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They closely monitor the patient’s vitalsigns, such as heart rate, blood pressure, body temperature and body fluid balance. They also adjust anesthesia levels as needed to ensure that patients remain unconscious and as pain-free as possible during the surgery (4). Post-operative anesthesia rounds: Need of the hour.”
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). Whether the monitor readings are recorded in a vitalsign readout of the EMR is a less important factor.
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.
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.
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.
When you want to accelerate the heart rate in the operating room or the postanesthesiacare unit, use the first drug recommended in the ACLS and American Heart Association bradycardia algorithms—and that drug is atropine. Robinul, or glycopyrrolate, is an anticholinergic drug used almost exclusively by anesthesiologists.
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.
The anesthesiologist and the operating room nurse transport the patient to the PACU (PostAnesthesiaCare Unit), where the patient is connected to the standard monitors of pulse oximetry, ECG, blood pressure, and temperature. Four liters/min of oxygen are administered intranasally.
Alerts or abnormal vitalsigns and laboratory results are represented by squares and triangles, respectively. The Tower Mode view looks like this (Figure 1): Figure 1 Census View, Anesthesia Tower The Tower Mode includes a display for each individual patient (Figure 2 below).
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.
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.
The post-operative recovery room, also known as the post-anesthesiacare unit (PACU), is a critical environment where patients are closely monitored following surgery. Equipped with advanced medical technology that helps safeguard against complications while patients transition from anesthesia to consciousness.
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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