturing the hole in the blood vessel. An anesthesiologist can save your life by treating airway obstruction with as little as one finger, thereby maintaining safe oxygen flow in and out of your lungs.
We’re going to sedate this patient for a medical procedure. The procedure does not require a breathing tube, so we’ll administer the sedation and be vigilant regarding what happens to the patient’s vital signs. Because of the decrease in ventilation, the oxygen saturation level will drop.
She was extubated one hour later at the surgery center after treatment with diuretic, oxygen, and ventilation via the tube. She was then transferred to the hospital for overnight observation of her airway, pulmonary function, and oxygenation. The duty in the ambulance included monitoring her oxygenation, her airway and her breathing.
In addition to monitoring the patient’s EEG level of consciousness (via a BIS monitor device called NeuroSENSE), this new device monitors traditional vital signs such as bloodoxygenlevels, heart rate, respiratory rate, and blood pressure, to determine how much anesthesia to deliver. In a word, “No.”
In contrast, other operating room professionals are usually relaxed and winding down at this time, because the surgical procedure is finished. low oxygen saturations or airway obstruction) occurred at a significantly higher rate following extubation than during induction of anesthesia (P < 0.01). Extubation is risky business.
How soon will we see robotic anesthesia in our hospitals and surgery centers? In the past three decades the high-tech revolution introduced the internet, the laptop computer, the iPhone, Google, and global positioning satellites. Our medical world inside the hospital has changed more slowly. But what’s new in anesthesia the last 30 years?
In layman’s terms, anoxic brain injury, or anoxic encephalopathy, means “the brain is deprived of oxygen.” In an anesthetic disaster the brain can be deprived of oxygen. Without oxygen, brain cells die, and once they die they do not regenerate. Anoxic brain injury. These three words make any anesthesiologist cringe.
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