Family participation and risks..

[anesthesiadrew]

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Something to consider in this sue-happy culture in the US..

http://www.msnbc.msn.com/id/8506245

Your thoughts on this? Does anyones allow family to observe or assist during procedures in the OB suite?

 

[seattledoc]

Having seen many people faint (a majority of them being med students, nurses, residents, and even a couple attendings), I always make family members sit down during procedures. Csections in particular seem to bring the fainters out of the woodwork...especially the 3am variety.

 

[militarymd]

I believe that doing anesthesia is not a "show", but then again, no one really cares what I believe, so I put on a "good show".

 

[militarymd]

I believe that doing anesthesia is not a "show", but then again, no one really cares what I believe, so I put on a "good show" to get the standing ovations.

 

[jetproppilot]

I believe that doing anesthesia is not a "show", but then again, no one really cares what I believe, so I put on a "good show" to get the standing ovations.

I disagree, Dudeski. We care. Your opinion and prowess is valued here. 👍

 

[anesthesiadrew]

Most of the time the OB RNs don't let the husband back for a CS until spinal in, drapes up and mother prepped. Stool at HOB to mother's left for husband to sit. Waiting for one to pass out one day and pull blue drape in attempt to cease the downward spiral of syncope - hasn't happened yet, but I ain't betting against it.
Sometimes allow one family member to stay if he (usually he) wants to stay for epidural.

Always have the syncope talk with both epidural and CS family members. This article may turn me into a hard-posterior about being nice to family.

 

[anesthesiadrew]

I disagree, Dudeski. We care. Your opinion and prowess is valued here. 👍

Second that motion.

 

[UTSouthwestern]

Had a very similar event happen except it was with a firefighter whose wife was having a small abdominal procedure being done. I told him I was about to place an IV and he clearly stated to me that it was OK because "I'm a firefighter and I've seen much worse." IV goes in with some blood leaking through the barrel of the needle to the floor below and 5 seconds later, THUNK. Dude passed out and hit his head against a brick outcropping from the wall. Since I was on call that day, I also did his emergent craniotomy later that evening for hematoma evacuation.

He did fine and a few days later, I went to see him and he was so embarassed, he asked me to tell his fellow firefighters who were coming to see him later that day, that he had tripped over something an just fell backwards.

 

[jetproppilot]

Had a very similar event happen except it was with a firefighter whose wife was having a small abdominal procedure being done. I told him I was about to place an IV and he clearly stated to me that it was OK because "I'm a firefighter and I've seen much worse." IV goes in with some blood leaking through the barrel of the needle to the floor below and 5 seconds later, THUNK. Dude passed out and hit his head against a brick outcropping from the wall. Since I was on call that day, I also did his emergent craniotomy later that evening for hematoma evacuation.

He did fine and a few days later, I went to see him and he was so embarassed, he asked me to tell his fellow firefighters who were coming to see him later that day, that he had tripped over something an just fell backwards.

Yep, theres alotta wimps out there...to this day I still remember being at Tulane as a resident...one of the ortho attendings did all the Tulane football player's surgeries...

"Hey dude, I'm Dr. Jet and I'm gonna be putting you to sleep for your knee scope. I've gotta start an IV first..."

BIG 300 lb DEFENSIVE LINEMAN LOOKING LIKE HE COULD KICK GOLDBERG'S ASS:

"uh..Doc? Is the IV gonna hurt?"