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A Day in the Life of a Surgery Nurse in the Operating Room (OR)

EARN Cares

OR nurses can only care for one patient during surgery. Each day, they are assigned to an OR and assist with the surgeries scheduled in that room for the whole day. OR nurses work closely with scrub technologists (also called scrubs or scrub techs) to help surgical teams perform surgery.

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WHAT ANESTHESIOLOGISTS DO… AN EXAMPLE ANESTHETIC

The Anesthesia Consultant

Anesthesiologists are responsible for your medical care before, during, and after surgeries. Today I’ll walk you through an example anesthetic which shows how an anesthesiologist approaches the challenges of a difficult surgical problem: emergency non-cardiac surgery in a patient with heart disease.

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EXTUBATION IS RISKY BUSINESS. WHY THE CONCLUSION OF GENERAL ANESTHESIA CAN BE A CRITICAL EVENT

The Anesthesia Consultant

After a surgery is finished, anesthetic gases and intravenous anesthesia drugs are discontinued, and the patient wakes up within 5 to 15 minutes. The surgery concluded 2 hours later and the anesthetics were discontinued. An 80-year-old female presented for elective right elbow surgery. Five minutes later she opened her eyes.

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WHEN SURGEONS, OR PATIENTS, TRY TO TELL THE ANESTHESIOLOGIST WHAT TO DO — 14 EXAMPLES

The Anesthesia Consultant

You’re wrong to cancel his surgery.” Tell the surgeon that the patient needs to have cardiac clearance prior to any general anesthetic, and that the case needs to be done in a hospital setting rather than at a freestanding surgery center. The surgeon told the patient to expect “a twilight sleep during the surgery.”

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HANGOVER AFTER GENERAL ANESTHESIA

The Anesthesia Consultant

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. Painful surgeries require more narcotics, which can lead to more nauseated patients. If the surgery isn’t painful, an anesthesia provider can work to eliminate postoperative narcotics, and minimize both PONV and HAGA.