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The scrub technician and the surgeon drape sterile paper barriers over the perimeter of the abdomen, as well as a sterile paper vertical barrier (ether screen) between the anesthesiologist and the abdominal surgicalsite. A second dose of IV labetalol brings the heart rate to 70 and the MAP to 80 within another two minutes.
The surgeon intends to supplement your intravenous (IV) sedation with local anesthetic at the surgicalsite. Make sure you have preoperative informed consent for general anesthesia as a back up, because it’s likely you’ll need to administer it. The surgeon told the patient to expect “a twilight sleep during the surgery.”
7 Whenever possible it’s advisable for the surgeon to inject local anesthesia near the surgicalsite, or the anesthesiologist to use local anesthetic via a nerve block or a neuroaxial block to minimize postoperative pain.
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