- Keep a casual watch on theatre asepsis and let the surgeon know at an appropriate time. Observe the colour changing labels on the drums, and instruments supplied in between.
- Always talk to the surgeon first in high risk cases where a death on table is likely. When surgeon agrees, talk to the relatives along with surgeon. Obtain consent, then only start.
- Patients with respiratory obstruction, difficulty in breathing, Ludwig’s angina trismus: In these cases do not even venture to give sedation. Never think of giving anaesthesia unless the airway is secured. Topical anaesthesia, awake intubation, tracheostomy done, guided blind intubation or flexible intubating bronchoscope used to intubate are your options.
- In places with very hot climate and during summer allow patients to have a glass of plain water one hour before surgery. This is especially for children.
- Do not order your premed for adults. Give IV at the induction only in sepcial cases. Order the premed at the exact time. Do not give only Ketamine to an adult. Do not give Diazepam alone for patient with pain. They become incoherent and unmanageable. Same rule follows for Scopolamine for elderly patients.
#36-40: Private Practice Anesthesia- Do’s and Dont’s
