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He was receiving propofol without an anesthesia professional to monitor his airway, breathing, and oxygen saturation. Untreated total airway obstruction can lead to plummeting bloodoxygenlevels in minutes. Irreversible hypoxic brain damage can occur if there is a lack of oxygen to the brain for as little as 5 minutes.
If this airway obstruction is not remedied, the oxygen saturation will drop below a safe level of 90%. At these low bloodoxygenlevels, the brain and heart will be deprived of necessary oxygen. A prolonged low bloodoxygenlevel can lead to life threatening cardiac dysrhythmias or a cardiac arrest.
Sixty-six percent of surgeries in the United States take place as an outpatient , and many of these surgeries are performed at freestanding facilities distant from hospitals. She was extubated one hour later at the surgery center after treatment with diuretic, oxygen, and ventilation via the tube.
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.
The ET tube is a conduit to safely transfer oxygen and anesthesia gases into and out of the lungs. After a surgery is finished, anesthetic gases and intravenous anesthesia drugs are discontinued, and the patient wakes up within 5 to 15 minutes. The surgery concluded 2 hours later and the anesthetics were discontinued.
In an anesthetic disaster the brain can be deprived of oxygen. Without oxygen, brain cells die, and once they die they do not regenerate. Some brain cells start dying within five minutes after the oxygen supply disappears, and brain hypoxia can rapidly cause severe brain damage or death. The surgery concluded 4 hours later.
How soon will we see robotic anesthesia in our hospitals and surgery centers? We’ve seen advances in noninvasive surgery, fiberoptic scopes, transplantation science, cancer therapeutics, and mega healthcare delivery companies. All patients had an indwelling radial arterial catheter to monitor blood pressure continuously.
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