How Proposed New Rules Could Change the Anesthesia Care Team

By KAREN SIBERT, MD

I admit, I was taken aback at the headline in the Houston Press:
“Going Under: What Can Happen if your anesthesiologist leaves the room during an operation.”
The curious reader is bound to wonder why the anesthesiologist would leave the operating room in the first place.
Of course, reporter Dianna Wray explains that in many hospitals, one physician anesthesiologist often supervises multiple cases staffed by nurse anesthetists. This model of care is called the “anesthesia care team“, and has a very long record of safe practice in nearly all major hospitals in the United States. Typically, the anesthesiologist makes rounds from one operating room to the next, checking on each case frequently, just as an internal medicine physician would round on patients in the hospital who are being monitored by their nurses.

Ms. Wray’s article narrates in detail what happened in several anesthesia cases where things went horribly wrong. She points out that the patients and families were not aware that the anesthesiologist would not be present during the entire case.
Complications can develop with patients on the ward, in the intensive care unit, or in the OR. In any medical setting, the nurse’s job is to recognize the problem in time to call for help, so that the physician can respond and the patient can be treated successfully. Sometimes, the call for help may not come in time for successful resuscitation. The results can be tragic — cardiac arres...

Source: The Health Care Blog - October 16, 2015 Category: Consumer Health News Authors: Simon Nath Tags: THCB Karen Sullivan Sibert Source Type: blogs