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Anesthesiology residents play an important role in the operatingroom (OR), assisting with patient care while also undergoing rigorous training to become skilled anesthesiologists. Their responsibilities encompass a range of tasks, from preoperative evaluations to the administration of anesthesia and postoperative care.
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. Anesthesia Workstation You log into the EMR system, and then you log into your first patient’s chart.
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.
Imagine this scenario: You’ve just finished anesthetizing a patient in a hospital setting, and the patient now requires transport from the operatingroom (OR) to the post-anesthesiacare unit (PACU). It’s also not uncommon for the patient to be breathing room air during transport.
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 The BP is 100/50.
An anesthesia emergency occurs without warning. Your patient’s vitalsigns are dropping. You need the ultimate anesthesia emergency guidebook. That ultimate guidebook is the S tanford Emergency Manual of Cognitive Aids for Perioperative Critical Events S , written by the Stanford Anesthesia Cognitive Aid Group.
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.
This includes basic qualifications like taking blood pressure, vitalsigns, measuring heart rate, and listening with a stethoscope. Specifically, you will want to ensure that you have ann active certification in Advanced Cardiac Life Support, a certification that is required for all critical care roles.
The surgeon is not “the captain of the ship” in the operatingroom. When you want to accelerate the heart rate in the operatingroom or the postanesthesiacare unit, use the first drug recommended in the ACLS and American Heart Association bradycardia algorithms—and that drug is atropine.
Propofol infusions are typically used to make our patients sleep, and most propofol infusions cross the American Society of Anesthesiologists line into general anesthesia. Rely on your experience and training, and do the anesthetic by the standard of care. His vitalsigns are normal, with a respiratory rate of 12 breaths per minute.
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