Procedure for applying anesthesia

1.) Elective (planned)/emergency: scheduling the surgeries.

2.) Meet pt., review the charts, can order test post review.
3.) Does history (to see if there could be any physiological complications) and
physical (airway exam to determine difficulty, heart exam and lung exam).
4.) Discus the plan with the pt. (can counsel), showing them the risk and benefits
of each type of anesthesia. Get informed consent with witness.
5.) Give pre-op meds for anxiety about surgery. Set up mask (pre-oxygenate) to
build up reserve. Gives medicine to make them stop breathing/go to sleep,
and insert breathing tube.
6.) After the pt. is prep you need to do a time-out to discuss the surgery and
makes sure everyone is n board with what they are supposed to do.
7.) IV meds in beginning, then turn on gas. With every breath the gas keeps
them asleep. Makes guess as to when to turn gas off, slowly, to allow them to
come back. If he guessed wrong, its simple fix.
8.) After the surgery, often he just turns everything off so it wears off on its own.
9.) He goes back with the pt. to make sure vitals are good and decide about pain
medications.