Anesthetic Unconsciousness

The aim of this case study is to analyse and evaluate the anaesthetic and recovery care delivered to a patient undergoing an Adenotonsillectomy. To do this I will outline the process of ensuring the provision of safe and effective care for the patient, give a description of the procedure and equipment used in the anaesthetic room including the drugs used for this particular case and rationale for their use. I will also give a brief description of the surgical procedure including the anaesthetic and recovery care provided. Finally, I will summarise with an evaluation of the care that the patient received. For the purpose of this study, the patient will be referred to as ”the patient”. In doing so, the patients’ right to confidentiality will not be breached and it is also within the boundaries and guidelines set out in local trust policies G10, the Health and Care Professions Council Code of Conduct & Ethics for Students (HCPC 2012 pg 9), the Data Protection Act (1998) & the Caldecott Principles (2013).

Waiting for the feeling, something to hit me. It became clear this would not happen until I fell asleep. After being awake for almost 4 hours, my eyes really couldn't stay open any longer. Something began to happen, I couldn't tell what. I was falling, falling again. I landed, right in the middle of reality, and nowhere. The voice came on stronger this time, much louder. It was almost like it began to yell. "Can you hear the rumble that's calling?" The voice said again. Despite the loud volume of the voice, it was assuring. It made me feel comfortable. Even though I was in some sort of weakened state, I always felt better here than I did in the real world. Something was telling me that I just needed to be freed. Whether it was the voice inside my head, or some other voice, I felt it. The voice was so showing so much empathy, it felt inhuman, but at the same time it felt so human. It felt real, I could never describe the way it made me feel, how it moved me. I wanted to yell out, with everything I had. Part of me knew it just wasn't right, I had to wait for it to come to me. I knew that everything I wanted would come soon. I know what you're thinking, how was I not freaked out? It's simple, I didn't have room for that kind of thinking. I was so relieved to feel this way, it was a feeling of release. It's like that feeling when you get into a hot tub. The deeper you get, and the longer you stay, the more your body is at

Being told that something is wrong with you can be scary. Getting surgery performed on you can be terrifying. Patients that must be undergo anesthesia could become apprehensive about the whole procedure. But what helps is knowing that there is an anesthetist with you along the way. The anesthetist informs the patient of the surgery and attempts to calm their nerves before surgery. The anesthetist monitors and ensures the patient is stable during the surgery and informs the patient of the result of the surgery after the surgery. Essentially, the sole person that is concerned about the body as a whole during the surgery is the anesthetist. Two years ago, I had no idea what an anesthesiologist assistant was or that this highly skilled profession

Anesthesiologists give patients anesthetics in a variety of ways, such as “orally, intravenously, by gas or direct injection to render patients insensible to pain Anesthesiologists typically maintain the same daily schedule a surgeon follows, participating in both scheduled and unscheduled operations. Anesthesiologists are responsible for determining the proper anesthetic and dosage level for each patient. They monitor the patients progress prior to, during, and after surgery.”(“Anesthesiologist” 31)

Before a procedure begins, the nurse anesthetist will discuss with a patient any medications the patient is taking as well as any allergies or illnesses the patient may have. This must be done so anesthesia can be safely administered. Nurse anesthetists then give a patient general anesthesia to put the patient to sleep so they feel no pain during surgery or they may administer a regional

I fought the thoughts of not being able to breathe and allowing myself to have a panic attack. I have never been very religious, but it got to a point where counting didn’t help and the moment that destroyed my health replayed over and over. It was the few seconds prior to blacking out, to when I looked up at my rearview mirror and saw a truck coming right for me because he fell asleep. These thirty minutes of darkness symbolized the endless emotional and physical pain I had endured and my return to the darkness, which I cannot explain. So I prayed, hoping that even though I couldn’t remember all the verses, it would end the spinning and the torture. These moments of fear were more than claustrophobia; it was also a concoction of sadness. Sadness, that uncovered my weak and fragile human being self to the world because I had still not healed. As these thoughts deepened, the bed of the MRI machine began to move outward and I knew it was over. I hadn’t realized that my body was trembling until they took the thick white sheet off me. It revealed my shaking legs covered in Goosebumps and so, I pulled my fuzzy green socks up and with their help got off the bed. I wondered if that’s what it was like to live through a traumatic event or was it me being dramatic? Either way, I shut the door leaving the loud and terrible noises behind me. As I walked out, I could never see myself laying in that room again, unable to escape the endless

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of

The investigation of how anesthesia effects cognitive functioning has had a long history. Overtime, it has been suggested that there is an association between anesthesia, surgery, delirium, dementia and postoperative cognitive dysfunction (Inan & Ozkose Satirlar, 2015). The theory of anesthesia’s impact on cognitive functioning was derived in 1887, by Savage, who began to observe the “insanity” that follows the use of anesthesia. He suggested that “Any cause which will give rise to delirium may set up a more chronic form of mental disorder quite apart from any febrile disturbance” (Savage, 1887, p. 1199). Delirium can be defined as an altered level of consciousness that may cause a sudden decline in attention and focus perception (Isik, 2015). Postoperative delirium was reevaluated in 1955 when Bedford used a series of case studies collected over a 50 year span to describe a connection between anesthesia and dementia. The results suggest that 10% of the patients had postoperative cognitive dysfunction (Bedford, 1955). Since these initial studies, research has persisted using a variety of methods, in an attempt to determine: both long- and short-term effects of anesthesia on cognitive functioning and memory; whether the anesthesia administration technique will change the outcome of postoperative cognitive dysfunction; and other risk factors that may be associated to AD.

Many factors have contributed to the sentinel event, specifically the current conscious sedation policy. The improvement plan would include revising the conscious sedation policy to ensure the patient is properly monitored post procedure and to intervene when issues arise. The sedated patient should be monitored one on one post procedure by an RN, who is educated on the conscious sedation protocol, for thirty minutes or until the patient reaches his baseline. Also, mandatory monitoring will include EKG, pulse oximetry, blood pressure, heart rate, respirations and level of consciousness. A list of appropriate medications and the dosages should be included in the conscious sedation policy. In addition, reversal agents should be readily

Anesthesia was developed in order to block or prevent pain during medical procedures. Anesthesia has been the backbone of the medical world for around 100 years now. Early anesthetics were primitive and many patients simply did not trust anesthetics. Anesthesia is still a risky process even in todays advanced medical world. Anesthesia is not used to treat or diagnose any specific disease; the sole purpose is to aid both the patient and surgeon through procedures. However, anesthesia is used in different ways based on the magnitude of the procedure. There are three levels of anesthesia which include; local, regional, and general anesthesia. An anesthesiologist determines which type of anesthesia will be needed.

The management of postoperative pain has received much interest nowadays. The intensity of postoperative pain depends on many factors such as type and duration of the surgery, type of anesthesia and analgesia used, and the patient’s mental and emotional status (11).

Anesthesia is the pain reliever to people who have a chronic pain to those who need to get their wisdom

Most of the doctors and scientists approved that anesthesia is the most helpful … for them. Anesthesia is a temporary state when the doctors give a medicine called anesthetics to the patient to relief from pain. Anesthetics work by stopping the nerve signals that keep the patient awake and aware from reaching the brain. Anesthesia is very important … in the life. It is very important to surgeries and dentistry. It blocks pain, makes the patient sleepy, paralysis, amnesia, and unconsciousness. Imagine that you have a pain in your tooth and the dentist takes off the tooth without anesthesia, it is really painful. anesthesia has saved the lives of millions of patients . However; it destroyed the lives of many people. How? People may use anesthesia

     Imagine yourself lying on an operating table, motionless, quiet. Above, you notice people standing over you. You try to speak but the words just cannot come out. Your arms feel as if they are plastered to the table. You begin to stand up but feel as if weights are strapped to your back and you are bound to the table. Suddenly you feel a sharp pain in your midsection. In and out, you see a surgeon slicing your body open with a scalpel. Every motion the masked person makes is as if you are being torn apart from the inside out. One would hope this would simply be a nightmare and they will wake up and everything will be fine. In this instance, this person will

The fluorescent lights blinded me as I tried to open my eyes. Where am I, I thought to myself? I jolted my head back and forth desperately trying to figure out where I was. I heard a voice say, "Hold him down, we are almost there." A sharp pain ran down my back to my feet. All I could see were lights flashing and shadows moving in all directions. The rolling bed that I was on stopped abruptly and a mask was placed over my face. I tried not to breathe, but in less than a second I was unconscious. In no apparent order multiple scenes began to flash through my head. My thoughts turned to nothing, and for one minute all I saw in my mind was an everlasting black hole accompanied by a single deafening beep. Suddenly, I awoke to the clanging