what would you consider GENERAL anesthesia

ok - this didn't happen to me - but i find it a very relevent question for discussion.....

scenario: doing a MAC case w/ an ankle block - after sedation - ankle block began by SRNA - SRNA looks up and CRNA is mask ventilating patient w/ 3% Desflurane...
SRNA states - whacha doin???
CRNA - just giving a little sedation with gas....
the conversation ensued....SRNA marked on chart - general mask/MAC/regional and was told it wasn't general because it was 1/2 MAC and pt was "responsive"

so - where do you draw the line?? i would have considered this general
and ... isn't it a little risky to use Des that way due to the airway irritation??

this whole time pt was still receiving a propofol infusion....

what say you??

I say, general and not as freaky as the time I was with a CRNA who showed me how to run sevo through a nasal cannula. It is not hard to do, which scares me.

Anyway, he was using sevo with the nasal cannula on a strabismus repair, so the surgeon was getting a nice long whiff of gas. The patient was mildly rousable but I bet a BIS reading would have indicated general anesthesia was being given. (BTW I am not sold on BIS as yet) I politely excused myself from the room, and never worked with him again.

Craig

i like the old definition of MAC... if there is a fire during a MAC, the patient should be able to get up off the OR table and run with you to the nearest exit...

General - your mentor is an idiot.

You guys scare me

eeeaassssy big fella...dont get me started

jwk...
it wasn't MY mentor...and my friend who was with that person is well aware that this person is only a mentor of what not to do....

Ah, c'mon, give me a hug!