Page 45 - Part 2 Anesthesiology Common Risk Issues

SVMIC Anesthesiology: Common Risk Issues

active. She was most happy about the fact that she could now

comb her hair.

TPT — the practice of accurately diagnosing the cause of the
pain, then targeting treatment to the cause — enabled Marcy

to eliminate the use of opioids and reclaim functional quality of
life. By applying the TPT methodology to our patients with pain

(eliciting a specific S.C.R.I.P.T. history, doing a thorough exam,
and then employing an M.I.P.S. treatment plan), we can work

together to address the chronic pain dilemma, reduce opioids,
effectively treat pain and improve function for our patients.

Obstetric Anesthesia

Today’s anesthesiologists are guided by the ASA and their
recommendations for anesthetic obstetric care are discussed

in the remainder of this course. Please note that unless
otherwise indicated, all direct quotes are from the latest update

of the Practice Guidelines of the American Association of
Anesthesiologists.
18

As in any procedure that requires anesthesia, the first thing that
must be done is a detailed history and a physical examination

of the maternal patient. With a pregnant patient, this should
include, but is not limited to, a maternal health and anesthetic

history, a relevant obstetric history, a baseline blood pressure
measurement, and an airway, heart, and lung examination,

consistent with the ASA “Practice Advisory for Preanesthesia
Evaluation.”

If the anesthesiologist is planning a neuraxial anesthetic,

either an epidural or a spinal, examine the patient’s back.

18 http://anesthesiology.pubs.asahq.org/article.aspx?articleID=2471779

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