30/01/2024
I agree with most of what my blogging colleague of medical anaesthesia is stating. However, being rmore than 22 years fully committed to providing specialist level anaesthesia care, I found the most important growth involved switching from a drug oriented approach to a periprocedural goal oriented approach. In the latter, knowledge about physiology, pathophysiology, internal medicine (to assess if conditions are managed appropriately prior to anaesthesia provision), critical care and pre-emptive strategies to prevent or limit ischaemia/ reperfusion injury, allostatic compensation bandwidth/frailty, surgical procedure planned and surgical stress involved, risk of (chronic) post procedural discomfort and pain and deep respect for the body's ability to heal come together to formulate measurable goals you commit yourself to and keep working towards or maintain in the preoperative journey you undertake with the patient in your care. I frame this as total anaesthesia care which commences several days prior to the procedure and does not stop until several days after the procedure. I firmly believe that anaesthesiologists should be the orchestrator of the procedural patient journey, as they are uniquely qualified and committed to oversee the case from a patient (and client) centric approach.
Is your doctor an experienced anesthesia provider or a newbie? In my view, inexperienced anesthesia providers are more likely to:
