Summary: A Career As An Anaesthesiologist

One of the most important things to maintain a trauma patients airway is ensuring that you have adequate help around (Stephens, 2011). This is important because there are many different tasks that must be delegated in maintaining this persons airway. Some of these processes include opening the airway, suctioning the airway, inserting the proper adjunct, and maintaining

B.T. has a nursing diagnosis of ineffective airway clearance that requires nurse management with prescribed beta 2 adrenergic agonists, and teaching effective coughing and breathing techniques. The respiratory therapist will assist by performing nebulizer treatment and teaching the patient about home nebulizer. The nurse will emphasize on the importance of adhering to medication regimen and taking the right medication at the right time.

The skilled CRNA is not only proficient in the operating room, but also comfortable dealing directly with patients and their family members. Once in the operating room this is where their wealth of knowledge, experience, and critical thinking really comes into play. Taking into account the patient’s history and current medical issues, the CRNA lays out a plan of care for the patient and makes decisions regarding the type, dose, and rate of medications needed to induce a safe anesthetic effect for the patient during the procedure. While the procedure is underway it is the duty of the CRNA to keep the patient stable and successfully handle any bumps in the road that might occur. This is the role of the nurse anesthetist that I have been most impressed with. The time that I spent in the OR following a CRNA I witnessed him handle difficult situation after difficult situation. As the patient’s respiratory status started to decline, I watched as he manipulated the ventilator; switching between modes and changing settings until a safe respiratory rate and saturation level was achieved. Later the patient went into an adventitious heart rhythm that began to affect their

Objective #3. Analyze the collected data to determine the strengths and weakness is the final goal. It appears the pre-anesthesia screener corrects most of the system failures prior to the patient’s scheduled surgery. The pre-anesthesia screener spoke of most of the day dedicated to problem solving and reiterating information with the patient and caregivers prior to surgery. If the pre-operative instructions and education were more transparent, then it may lessen the amount of phone calls and

This scenario clearly states that the nurse-anesthetist had the duty of care when administering the anesthesia to the patient. With the assistance of the physician she neglected her duties by not properly inserting the tube into the patient’s trachea, instead it was placed into the patient’s esophagus causing an eruption and lack of the proper oxygen to the patent.

(History of Nurse Anesthesia Practice. 2010, May), (Koch, E., Downey, P., Kelly, J. W., & Wilson, W. 2001).

Preoperative examination of the airway is essential. Identification of patients with a potentially difficult airway before anesthesia allows time to plan an appropriate anesthetic technique. Previous anesthetic records should always be consulted. However, a past record of normal tracheal intubation is no guarantee against difficulty on subsequent occasions as airway anatomy can be altered as in trauma affecting the airway. The presence of stridor or hoarse voice is warning sign for the anesthetist. As it is impossible to identify all patients with a difficult airway during preoperative assessment, the anesthetist must be prepared to manage the unexpected difficult laryngoscopy (Alan et al,. 2001).

Respiratory emergencies can be caused by obstructions, inflammations, trauma, and several different disease processes. The most common obstruction of the airway is the tongue. This usually occurs when the patient has become unconscious secondary to another cause such as intoxication, low blood sugar, or trauma. While tongue obstruction of the airway can have deadly results, it can be easily solved by re-positioning the airway using the either the jaw thrust maneuver if trauma is suspected, or the head-tilt chin-lift if no trauma is suspected. Also if the patient is unconscious and has no gag reflex you can use an oropharyngeal airway to hold the tongue up and out of the airway. However, using an oropharyngeal airway does not mean that you can

The nurse anesthesiologist showed me a way to support the patient’s neck so that she could receive adequate air. She then allowed me to support the patient’s neck to keep her airway from being obstructed until she awakes from the anesthesia. While monitoring the patient’s vitals we must also score our patients using a post-anesthesia care unit score which consist of the patient’s pain, level of consciousness, respirations, blood pressure, heart rate, and activity. Each criteria can receive up to 2 points allowing to patient to receive a maximum of 12 points. In order for the patient to move on to the second stage of recovery he or she must receive a score of at least 10.

Anaesthetic Case Study I will discuss the journey of anaesthesia for a patient going for a routine operation. I will follow the patient through their procedure beginning with the pre op assessment and the case study will finally end when the patient is extubated at the end of the surgery. Within this assignment I shall mainly focus on anaesthetics and the importance of the anaesthesia. Primarily three steps of anaesthesia will be explained, induction, maintenance and reversal.

Although ventilation is not usually provided during the apnoeic period, some anaesthetists will give a single breath, or several gentle breaths, to both confirm that mask ventilation is possible and reduce the development of hypercapnia, acidaemia, and hypoxia. Some guidelines advocate use of mask ventilation for this reason in patients at elevated risk of hypoxia, for example, the pregnant patient.4,5

[Introduction:] There is a lot of confusion among the general public on what goes on behind the closed doors of an operating room. Many people don 't even know who or what a Nurse Anesthetist is. Even if you are the patient, all you really know is there are people in scrubs and masks standing around you before you fall asleep. When patients start asking questions about what it is that is putting them to sleep during these procedures, they told either a Nurse Anesthetist(CRNA) or a Medical Doctor Anesthesiologist(MDA) had administered some type of drug and monitored their vitals throughout the procedure. Many are told a CRNA had administered these drugs, to which many people look shocked and shout "A Nurse!?" in fear as they could have just been killed by the "less educated" of the two choices. People are afraid of the unknown, and not many people know much about CRNAs or MDAs, so they resort to the only information available: Nurse vs Doctor. Many People do not understand that advanced practice Nurses, such as CRNAs, are just as capable as, and more common than a MDA. The articles I will be referencing in this literature review try to shed some light on CRNAs for the public by showcasing the long history of Anesthesia and how Nurses are, and will remain, a vital role in its function so future patients won 't not fear them as much. What I am attempting to do in this

One extremely important and potentially lifesaving piece of written communication that we utilized in my department is a difficult intubation letter. This letter is made a permanent part of the patient’s chart a copy is hand-delivered to the patient’s family after surgery by the Post Anesthesia Care Unit Staff (PACU) and one is forwarded to the patient's primary care physician.

An anesthetist administers medication to patients under the orders of what the anesthesiologist requests. The advancement in chemistry has made this medication, called anesthesia, be able to make patients feel relaxed and pain free during a surgical procedure. Different procedures call for different anesthetics, such as local, intravenous, or

Jane’s asthma was acute severe. Initially to alleviate some of Jane’s breathlessness she was sat up right in the bed and supported with pillows to improve air entry. Due to her low oxygen saturations she was placed on 40% oxygen via Hudson mask (BTS 2006), as Jane was mouth breathing the mask was the appropriate device to use to ensure adequate oxygenation (Walsh 2002). According to Inwald et al (2001) hypoxemia is frequently a primary cause in numerous asthma related deaths. By administering oxygen promptly, for acute severe asthma, serious hypoxemia