The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. One can also order a laminated 8½ x 11½-inch version of the Manual to hang in each operating room. A printable version of the Stanford Emergency Manual is available online for free.

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Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

OCTOBER 11, 2020

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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Anesthesiologist Vital Signs Post-Anesthesia Incision 52

The Anesthesia Consultant

NOVEMBER 15, 2017

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. Can this scenario occur?

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Anesthesiologist Operating Room Surgery General Anesthesia 52

The Anesthesia Consultant

APRIL 26, 2018

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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Anesthesia Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

MAY 23, 2023

In operating room anesthesia, the narcotic fentanyl is a clear liquid usually marketed in vials of two milliliters or five milliliters. An ICU physician will write an order for the dosing of intravenous fentanyl, and the ICU nurse will be in constant attendance to monitor the patient’s vital signs and level of sedation.

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

JANUARY 30, 2024

Imagine you’re two months out of anesthesia training, working at a community hospital, and at 2 a.m. The surgeon is not “the captain of the ship” in the operating room. Your note should record the timeline, the vital signs the patient had, and what your presumed diagnosis was. This observation is no surprise.

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

FEBRUARY 6, 2019

A typical hospital will have dozens of other anesthesia providers working in the same building. In an anesthesia care team, a physician anesthesiologist supervises up to four operating rooms and each operating room is staffed with a certified registered nurse anesthetist (CRNA). at a community hospital.

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Anesthesiologist Operating Room General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

FEBRUARY 3, 2022

All four reach the surface, alive and anesthetized, and are transported to a nearby hospital. in an operating room by an anesthesiologist) or into a muscle (e.g. No one monitored the vital signs of the boys during their 3-hour underwater general anesthetics. sevoflurane), or intravenously. in a cave in Thailand).

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Post-Anesthesia Anesthesia Operating Room Vital Signs 52

The Anesthesia Consultant

MARCH 2, 2020

With influenza illness may range from mild to severe and even death, but hospitalization and death occur mainly among high risk groups such as elderly patients or those with preexisting chronic illnesses. That is the real scare of the coronavirus issue—the fear that our hospitals could not handle the volume of severe infections.

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General Anesthesia Post-Anesthesia Anesthesia Operating Room 52

The Anesthesia Consultant

JUNE 27, 2017

Maggie is paralyzed from the neck down— a ventilator-dependent quadriplegic—and is hospitalized in a private room. Then he injects her IV with a syringe of adrenaline, and leaves the vital signs monitor on. The vital signs monitor shows her heart rate suddenly change to zero as she dies. Remarkable!

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Vital Signs General Anesthesia Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

MARCH 31, 2015

Your patient’s vital signs are dropping. 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. A copy of the Manual hangs in every operating room at Stanford Hospital.

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Anesthesia Operating Room Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

JUNE 12, 2023

Here are some general steps that might be considered: Alert the medical team: The anesthesiologist or healthcare providers in the operating room need to be notified immediately about the patient’s deteriorating condition. The surgeon and additional medical personnel may also be called upon for assistance.

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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

APRIL 4, 2021

His hospital chart shows no past anesthetics, and he has no medical problems except hypertension which is treated with lisinopril. His vital signs are normal, and his oxygen saturation is 96% on room air.You are six months out of anesthesia training and new to this hospital. What went wrong here?

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Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 15, 2022

The first public demonstration of anesthesia, at the Ether Dome in Massachusetts General Hospital Important advances in the history of anesthesia changed medicine forever. Dr. Morton performed the first public demonstration of general anesthesia at Harvard’s Massachusetts General Hospital on October 16, 1846. Dr. Charles Suckling.

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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 18, 2019

When I first went into the private practice of anesthesia in 1986, gray-haired anesthesiologists at our community hospital in Fremont, California occasionally injected 100 mg of caffeine into a patient’s IV after a surgery if the patient was slow to wake. “It 6 It’s too soon for caffeine use to become routine in the operating room.

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General Anesthesia Anesthesia Post-Anesthesia Vital Signs 52

The Anesthesia Consultant

MAY 3, 2017

Such clinics can increase operating room efficiency and decrease day-of-surgery cancellations and delays, and are especially important prior to major inpatient surgeries such as brain surgeries, chest surgeries, abdominal surgeries and major transplants.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 7, 2017

Anesthesiologists work in operating rooms and intensive care units—acute care settings which demand vigilance, steady hands, and quick thinking. These arenas will be: 1) diagnosis of images, 2) clinics, and 3) operating rooms/intensive care units. What will an AIM robot doctor look like?

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Post-Anesthesia Anesthesia Operating Room Nurse Practitioner 52

The Anesthesia Consultant

NOVEMBER 28, 2017

Tell the surgeon that the patient needs to have cardiac clearance prior to any general anesthetic, and that the case needs to be done in a hospital setting rather than at a freestanding surgery center. I’d like to do this procedure in my office operating room, not in a surgery center or the hospital.”

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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

OCTOBER 8, 2019

In contrast, other operating room professionals are usually relaxed and winding down at this time, because the surgical procedure is finished. She walked out of the hospital two days later. The patient’s vital signs remained normal and the ET tube was removed. If the patient has an ET tube, it is usually removed.

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EARN Cares

OCTOBER 11, 2023

This includes basic qualifications like taking blood pressure, vital signs, measuring heart rate, and listening with a stethoscope. Some hospitals require 1-2 years of ICU or Critical Care experience in order to be hired. View surgical services/operating room RN Sample Resume 8.

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Nurse Basic Life Support Vital Signs Communication 52

The Anesthesia Consultant

AUGUST 16, 2018

His preoperative vital signs were normal with an oxygen saturation of 98%. His preoperative vital signs were normal. He walked out the hospital alive and well. A 40-year-old male presented for outpatient septoplasty surgery. An endotracheal tube was easily placed, and breath sounds were equal bilaterally.

Post-Anesthesia 52

Post-Anesthesia Anesthesia Anesthesiologist Vital Signs 52

The Anesthesia Consultant

OCTOBER 14, 2022

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). It’s also not uncommon for the patient to be breathing room air during transport.

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Anesthesia Vital Signs General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

JUNE 23, 2016

Such cases sometimes present to a pediatric hospital for anesthetic care, but at times the child will be treated in a dental office. At this point, the anesthesiologist can take the patient away from the parent and proceed into the operating room, where either an intravenous anesthetic or an inhaled sevoflurane anesthetic can be initiated.

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General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 26, 2018

What about monitors of vital signs? The standard monitoring devices of pulse oximetry, end-tidal CO2 monitoring, and other essential anesthesia vital sign monitors were developed and in use by the 1990s. Anesthesia in 2018 is markedly different from anesthesia in the 1990s.

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Anesthesia General Anesthesia Post-Anesthesia Vital Signs 52

The Anesthesia Consultant

FEBRUARY 23, 2018

In July 1984 during the first week of my Stanford anesthesia residency at the Santa Clara County Hospital, the entire medical center owned only three Nellcor pulse oximeters. The remaining operating rooms would proceed without oximetry. Today you can purchase a tiny finger oximeter from Walmart for $11.95

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Anesthesiologist Post-Anesthesia General Anesthesia Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 1, 2017

A total of 266 cases of brain damage or death during anesthesia care in the operating room under the care of a solo anesthesiologist occurred. I refused to staff the case, and told him, “Cases like this—that’s why we have hospitals.” The surgeon needs to know if the vital signs are deteriorating.

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Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

The Anesthesia Consultant

OCTOBER 12, 2015

The text read: 911 call me I was administering an anesthetic to a 41-year-old woman in an operating room at Stanford University, while a neurosurgeon worked to remove a meningioma tumor from her brain. I scanned the operating room monitors and confirmed that her vital signs were perfect. Mom is so pissed.

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Operating Room Operation Vital Signs Nurse Anesthetist 52

The Anesthesia Consultant

OCTOBER 19, 2015

I was still vibrating from my day in the operating room. Get your ass out of that windowless tomb of an operating room and take your son back to your childhood home.” I didn’t have a 42-inch monitor displaying Johnny’s vital signs, but I knew my son’s blood pressure was escalating. Johnny’s 17 years old.

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Anesthesia Anesthesiologist Operating Room Post-Anesthesia 52