- Never start a case unless the surgeon has talked to the patient. The assistant may ask you to start under instructions from the surgeon who is not present on the premises.
- Make the surgeons or the anesthesiologist colleague aware of complications seen or heard by you prior, but as far as possible do not disclose the names of surgeon or anesthesiologist or hospital.
- Do not be shy to consult your senior in a difficult case and in the event of an accident try to find out the cause from as many sources until you are satisfied.
- Do not start anaesthesia or even give sedation if the patient is not accompanied with a relative or friend. It is only in such cases serious complication occurs.
- Remember myasthenic tendency in patients with long standing malignancy avoid using long acting muscle relaxant. If it has to be used, fractionate the dose and repeat only when absolute necessary. Tailor down the doses of all drugs that you are giving as these patients become very sensitive to all drugs.
