When things go wrong

[4amcoffee]

So, I am working on setting up some shadowing experiences with a CRNA (or a few of them), but wanted to see if any of you out there can answer a few questions I have. First, I would imagine that the OR is typically a very controlled environment. But, how often does something go wrong, and what does that situation typically look like? What is the anesthetist's role in these situations? I guess I'm looking for some stories. Would anyone like to share? Thanks.

[WalkieTalkie, RN]

Not every patient gets amnesia from versed. It should not be relied upon as an amnesic. I know, because I have had versed a number of times and remember everything.

Yeah, the CRNA gave me 3 of Versed prior to my ankle surgery, and I definitely remember it. I know that's not a large dose by any means, but I remember getting my nerve block like it was yesterday. That being said, once I got my propofol, it was all over :)

[jdpete]

I wouldnt classify a pt "moving" on incision a complication---have to agree here staff, people posting here should have more knowledge about the subject, but I guess that is where others have to speak up---

[foraneman]

I'm not an OR nurse but I did a week in the OR as part of my Med-Surg rotation last year. I watched a total of eight surgeries and only two had any complications (though they weren't codes). Both were caused by the patients lack of sedation during the start of the procedure (knee replacements). The patients both tried to get off the table during the opening cuts and in the first replacement the patient was able to feel pain the entire procedure (which was evident when her vitals spiked during every single cut).

I was actually really concerned when the anesthesiologist told me not to worry because the Versed he pushed would make sure they didn't remember a thing.

Not sure if this is what you were looking for, but hopefully it gives you a vague idea. I had classmates that were in the OR as well and none of them witnessed anything like this with any other anesthesiologist nor did they see any problems.

ONLY 2 out of 8 is not ONLY. It is an extraordinarily high complication rate. And the previous post is correct. Movement on incision is not a complication. Trying to get of the table is poor anesthesia by a questionable provider.....unless these are the first and last times it ever happens in his room.

Serious unexpected complications are rare, but they by definition can become very labor intensive for a CRNA. Anesthesia is responsible for the medical care of the patient while in the OR and the medical treatment of all complications. Obviously the surgical treatment of complications is the responsibility of a surgeon.

[MP5PDW]

The plural of anecdote does not equal data.

Now THAT is funny. I am soo going to use that on a student.