Question about desaturation during induction - page 2

Hi everyone, I'm a ciculator in the OR and I was hoping to run a situation I had recently past some anesthesia professionals. I was doing a case on a 3 or 4 kilo NICU kid with some chronic lung issues with an anesthesiologist who... Read More

  1. 1
    You did the right thing, is always better to call in help and not need it. Plus you are right about being a patient advocate. I know you are used to assisting, but it is always better to have a second anesthesia provider in that situation. Just a fogging tube doesn't mean its in the lungs. I have seen a tube fog in the esophagus from insuflating the stomach. Was there etCO2? Also at the very least could have taken another laryngoscopy to visualize the tube in the cords.

    Regardless, you did the right thing. I am curious, I have never worked somewhere where anesthesiologists do cases by themselves. Do you find that they are reluctant to call in help when they need it?
    NurseKitten likes this.

    Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  2. 0
    Quote from BryanCRNA
    You did the right thing, is always better to call in help and not need it. Plus you are right about being a patient advocate. I know you are used to assisting, but it is always better to have a second anesthesia provider in that situation. Just a fogging tube doesn't mean its in the lungs. I have seen a tube fog in the esophagus from insuflating the stomach. Was there etCO2? Also at the very least could have taken another laryngoscopy to visualize the tube in the cords.

    Regardless, you did the right thing. I am curious, I have never worked somewhere where anesthesiologists do cases by themselves. Do you find that they are reluctant to call in help when they need it?
    It's been a while now, but I'm pretty sure there was no end title CO2.

    As far as anesthesiologists doing cases by themselves goes, we have a couple "cowboys" but most of them are really good about asking for help when things start to get hairy (usually when they've tried a couple blades and the bougie didn't work either). Sometimes they'll have another anesthesiologist in the room before induction if they anticipate a difficult intubation. Also a lot of times there are MD/CRNA pairings in rooms so they're doubled up anyway.


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top