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 common for zero monitoring equipment to be attached to the patient.

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The Anesthesia Consultant

JUNE 4, 2024

No one wants a partner who repeatedly creates conflict in the workplace, who initiates conflict with a surgeon in the operating room, a nurse in the post anesthesia care unit, or an administrator. To gain a better anesthesia job, get the three A’s of ability/affability/availability aligned per the suggestions above.

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The Anesthesia Consultant

FEBRUARY 16, 2021

The patient will probably already have an IV in their arm, placed by a registered nurse. (To We do this because we’re skilled at placing IVs painlessly and successfully, it doesn’t take that much time, and it gives the patient confidence that we’ll continue to take care of them at the highest level.) Do you have any questions?”

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The Anesthesia Consultant

JANUARY 19, 2017

You have to get along well with surgeons, the nursing staff, the scrub techs, administrators, and the patients. Their patients are obtunded on arrival to the Post Anesthesia Care Unit (PACU) after surgery, and they rely on the PACU nursing staff to complete the job of anesthesia wake up. Some are not.

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The Anesthesia Consultant

OCTOBER 11, 2020

A performs a rapid sequence induction of anesthesia by injecting propofol (a hypnotic sleep drug) and succinylcholine (a muscle paralyzing drug) into the IV. The operating room nurse presses down on Mr. Doe’s cricoid cartilage in his neck, to compress the esophagus and prevent any stomach contents from regurgitating upward into the airway.

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The Anesthesia Consultant

AUGUST 17, 2020

Ideally the involved MDs and nurses will fill out an Incident Report or an Adverse Event Report, which includes the details of what happened to their patient. Some reports reveal only minor issues such as prolonged post-operative nausea and vomiting, or a prolonged Post Anesthesia Care Unit stay.

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The Anesthesia Consultant

MAY 10, 2016

Sugammadex reversal can make the duration of a rocuronium motor block almost as short acting as a succinylcholine motor block, and sugammadex can also eliminate complications in the Post Anesthesia Care Unit due to residual postoperative muscle paralysis. Grade = B-.

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The Anesthesia Consultant

OCTOBER 18, 2017

You utilize the current multimodal strategies for operating room anesthesia and postoperative pain reduction, including an ultrasound-guided adductor canal block with 0.5% The patient does well, and is discharged from the Post Anesthesia Care Unit in excellent condition. Did you call a Time Out prior to your blood patch?

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The Anesthesia Consultant

MAY 22, 2018

I stay with the child until the anesthetic depth has dissipated, the breathing tube is removed, and the child is awake and safe with the recovery room nurse in the Post Anesthesia Care Unit. My greatest joy of being a doctor comes immediately after the conclusion of a pediatric anesthetic.

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The Anesthesia Consultant

JULY 11, 2019

Her breathing tube had been removed, but she developed upper airway obstruction in the Post Anesthesia Care Unit (PACU) and needed urgent reintubation. The patient had multiple low-normal blood pressure readings over the first 5 hours postoperatively, and was being observed by the nursing staff.

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The Anesthesia Consultant

OCTOBER 28, 2018

He is verbal with his mother, but refuses to interact with the anesthesia or nursing personnel. The surgery proceeded as scheduled, with sevoflurane as maintenance anesthesia. At the conclusion of surgery, the patient was extubated awake and taken to the Post Anesthesia Care Unit (PACU) in stable condition.

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The Anesthesia Consultant

MAY 2, 2023

Washington University has expanded the ACT to include the Recovery Control Tower, which provides similar surveillance over patients in the Post Anesthesia Care Unit (PACU). This photograph below depicts the Anesthesia Control Tower manpower at work at Barnes Jewish Hospital at Washington University in St.

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The Anesthesia Consultant

MAY 4, 2016

The surgery and anesthesia proceed uneventfully. The patient is awakened from general anesthesia and taken to the Post Anesthesia Care Unit. Joining the hospital staff, Nico runs afoul of a grouchy nurse anesthetist calling himself Bobby Dylan, who plays Dylan songs twice a week in a bar called Heaven’s Door.

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The Anesthesia Consultant

MARCH 2, 2018

I tell the patient that after the surgery, in the Post Anesthesia Care Unit, they will be awake and able to make their own decisions whether they desire additional doses of intravenous narcotics or not, with the full knowledge that extra doses of narcotics may bring extra risk of sedation and nausea.

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The Anesthesia Consultant

NOVEMBER 15, 2018

There was a faster onset of analgesia and both higher patient and nurse satisfaction scores with the SSTS as measured by validated questionnaires. Studies documented the efficacy and safety of the SSTS in the treatment of postoperative pain in patients following open abdominal surgery compared with placebo.

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