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During the surgery, the surgeon makes a small incision and removes part of the disc to relieve pain and improve mobility. Surgical assistants monitor vitalsigns and assist in controlling bleeding, all while maintaining a sterile environment.
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.
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.
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%.
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.
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.
Predictive Analytics for Proactive Care: AI algorithms can analyze vast amounts of patient data, including medical history, pre-operative scans, and even real-time vitalsigns, to predict potential complications before they arise.
Monitor patients vitalsigns and communicate any concerns to the surgical team. Postoperative and Recovery Care After surgery, Surgical Physician Assistants help with: Closing incisions and dressing wounds. Handle instruments and assist with suturing, cauterization, and other techniques. Frequently Asked Questions (FAQs) 1.
I scanned the operating room monitors and confirmed that her vitalsigns were perfect. 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. Her life was my responsibility. My patient was stable, and my son was in danger.
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