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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. The patient enters the operating room at 0730 hours. The patient consents.

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A DAY IN THE LIFE OF AN ANESTHESIOLOGIST

The Anesthesia Consultant

Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room. Your hospital contains multiple operating rooms, and today you are in room #10. Then we’ll roll down the hallway into the operating room. You may have nausea after general anesthesia.

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THE RISK OF ANESTHESIA PATIENT TRANSPORT 

The Anesthesia Consultant

Imagine this scenario: You’ve just finished anesthetizing a patient in a hospital setting, and the patient now requires transport from the operating room (OR) to the post-anesthesia care unit (PACU). All were transported to the PACU on room air without oxygen supplementation.

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ANESTHESIA EMERGENCY GUIDEBOOK

The Anesthesia Consultant

You’re a Medical Director or medical educator, and you’re scheduled to deliver a lecture on the management of two or three common operating room emergencies. You’re an expert witness or a member of your hospital’s Quality Improvement committee, charged with reviewing the unfortunate outcome of an operating room medical complication.

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THE THREE A’s OF ANESTHESIA JOBS

The Anesthesia Consultant

No one wants a partner who repeatedly creates conflict in the workplace, who initiates conflict with a surgeon in the operating room, a nurse in the post anesthesia care unit, or an administrator. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room?

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THE ANESTHESIA CONTROL TOWER: BIG BROTHER OR FRIEND?

The Anesthesia Consultant

Louis Imagine this: You’re an anesthesiologist in the operating room at a busy hospital. Your patient is in mid-surgery, and you receive a call from the Anesthesia Control Tower that the patient’s blood pressure is too low, your blood transfusion replacement is inadequate, and that the patient is in danger.

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AUTISM AND ANESTHESIA

The Anesthesia Consultant

The two hospital guards and the mother donned white operating room coveralls. At the mother’s consent, the guards laid the patient down on the hospital gurney, held him there, and the surgical team and the guards pushed the gurney down the hallway to the operating room (a significant distance of approximately 100 yards).