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An anesthesia machine, with the vitalsigns monitor screen on the left, and the electronic medical records computer screen on the right. His vitalsigns 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.
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.
On physical exam, her vitalsigns 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. Vitalsigns remain normal with BP=110/70, P=80, and oxygen saturation=99%.
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.
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 vitalsign,” joining heart rate, blood pressure, respiratory rate, and temperature.
Anesthesia providers typically judge anesthetic dosing depending on: a) patient weight, b) patient age, and c) the patient’s vitalsigns (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.
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.
Surgical PAs work in various medical settings, such as hospitals, outpatient surgical centers, trauma centers, and specialty surgical clinics. Monitor patients vitalsigns and communicate any concerns to the surgical team. Handle instruments and assist with suturing, cauterization, and other techniques. Can a PA Perform Surgery?
I scanned the operating room monitors and confirmed that her vitalsigns were perfect. The kid had no insight into what I did minute-to-minute in the hospital. It had been five hours since the initial skin incision. I wanted to contact Johnny as soon as possible, but my patient was asleep, paralyzed, and helpless.
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