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Vigilance regarding a sleeping patient’s vitalsigns was always paramount, but the constant effort to be vigilant could be mind-numbing. Anesthesiologists could chat with the surgeons and/or nurses, make an occasional phone call, and at times read materials they brought with them into the operatingroom.
Let’s look at a case study which highlights a specific risk of general anesthesia at a freestanding surgery center or a surgeon’s office operatingroom, when the anesthesiologist departs soon after the case is finished. The patient enters the operatingroom at 0730 hours. The patient consents.
Empty OperatingRoom 0655 hours—You don a bouffant hat and a facemask, and enter your operatingroom. Your hospital contains multiple operatingrooms, and today you are in room #10. Then we’ll roll down the hallway into the operatingroom. and to bring your cell phone with you.
In an anesthesia care team, a physician anesthesiologist supervises up to four operatingrooms and each operatingroom is staffed with a certified registered nurse anesthetist (CRNA). In many hospital operatingrooms, a solitary physician anesthesiologist attends to his or her patient alone.
In contrast, other operatingroom professionals are usually relaxed and winding down at this time, because the surgical procedure is finished. The patient’s vitalsigns remained normal and the ET tube was removed. If the patient has an ET tube, it is usually removed. Anesthesiologists are vigilant during extubation.
Here are some general steps that might be considered: Alert the medical team: The anesthesiologist or healthcare providers in the operatingroom need to be notified immediately about the patient’s deteriorating condition. The surgeon and additional medical personnel may also be called upon for assistance. No, not really.
His preoperative vitalsigns were normal with an oxygen saturation of 98%. His preoperative vitalsigns were normal. Have the Stanford Emergency Manual 5 in your operatingroom suite, and ask a registered nurse to recite the Cognitive Aid Checklist for HYPOXEMIA to you, to make sure you haven’t missed something.
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