Remove Hospital Remove Incision Remove Vital Signs
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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 Dr. A meets Mr. Doe and interviews him.

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A DAY IN THE LIFE OF AN ANESTHESIOLOGIST

The Anesthesia Consultant

To aid you in visualizing yourself in the hospital, I’m substituting the pronoun “you” instead of “I” in the narrative below. You complete your morning bathroom and breakfast routines, and leave your residence at 0630 hours for the hospital. Your hospital contains multiple operating rooms, and today you are in room #10.

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EMERGENCY AT A SURGERY CENTER

The Anesthesia Consultant

On physical exam, her vital signs are normal, her lungs are clear, and her heart exam is positive for the clicking sound of a mechanical valve and a 2/6 systolic murmur. The surgeon injects 2% lidocaine at the skin incision site, and the surgery begins. Vital signs remain normal with BP=110/70, P=80, and oxygen saturation=99%.

Surgery 52
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LEARJET ANESTHESIA – THE EARLY DAYS OF HEART TRANSPLANTATION

The Anesthesia Consultant

Norman Shumway MD PhD, a Stanford surgical professor and legend, invented the heart transplantation procedure and performed the first heart transplant in the USA on January 6, 1968 in operating room 13 of Stanford University Hospital. Upon arrival at the airport in the donor city, an ambulance transported us to the hospital.

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THE MOST SIGNIFICANT ANESTHESIOLOGIST OF THE 20TH CENTURY

The Anesthesia Consultant

Prior to the pulse oximeter, anesthesiologists had only unreliable measures of tissue oxygenation, such as observing how red the blood seemed when the surgeon made the initial incision into the patient. The oxygen saturation became recognized as “the fifth vital sign,” joining heart rate, blood pressure, respiratory rate, and temperature.

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HANGOVER AFTER GENERAL ANESTHESIA

The Anesthesia Consultant

Anesthesia providers typically judge anesthetic dosing depending on: a) patient weight, b) patient age, and c) the patient’s vital signs (i.e. An inference from this data is that lesser amounts of general anesthetic drugs are required between induction and incision. A patient’s weight can be misleading.

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How AI is Transforming Surgery for a New Era of Patient Care

Caresyntax

Surgery is at the core of any hospital in America, where life-altering decisions are made, and complex procedures are performed under immense pressure. AI has already had an impact across other elements of the hospital revenue cycle model, from patient intake and routing to post-discharge follow-up and care pathways.