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Your station in the operating room consists of an anesthesia machine; a bevy of vitalsigns monitors; a computerized pharmacy cart; a cart full of syringes and equipment; and the computer which handles the hospital’s electronic medical record (EMR). The surgery will take approximately three hours. 1140 hours—The patient opens his eyes.
Even though the patient was brain dead, it was imperative to maintain his or her vitalsigns and oxygenation at optimal levels to preserve the cardiac function for the eventual recipient. The scrub tech, nurse, and the two surgeons prepped and draped the patient for surgery, and the initial incision was made over the sternum.
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.
I scanned the operating room monitors and confirmed that her vitalsigns were perfect. It had been five hours since the initial skin incision. Joining the hospital staff, Nico runs afoul of a grouchy nurseanesthetist calling himself Bobby Dylan, who plays Dylan songs twice a week in a bar called Heaven’s Door.
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