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The scrub technician and the surgeon drape sterile paper barriers over the perimeter of the abdomen, as well as a sterile paper vertical barrier (ether screen) between the anesthesiologist and the abdominal surgicalsite. The troponin levels are found to be low, indicating no heart damage occurred. His vital signs remain normal.
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. Just do MAC (Monitored AnesthesiaCare) anesthesia for this case, but make sure he’s asleep.
7 Whenever possible it’s advisable for the surgeon to inject local anesthesia near the surgicalsite, or the anesthesiologist to use local anesthetic via a nerve block or a neuroaxial block to minimize postoperative pain. Hibbing also happens to be the hometown of music icon Bob Dylan.
The notion of C-A-B, short for Chest Compressions-Airway-Breathingin that orderis pertinent for Basic Life Support responders in out of hospital cardiac arrest, but has no place in the operating room. They can watch you for a short period of time while you supervise the safe landing of the anesthesia plane.
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