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ANESTHESIOLOGISTS: BEFORE YOU ADVANCE THAT NEEDLE. A CAUTIONARY TALE

The Anesthesia Consultant

You drive to the hospital to find the patient has already had a stat MRI of his spine, and the diagnosis was a perispinal hematoma at L3. Neurosurgeons have taken him to the operating room to drain the hematoma and decompress the spinal column. These hematomas may result in long-term or permanent paralysis.

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Anesthesiologist, Tired of Intubating in Era of COVID, Decides to Perform CABG Under Spinal

Gomer: Anesthesiology

That’s why we have circulating nurses in the OR.” said Willing Accomplice, the room’s circulating nurse. Apart from paralysis as a result of a spinal epidural hematoma, the procedure was a resounding success. I’ve intubated four, or maybe it’s been sixty – I’m bad at counting. Millerstein.

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Bovie, Cautery and Electrosurgery Shouldn’t Be Confusing

Symmetry Surgical

However, if a surgeon or nurse refers to an ESU (electrosurgicl unit) as their Bovie, it needs to say Bovie® on the face of the unit. Bovie is a registered trademark of Bovie Medical Corporation.

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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. The PACU nurse’s name is Gloria, and she is new to this surgical facility. All PACU nurses are not equal.

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ANESTHESIOLOGISTS, DON’T BE AFRAID TO CUT INTO A PATIENT’S NECK

The Anesthesia Consultant

The surgeon arrived and attempted to perform an emergency surgical airway, at which time the anesthesiologist successfully intubated the patient’s trachea as the hematoma was drained. Case 4: “Ventilation was difficult and the patient arrested. The patient was resuscitated but later died of anoxic brain damage.”