Operational Medicine Medical Education and Training

Manage a Patient Under General Parenteral Anesthesia

OBJECTIVE

As a Special Forces Medic given a patient under general parenteral anesthesia, continually monitor the patients vital signs, apply corrective treatment to any life threatening changes in the patients vital signs, and maintain the patient at stage three of general anesthesia in accordance with JSOMTC student manual of anesthesia.

REASON

As a Special Forces Medic performing general parenteral anesthesia, you will be responsible for maintaining the patient at stage three of general anesthesia and maintaining the life of the patient through surgery and recovery from anesthesia.

PROCEDURES

Review the principles of monitoring and maintenance

Review the components, clinical signs, and depth of anesthesia

Apply the principles of monitoring and maintenance (Circle of Awareness)



 

 

Anesthesia Machine

Manage a Patient Under General Parenteral Anesthesia

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Review the Principles of Monitoring and Maintenance

Monitoring
Tasks

Level of Anesthesia

A

B

C

Monitoring
Level of Anesthesia

Unresponsive to pain stimuli

Eyes fixed and pupils constricted

Muscles relaxed

Monitoring
Airway

Must maintain positive control over the patients airway (to include the tongue)

Monitor the airway at all time while the patient is under general anesthesia.

Monitoring
Airway

Oxygenation

Monitoring
Breathing

The lungs and breathing must be continuously monitored.

Rate and depth of respirations

Dry versus wet lungs?

Monitoring
Breathing

I Inspection

A Auscultation

P Palpation

P Percussion

Monitoring
Circulation

Heart rate, character, and rhythm = 68 strong and regular

Tissue perfusion

Body temperature

Renal Function


Continue to the PowerPoint Lecture...

From SFC Hill

Joint Special Operations Medical Training Center

In

Operational Medicine 2001

Bureau of Medicine and Surgery

Department of the Navy

 

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