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The role of anesthesiology residents in the OR helps ensure patient safety and optimize surgical outcomes. They closely monitor the patient’s vitalsigns, such as heart rate, blood pressure, body temperature and body fluid balance. Guidelines for Resident Experience in the Post-AnesthesiaCare Unit.”
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-anesthesiacare unit (PACU). It’s common for zero monitoring equipment to be attached to the patient. We need pulse oximetry monitoring.
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.
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.
Make sure you have preoperative informed consent for general anesthesia as a back up, because it’s likely you’ll need to administer it. A patient who’s been in the PACU (PostAnesthesiaCare Unit) for an hour tells you, “I want more intravenous narcotics.” He refused a femoral nerve block prior to surgery.
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