8.7. Patient monitoring during surgery: Anesthesia administration and monitoring

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8.7. Patient monitoring during surgery: Anesthesia administration and monitoring

Nursing in the operating room is a specialization area that requires specific skills and knowledge. One of the most important functions performed by nurses in this environment is patient monitoring during surgery, especially with regard to administering and monitoring anesthesia.

Administration of Anesthesia

The administration of anesthesia is a complex process that requires a high level of competence and experience. The nurse anesthetist is responsible for preparing the patient for anesthesia, administering anesthesia, and monitoring the patient throughout the surgical procedure. This includes continuously monitoring the patient's vital signs, assessing the depth of anesthesia, and administering additional medications as needed.

Prior to surgery, the nurse anesthetist performs a complete assessment of the patient, including a review of the medical history, physical examination, and laboratory test results. This assessment helps the nurse determine the most appropriate anesthesia plan for the patient.

During the administration of anesthesia, the nurse must ensure that the patient is comfortable and free of pain. This may involve the use of local, regional or general anesthetics, depending on the type of surgical procedure and the patient's individual needs.

Anesthesia Monitoring

Once anesthesia has been administered, the nurse anesthetist should closely monitor the patient to ensure that the anesthesia is working properly and that the patient is stable during surgery. This includes continuous monitoring of the patient's blood pressure, heart rate, breathing rate, and blood oxygen level.

The nurse should also monitor the depth of anesthesia to ensure that the patient is adequately sedated, but not overly sedated. This is done by observing physical signals such as eye movements and using specialized equipment such as EEG monitors.

If complications occur during surgery, such as a drop in blood pressure or an adverse reaction to anesthesia, the nurse anesthetist must be able to respond quickly and appropriately. This may involve administering additional medications, changing the dose of anesthesia, or coordinating with other members of the surgical team to ensure patient safety.

Conclusion

The role of the nurse in the operating room is vital for patient safety and well-being. Anesthesia administration and monitoring are complex tasks that require a high level of competence and experience. By ensuring these functions are performed effectively, nurses can help ensure that patients receive the best possible care during surgery.

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