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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 vitalsigns. Because of the decrease in ventilation, the oxygen saturation level will drop.
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.
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.
In addition to monitoring the patient’s EEG level of consciousness (via a BIS monitor device called NeuroSENSE), this new device monitors traditional vitalsigns such as bloodoxygenlevels, heart rate, respiratory rate, and blood pressure, to determine how much anesthesia to deliver. In a word, “No.”
The Glidescope, sugammadex, ultrasound-guided blocks, and the time-consuming Electronic Medical Record arrived, but we typically administer the same medications, use the same airway tubes, and watch the same vitalsigns monitors as we did in the 1990s. How soon will we see robotic anesthesia in our hospitals and surgery centers?
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