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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.
Additional IV narcotics can be added post-extubation if the patient complains of significant pain. Anesthesia providers typically judge anesthetic dosing depending on: a) patient weight, b) patient age, and c) the patient’s vitalsigns (i.e. A patient’s weight can be misleading.
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. His vitalsigns are normal, with a respiratory rate of 12 breaths per minute.
You learn to inject propofol and intubate a patient in the first few months, but its a lifetime journey to master the medical aspects of evaluating and treating the heart, lungs, brain, kidneys and vitalsigns during anesthesiacare. The endotracheal tube is your friend.
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