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Anesthesia Student Survival Guide.pdf - Index of

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Anesthetic Techniques: General,<br />

Sedation, MAC<br />

Brian C. McLean and Anthony R. Plunkett<br />

Chapter 12<br />

For maximum impact, it is recommended that the case study and questions found<br />

on page xxiii are reviewed before reading this chapter.<br />

Key Learning Objectives<br />

● Learn how to prepare for the different phases <strong>of</strong> an anesthetic<br />

● Understand the continuum <strong>of</strong> sedation<br />

● Discuss the advantages and disadvantages <strong>of</strong> different anesthetic techniques<br />

The Anesthesiologist and the Airline Pilot<br />

A common analogy compares the job <strong>of</strong> an anesthesiologist to that <strong>of</strong> an airline<br />

pilot. This analogy is fitting in that each pr<strong>of</strong>essional is charged with peoples’<br />

lives – failure to perform the job appropriately and consistently can result in<br />

death or injury <strong>of</strong> those in their care. This analogy is also fitting because in<br />

doing their job, each pr<strong>of</strong>essional must faithfully perform a set <strong>of</strong> key steps.<br />

Preflight Check<br />

The preflight check is performed prior to the pilot allowing any passengers<br />

onto the plane. This preflight check is analogous to the preanesthetic setup<br />

and machine check. Both the pilot and anesthesiologist must ensure that their<br />

equipment is ready and in optimal operating conditions – before patients or<br />

passengers are allowed to board or enter into the operating room.<br />

J.M. Ehrenfeld et al. (eds.), <strong>Anesthesia</strong> <strong>Student</strong> <strong>Survival</strong> <strong>Guide</strong>: A Case-Based Approach,<br />

DOI 10.1007/978-0-387-09709-1_12, © Springer Science+Business Media, LLC 2010<br />

159

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