Remove General Anesthesia Remove Post-Anesthesia Care Remove Vital Signs
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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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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. I’ve personally performed over 7,000 general anesthetics in freestanding surgery centers and office operating rooms.

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WHAT ANESTHESIOLOGISTS DO… AN EXAMPLE ANESTHETIC

The Anesthesia Consultant

An anesthesia machine, with the vital signs monitor screen on the left, and the electronic medical records computer screen on the right. His vital signs are heart rate = 100, BP = 150/80, respiratory rate = 20 breaths/minute, oxygen saturation 95% on room air, and temperature 100.2 The BP is 100/50.

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THE ANESTHESIA CONTROL TOWER: BIG BROTHER OR FRIEND?

The Anesthesia Consultant

Alerts or abnormal vital signs and laboratory results are represented by squares and triangles, respectively. The Tower Mode view looks like this (Figure 1): Figure 1 Census View, Anesthesia Tower The Tower Mode includes a display for each individual patient (Figure 2 below). Will I Have a Breathing Tube During Anesthesia?

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14 DIFFERENCES BETWEEN EXPERIENCED AND INEXPERIENCED ANESTHESIOLOGISTS

The Anesthesia Consultant

When you want to accelerate the heart rate in the operating room or the post anesthesia care unit, use the first drug recommended in the ACLS and American Heart Association bradycardia algorithms—and that drug is atropine. Why Did Take Me So Long To Wake From General Anesthesia? Do this while your memory is fresh.

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WHEN SURGEONS, OR PATIENTS, TRY TO TELL THE ANESTHESIOLOGIST WHAT TO DO — 14 EXAMPLES

The Anesthesia Consultant

Propofol infusions are typically used to make our patients sleep, and most propofol infusions cross the American Society of Anesthesiologists line into general anesthesia. You may make the surgeon happy, and you may continue to have a safe airway under general anesthesia in the absence of the endotracheal tube, but what if you don’t?

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ANESTHESIA EMERGENCY GUIDEBOOK

The Anesthesia Consultant

An anesthesia emergency occurs without warning. Your patient’s vital signs are dropping. You need the ultimate anesthesia emergency guidebook. That ultimate guidebook is the S tanford Emergency Manual of Cognitive Aids for Perioperative Critical Events S , written by the Stanford Anesthesia Cognitive Aid Group.