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Certified Registered NurseAnesthetists (CRNAs) serve an irreplaceable function on medical teams across the country. In an operatingroom, the CRNA administers the anesthesia according to the predetermined plan and monitors the patient’s vitals in order to adjust levels as needed.
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 operatingroom, when the anesthesiologist departs soon after the case is finished. The patient enters the operatingroom at 0730 hours. The patient consents.
Louis Imagine this: You’re an anesthesiologist in the operatingroom at a busy hospital. Your patient is in mid-surgery, and you receive a call from the Anesthesia Control Tower that the patient’s blood pressure is too low, your blood transfusion replacement is inadequate, and that the patient is in danger.
Empty OperatingRoom 0655 hours—You don a bouffant hat and a facemask, and enter your operatingroom. Your hospital contains multiple operatingrooms, and today you are in room #10. Then we’ll roll down the hallway into the operatingroom. and to bring your cell phone with you.
Their patients are obtunded on arrival to the PostAnesthesiaCare Unit (PACU) after surgery, and they rely on the PACU nursing staff to complete the job of anesthesia wake up. Some surgeons are bullies, and are condescending in their remarks and attitudes toward the anesthesia provider they’re working with.
The two hospital guards and the mother donned white operatingroom coveralls. At the mother’s consent, the guards laid the patient down on the hospital gurney, held him there, and the surgical team and the guards pushed the gurney down the hallway to the operatingroom (a significant distance of approximately 100 yards).
The surgery and anesthesia proceed uneventfully. The patient is awakened from general anesthesia and taken to the PostAnesthesiaCare Unit. Abdominal surgery and general anesthesia in this patient population are not without risk, even with optimal anesthetic care. The patient accepts these risks.
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