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Role of Anesthesiology Residents in the OR

DFW Anesthesia Professionals

They closely monitor the patient’s vital signs, 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.”

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A DAY IN THE LIFE OF AN ANESTHESIOLOGIST

The Anesthesia Consultant

Your station in the operating room consists of an anesthesia machine; a bevy of vital signs 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.

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WHAT ANESTHESIOLOGISTS DO… AN EXAMPLE ANESTHETIC

The Anesthesia Consultant

An anesthesia machine, with the vital signs monitor screen on the left, and the electronic medical records computer screen on the right. His vital signs 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.

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CODE BLUE – WHEN AN ANESTHESIOLOGIST PREMATURELY DEPARTS A FREESTANDING SURGERY CENTER

The Anesthesia Consultant

The anesthesiologist and the operating room nurse transport the patient to the PACU (Post Anesthesia Care 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.

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THE ANESTHESIA CONTROL TOWER: BIG BROTHER OR FRIEND?

The Anesthesia Consultant

Alerts or abnormal vital signs 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).

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14 DIFFERENCES BETWEEN EXPERIENCED AND INEXPERIENCED ANESTHESIOLOGISTS

The Anesthesia Consultant

When you want to accelerate the heart rate in the operating room or the post anesthesia care 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.

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ANESTHESIA EMERGENCY GUIDEBOOK

The Anesthesia Consultant

An anesthesia emergency occurs without warning. Your patient’s vital signs 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.