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Sixty-six percent of surgeries in the United States take place as an outpatient , and many of these surgeries are performed at freestanding facilities distant from hospitals. If the patient is unstable, a physician, usually an anesthesiologist, will need to accompany the patient and the EMTs to the hospital emergency room.
How soon will we see robotic anesthesia in our hospitals and surgery centers? Most of these discoveries originated in Silicon Valley, just miles outside Stanford University Hospital where I’ve been working for the past 42 years. Our medical world inside the hospital has changed more slowly. Relatively little.
At the onset of general anesthesia anesthesiologists place an ET tube through the mouth, past the larynx (voice box), and into the trachea (windpipe). The ET tube is a conduit to safely transfer oxygen and anesthesia gases into and out of the lungs. Anesthesiologists are vigilant during extubation. Extubation is risky business.
As an experienced anesthesiologist, I’ve personally watched over 25,000 patients sleep during my career. Because of the decrease in ventilation, the oxygen saturation level will drop. As anesthesiologists, we administer oxygen via nasal cannula or via a mask, and the oxygen saturation will increase to a safe level again.
These three words make any anesthesiologist cringe. In layman’s terms, anoxic brain injury, or anoxic encephalopathy, means “the brain is deprived of oxygen.” In an anesthetic disaster the brain can be deprived of oxygen. Without oxygen, brain cells die, and once they die they do not regenerate. Anoxic brain injury.
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