Pod w/ CRNA - Who runs the code?

[podmed78]

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Seems to be a subject of debate amongst 'some people'.

So the scenario is a Pod working a FF case has a 65 yo F code on the table. A CRNA is performing the anesthetic.

Who runs the code?

 

[jonwill]

Seems to be a subject of debate amongst 'some people'.

So the scenario is a Pod working a FF case has a 65 yo F code on the table. A CRNA is performing the anesthetic.

Who runs the code?

Generally, when a case starts going bad, the CRNA calls the anesthesiologist in and they take it from there. Then 20 other people come running in! Meanwhile, you're attempting to get some type of retention sutures and a dressing on the foot so you can get the patient off of the table.

Different hospitals have different protocols but from what I've seen, usually the anesthesiologist along with a "code team" runs all codes.

 

[SportPOD]

Seems to be a subject of debate amongst 'some people'.

So the scenario is a Pod working a FF case has a 65 yo F code on the table. A CRNA is performing the anesthetic.

Who runs the code?

Anesthesiologist along with the CRNA will be running the code. You as the surgeon will be in there to help out, but leave the decision making to the pros.

 

[Feli]

Generally, when a case starts going bad, the CRNA calls the anesthesiologist in and they take it from there. Then 20 other people come running in! Meanwhile, you're attempting to get some type of retention sutures and a dressing on the foot so you can get the patient off of the table.

Different hospitals have different protocols but from what I've seen, usually the anesthesiologist along with a "code team" runs all codes.

Exactly^

CRNAs, while very well trained and valuable, have a lot of settings that forbid them from working without direct supervision by an anesthesiologist. That anesthesiologist (or CRNA in cases where they are working truly autonomously) is responsible for any medical issues the patient may have while under, and the pod is responsible for doing the surgery. Of course you work as a team, but each has his primary role, which jon and sportpod described well.