How do anesthesiologist prepare for surgery??

Question

what exactly are they doing during the time that you're waiting for your operation??? and how many days in advance do they know about an operation they have to do?? and also why did my anesthesiologisthave to know that I'm bipolar and have ocd??? and do they ever have more than one anesthesiologist present during surgery??

Answer 1

They know a day or two before the surgery and are scheduled according to the caseloads and types of surgery.  They are called by the prep nurses when the DR arrives for the surgery.  They interview you before your surgery to make sure that the type of anesthesia they use will not react to any allergies or existing conditions that you have listed.  Sometimes, there is more than one anesthesiologist in the OR.  Normally, there is a DR of Anesthesiology and an assistant present until they know you have successfully been anesthetized properly and your vitals are OK.  The DR then normally leaves the OR, unless he gets a call to return.

Answer 2

Sometimes only a day warning before an operation. They are reviewing your medical history and meds you have been taking. They want to insure you don't have a reaction to anesthesia.  While you are "under", they monitor your heart rate and breathing for signs of trouble. The surgeon will advise the anesthetist just prior to completion of the operation to allow the patient ample time to come out of the inducement. Anesthesia is a dangerous thing and they don't want you out for any longer than necessary.

It is safe.  It's is done all the time.

Answer 3

The OR schedule isn't made out until the day before surgery at every place I've worked (Friday for Monday's schedule, though).  The room assignments are typically made the afternoon prior to the day, although that can change the morning of surgery.  It depends on what else is going on, if anyone called in sick, who's on call, if rooms or cases have been added, etc.

Sometimes we switch rooms in the middle of the day, for some of the reasons listed above.  So, we might know about the surgery the day before, or we might know 5 minutes before.  All we typically know, though, is the procedure and the surgeon, unless you're in the hospital already, and then someone will usually go pre-op you the day before.

What are we doing while you're waiting?  Probably taking care of another patient.  We usually see the first patient in the morning, do that case, see the second patient, do that case, and so on.  Sometimes the surgeon will give us a heads up if there is a potential problem, or something that might affect the anesthetic, otherwise, we know nothing about you until we stop by to do the pre-op evaluation.

Most places have a system in place where nurses get all the pertinent information, review labs, EKGs, Xrays, etc and alert us if there is something we need to look at more closely.  That should be done a week or so before surgery.

We need to know EVERYTHING (medically) about you because we are keeping you alive, and different conditions and medications affect what we give and how much of it we give.  That includes psychiatric diagnoses.

It's rare to have more than one anesthesiologist present at a time, unless you've just been shot in the chest, or are impossible to get a breathing tube into.  Then we'll stop in and help each other out.  We do relieve each other for potty breaks and lunch, though. We never leave a patient without an anesthesia provider right there.