"... too much anesthesia !"

[DrAmir0078]

Dear Anesthiologists,
I hope you are doing well, I want to open a subject for discussion and it is not a case either, but this subject has been an issue for not short period of time in my Country and because of limited social interactions with other nations, I have this opportunity to write it here and get your opinion!
“He died because of anesthesia…”, “…too much anesthesia and he passed”, “… my friend has died because of extra dose of anesthesia and I am afraid …”…. etc, are those familiar phrases with you over there?; and how are you dealing with it, especially with the globalization of social networking, and the Right of the person to express his thoughts, and how to educate the people and let them aware? Isn’t frustrating? any articles about digging in such topic? why we are blamed?
Thanks
Amir

 

[GassYous]

Blaming anesthesia is the favorite pastime of many surgeons. They will never take the blame for anything. Can't see anything in the arthroscopy? "What's the blood pressure?!" Little oozing during a lap chole? "What's the blood pressure?" 90 year old vasculopath has a postop stroke after surgeon loses a liter in a hip nail? Look the map was below 65 for 30 seconds, it's anesthesia's fault. I'm glad I don't have to deal with crappy surgeons for the most part anymore. It's always the ones that suck that are the issue.

 

[SaltyDog]

Have you tried giving less anesthesia?

 

[DrAmir0078]

Blaming anesthesia is the favorite pastime of many surgeons. They will never take the blame for anything. Can't see anything in the arthroscopy? "What's the blood pressure?!" Little oozing during a lap chole? "What's the blood pressure?" 90 year old vasculopath has a postop stroke after surgeon loses a liter in a hip nail? Look the map was below 65 for 30 seconds, it's anesthesia's fault. I'm glad I don't have to deal with crappy surgeons for the most part anymore. It's always the ones that suck that are the issue.

So the root of the problem is the surgeon!

 

[DrAmir0078]

Have you tried giving less anesthesia?

I can imagine what will happen ! lol - but seriously a problem over here, people are preoccupied with thoughts and you know, I searched on twitter "died from anesthesia" and found so many - mostly Americans - talking about it, but mostly dogs/cats too ! so, these thoughts run into vet world too !

 

[coffeebythelake]

Dear Anesthiologists,
I hope you are doing well, I want to open a subject for discussion and it is not a case either, but this subject has been an issue for not short period of time in my Country and because of limited social interactions with other nations, I have this opportunity to write it here and get your opinion!
“He died because of anesthesia…”, “…too much anesthesia and he passed”, “… my friend has died because of extra dose of anesthesia and I am afraid …”…. etc, are those familiar phrases with you over there?; and how are you dealing with it, especially with the globalization of social networking, and the Right of the person to express his thoughts, and how to educate the people and let them aware? Isn’t frustrating? any articles about digging in such topic? why we are blamed?
Thanks
Amir

It's a wastebasket term used by everyone other than the anesthesiologist to explain what happened when the patient has a bad outcome in the OR.

 

[jwk]

So the root of the problem is the surgeon!

YES!!!!

My personal favorites -

Hemostasis is a surgical problem.

Anesthesia makes surgery possible, not easy.

Anesthesia keeps the patient alive in spite of the surgeon.

 

[jwk]

Blaming anesthesia is the favorite pastime of many surgeons. They will never take the blame for anything. Can't see anything in the arthroscopy? "What's the blood pressure?!" Little oozing during a lap chole? "What's the blood pressure?" 90 year old vasculopath has a postop stroke after surgeon loses a liter in a hip nail? Look the map was below 65 for 30 seconds, it's anesthesia's fault. I'm glad I don't have to deal with crappy surgeons for the most part anymore. It's always the ones that suck that are the issue.

I-85 Bridge collapse in downtown Atlanta a couple years ago? Also anesthesia's fault.

 

[Matthew9Thirtyfive]

I-85 Bridge collapse in downtown Atlanta a couple years ago? Also anesthesia's fault.

This is not really related but I am starting rotations and we had to watch these Stanford videos on mistreatment where they have acted out scenarios (kind of ironic it’s coming from them), and one of the scenarios was in the OR and the anesthesiologist was on his phone the whole case haha.

 

[pgg]

Obligatory -

 

[GassYous]

This is not really related but I am starting rotations and we had to watch these Stanford videos on mistreatment where they have acted out scenarios (kind of ironic it’s coming from them), and one of the scenarios was in the OR and the anesthesiologist was on his phone the whole case haha.

How was the video where they didn't give any vaccinations to the people providing care to the patients?

 

[nimbus]

This is not really related but I am starting rotations and we had to watch these Stanford videos on mistreatment where they have acted out scenarios (kind of ironic it’s coming from them), and one of the scenarios was in the OR and the anesthesiologist was on his phone the whole case haha.

That is a sign that the case is going smoothly.

 

[Matthew9Thirtyfive]

How was the video where they didn't give any vaccinations to the people providing care to the patients?

I dunno, I was too busy watching the one where they didn’t fire the nurse for cursing out a resident.

 

[Matthew9Thirtyfive]

That is a sign that the case is going smoothly.

Yeah I was an OR tech for 10 years before med school. I usually only got concerned when the anesthesiologist looked worried.

 

[WholeLottaGame7]

It's a wastebasket term used by everyone other than the anesthesiologist to explain what happened when the patient has a bad outcome in the OR.

Almost always this.

The most recent one was "my grandfather, who's in his 70s and had like 30 surgeries, was intubated in the ICU for 3 days after his cystectomy because of anesthesia."

 

[DocVapor]

On one hand, it's very frustrating when we get blamed for **** that wasn't our fault.

On the other, it subconsciously reminds everyone that what we do is dangerous and they should worry.

Maybe that's not such a bad thing.

 

[SaltyDog]

Yeah I was an OR tech for 10 years before med school. I usually only got concerned when the anesthesiologist looked worried.

If we’re standing more than sitting, things are not going well.

 

[Matthew9Thirtyfive]

If we’re standing more than sitting, things are not going well.

lol yes I learned that

 

[coffeebythelake]

lol yes I learned that

I really like to stand for my cases though... am I freaking out my surgeon?

 

[coffeebythelake]

On one hand, it's very frustrating when we get blamed for **** that wasn't our fault.

On the other, it subconsciously reminds everyone that what we do is dangerous and they should worry.

Maybe that's not such a bad thing.

I don't know about that, it makes anesthesia seem like a black box and thr wild west

 

[Ronin786]

I really like to stand for my cases though... am I freaking out my surgeon?

Ive freaked out a few surgeons by asking "how are things going up there?"

They invariably grumble about how they'll let me know when they're done or look in awe to make sure the patient is alive. I just was wondering...

 

[coffeebythelake]

Ive freaked out a few surgeons by asking "how are things going up there?"

They invariably grumble about how they'll let me know when they're done or look in awe to make sure the patient is alive. I just was wondering...

You mean how are things going "down there"?

 

[SaltyDog]

I really like to stand for my cases though... am I freaking out my surgeon?

Nah, but they do all refer to you as “that one weird guy that stands the whole case.”

 

[VA Hopeful Dr]

I don't know about that, it makes anesthesia seem like a black box and thr wild west

For those of us who know basically nothing about anesthesiology, it absolutely is a black box. If not for this forum, all I would know about your field is what I gleaned from three second year pharmacology lectures.

 

[Matthew9Thirtyfive]

For those of us who know basically nothing about anesthesiology, it absolutely is a black box. If not for this forum, all I would know about your field is what I gleaned from three second year pharmacology lectures.

I like that our school has a required anesthesiology rotation.

 

[Robotic Wis-Hipple]

For those of us who know basically nothing about anesthesiology, it absolutely is a black box. If not for this forum, all I would know about your field is what I gleaned from three second year pharmacology lectures.

Don’t worry, this goes for the surgeons too.

 

[Robotic Wis-Hipple]

I like that our school has a required anesthesiology rotation.

I bet it’s 2 weeks within the surgery clerkship where 90% of the Med students treat it like a vacation trying to get out by 3 and/or the anesthesiologists pawn you off on a resident or just take you from IV start to edentulous intubation opportunity all day.

The procedures are the expected “anesthesia” experience but they provide next to nothing in terms of experience/understanding of what we actually do.

 

[MirrorTodd]

I bet it’s 2 weeks within the surgery clerkship where 90% of the Med students treat it like a vacation trying to get out by 3 and/or the anesthesiologists pawn you off on a resident or just take you from IV start to edentulous intubation opportunity all day.

The procedures are the expected “anesthesia” experience but they provide next to nothing in terms of experience/understanding of what we actually do.

That's something we are actively working on in the military hospital where I am. Too many Usuhs students treating it like a vacation.

 

[Matthew9Thirtyfive]

I bet it’s 2 weeks within the surgery clerkship where 90% of the Med students treat it like a vacation trying to get out by 3 and/or the anesthesiologists pawn you off on a resident or just take you from IV start to edentulous intubation opportunity all day.

The procedures are the expected “anesthesia” experience but they provide next to nothing in terms of experience/understanding of what we actually do.

It’s not part of the surgery rotation, but I’m sure a lot of people treat it like a vacation. It’s a separate required 4-week rotation that’s 2 weeks in the OR, a week of pain, and a week in the ICU. I’m hoping to actually learn from it.

 

[DrAmir0078]

On one hand, it's very frustrating when we get blamed for **** that wasn't our fault.

On the other, it subconsciously reminds everyone that what we do is dangerous and they should worry.

Maybe that's not such a bad thing.

I truly liked the idea of subconscious thinking - has a lot of truth beneath it.