#anesthesia nurse

[retquits]

hellooo! i just got back from the hospital a few hours ago & finally got a diagnosis;

fortunately, not cancer!! unfortunately, a different (incurable) disease 🥲

not particularly lethal, thank goodness, but... not particularly easy to live with either. anyhow, thank you very, VERY much to everyone who sent well wishes, i really appreciate it ♡

[sergle]

remembering waking up post-op after my breast reduction is SO FUNNY because it's such a wild thing to have a Fond Memory of. but I distinctly remember croaking "hell yessss" to my surgeon after he told me I was done and everything went great.

[blake078]

Love under anesthesia

[heardatmedschool]

“There’s two types of people: those who have hit their head in the OR monitors, and those who eventually will.”

[blxxdbxgs]

She said to take your meds, drink enough water, practice good hygiene, and to know that you can always ask for help :)

[nina-ya]

HELP 😭😭 a patient just asked me how long she would take to wake up after anesthesia and I told her typically 20-40 minutes but it can be more or less depending on the person and she god MAD at me and started yelling because she wanted an exact time so she knew when to schedule the Uber for like sorry ma’am I don’t know your bodies exact response to anesthesia

and she got even MORE mad at me when I had to gently explain to her that we don’t allow post anesthesia patients to go home in Ubers

[iero]

Did 4 loads of laundry today, listed some stuff I don't want anymore online for sale, went grocery shopping AND managed to make dinner today? Depression whom?

[noodleblade]

sneak peek at this one-shot that's gotten stupid long (affectionately!!!!!)

[remyfire]

I think Leo Bardonaro is an anesthesiologist.

One, because an anesthesiologist's job is to take the 10 or 15 minutes max they have with a patient and essentially convince them to put their entire life in their hands. Other doctors and surgeons typically get a significantly longer chunk of time to interact with the patient and answer their questions, but at the end of the day, it is the anesthesiologist who will be keeping the patient alive, stable, and safe while the procedure is going on. For better or worse, Leo has the kind of relaxed, companionable personality that would not only be able to leave a patient laughing, but also to feel entirely at ease—he's confident, he's collected, and if he's not worried about this, why should they be?

Two, because I think he would've had way too much fun making jokes about laughing gas.

[theatregirl1]

patient positioning in the operating theatre ˶ᵔ ᵕ ᵔ˶

aims to:

maintain patient's airway, circulation, and prevent nerve damage

expose the operating site

keep the patient safe + secure

consider:

length of surgery

surgeon's preference (ask!)

anesthetist's preference (ask!)

risk factors for patient (age, weight, skin issues, current injuries/conditions)

Patient dignity (cover patient with sheet where possible, especially when theatre doors are open; avoid violating privacy unnecessarily)

nursing responsibilities

safe transfer from theatre table to bed (four people minimum, six+ people if patient is >100kg); use hovermat if patient >100kg, otherwise flexislide or slidesheet and sliding board)

use padding to protect sensitive areas (where plastic + metal are touching patient's skin)

use aids to maintain patient position

positions

supine

patient on back with legs extended straight, arms on arm boards (usually extended at 90 degrees and strapped) or tucked into the sides (usually secured using a soft pad/fabric tucked underneath the patient's torso)

spine / hips / head aligned

the back of the head, arms and heels are padded

variation - trendelenburg

bed is tilted "head-down" (head is lower than pelvis)

usually strap used above knees to secure patient

used for procedures requiring exposure of the lower abdomen, uterus and/or pelvic area

can cause organ pressure against the diaphragm (decreased lung volume) and heart

variation - reverse trendelenburg

opposite of trendelenburg (head higher than feet)

usually strap used above the knees and a foot plate at the patients feet

used for head/neck procedures

decreases blood supply to head/neck area

variation - sitting / lawn chair / beach chair / fowler's

patient is anesthetized in supine position

foot of bed is lowered to flex the knees and the head/torso part is raised up

foot plate is used again

patients arms are crossed over their body

pillow/wedge is sometimes used to flex the knees instead of altering the lower bed

used for cranial procedures (head fixed with head rest), shoulder procedures (often using a spider) + breast reductions

prone

often anesthetized supine on their bed before flipping patient onto table face-down

padding rolls placed length-wise along sides of chest and abdomen with a gap between to relieve pressure off chest + abdomen

arms are at sides or above head

head is face-down on sponge with t-shaped hole for nose and mouth or facing to the side

pillow placed under ankles + sometimes under knees

strap placed above knees

used in spinal + anorectal procedures

variation - jackknife

patient in prone is inverted into a "V" position

bed is flexed at 90 degrees, hips rise above rest of body

used in gluteal + anorectal procedures

lithotomy

patient is in supine position, legs are raised + abducted + placed in stirrups

patients bottom lines up with break in table

lift legs at same time (2 people) to prevent injury, stirrups should mirror each other

ask anesthetist before moving legs

foot plate + bottom end of table are removed or lowered

variations - high lithotomy (legs at 90 degrees) + low lithotomy (legs at 45 degrees or lower)

used for vaginal + anal procedures

pay attention to leg position in stirrups and how far knees are from the start of the stirrups

[blake078]

Nurse Lela Puts You Under

[girlfailurefelix]

Anyways, so you guys will never believe what I did before work today :) This one is wayyyy shorter than my Beckory one but yay for Gregory-centric fics

[merriblu]

My little puppy is back from her surgery and my heart is just bleeding for her. We did a lot of training with the cone but poor gal just never could figure out how to lay/sleep with it. I think I have a solution and maybe remove the cone later if the wound doesn’t bother her.

[blxxdbxgs]

Nurse Gerard cut me up and cover yourself with all my blood please..

[vermillioncrown]

had a minor surgery today (gen anesthesia), forgot it was a concrete thing until last night. after bingeing all of the pitt

so i'm not normally scared of that stuff and am pretty tolerant of pain (despite ☝️ me shrieking when roz grabs my tender neck and hip meats) but i have very specific worries. like what if i bend my elbow and feel the iv needle? or i wake up halfway??

my attending dr, making convo and asking if i'm ready

me: i am and it's too late (the iv's in) but i chose the wrong weekend to binge the pitt

dr: 😬 -> 🫵😐

me: not that i think it'll end like the pitt. but i will have a tube. i won't remember the tube, but---

dr: why would you do that??

me: ...it was very good...

dr: ...it will not be the pitt. this will be a very controlled, non-er environment, i promise you

[basslinegrave]

its wild how blorbos can make things better i was starting to panic when reading about surgery but then thought about pbd and his stupid hospital gown and shit and just chuckled and it was better. but anyway im still fucked up cause the current state of trans medicine is a big question mark here and idk if i need to be castrated or not but i would do it i just want it to be paid for if its oh so important (take advantage of it) but the horror stories are. horror. the state of hospitals is like. circling back to pbd id be like in that asylum level with how the buildings look like here like people do urbex in such buildings. i hope i find a nice clinic if it comes to that. but if i went for top surg (which isnt my focus atm, i can bind for now) i need to start saving up 🤕