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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.
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.
The bloodoxygenlevel dropped acutely to life-threatening levels. The anesthesiologist then performed an emergency reintubation to replace the ET tube to again ventilate oxygen into the patient’s lungs to save his life. The patient’s vitalsigns remained normal and the ET tube was removed.
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. Why have there been no new anesthetics?
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