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DENTAL ANESTHESIA DEATHS. GENERAL ANESTHESIA FOR PEDIATRIC PATIENTS IN DENTAL OFFICES

The Anesthesia Consultant

GENERAL ANESTHESIA FOR DENTAL OFFICES CASE PRESENTATION: A 5-year-old developmentally delayed autistic boy has multiple dental cavities. The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. He or she may inject local anesthesia as needed to block pain.

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EXTUBATION IS RISKY BUSINESS. WHY THE CONCLUSION OF GENERAL ANESTHESIA CAN BE A CRITICAL EVENT

The Anesthesia Consultant

The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. At the onset of general anesthesia anesthesiologists place an ET tube through the mouth, past the larynx (voice box), and into the trachea (windpipe). The patient’s vital signs remained normal and the ET tube was removed.

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SMART GLASSES IN THE OPERATING ROOM

The Anesthesia Consultant

Anesthesia vital signs monitor display A second and more compelling use for smart glasses would be the display of a patient’s vital sign monitoring in real time on the smart glass screen, so that an anesthesiologist is in constant contact with the images of the vital sign electronic monitors.

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CODE BLUE – WHEN AN ANESTHESIOLOGIST PREMATURELY DEPARTS A FREESTANDING SURGERY CENTER

The Anesthesia Consultant

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 operating room, when the anesthesiologist departs soon after the case is finished. Her last job was as a home health nurse for a registry company. The anesthesiologist has never met her before.

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THE RISK OF ANESTHESIA PATIENT TRANSPORT 

The Anesthesia Consultant

When you arrive at the PACU, a nurse reattaches your patient to the vital sign monitors, and discovers that the patient’s oxygen saturation has dropped from 100% in the OR to a severely low value of 80% in the PACU. It’s common for zero monitoring equipment to be attached to the patient. We need pulse oximetry monitoring.

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A DAY IN THE LIFE OF AN ANESTHESIOLOGIST

The Anesthesia Consultant

Your station in the operating room consists of an anesthesia machine; a bevy of vital signs monitors; a computerized pharmacy cart; a cart full of syringes and equipment; and the computer which handles the hospital’s electronic medical record (EMR). You may have nausea after general anesthesia.

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HOW THE INTERNET CHANGED ANESTHESIOLOGY FOREVER

The Anesthesia Consultant

Vigilance regarding a sleeping patient’s vital signs 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 operating room.