Get an RT specifically assigned to the PACU? Buy enough ventilators to supply
the PACU if most pts come in intubated? In the midst of a hiring/purchasing
freeze? Try to persuade the PACU nurses that it's OK for us to do this? Get the
administration to understand thta this may be ultimately a money-saving
proposition? Make our municipal hospital (where the residents do the actual
work) more like a surgicenter?

Even in one's wildest dreams, it won't happen. Hard enough to get pts into the
ORs on time in the morning. Efficiency isn't happening.


Sanford M. Miller, MD
sanford.miller@...




________________________________

From: Anesthideas@yahoogroups.com [mailto:Anesthideas@yahoogroups.com] On
Behalf Of Ivan Hronek
Sent: Friday, July 03, 2009 1:13 PM

You can do that - these don't have to be sophisticated ventilators but usually
you can get most patients breathing spontaneously towards the end of the case
which then becomes the 'challenge' for us to achieve. Like Jim says, it's all
just what you get people used to doing - then they consider that normal. If you
get a respiratory tech assigned to PACU with a sufficient amount of circuits and
explain the advantages of such an arrangement everyone understands - the
administration, the surgeons and the anesthesiologists will all be happier as
they get more done in a shorter period of time and the OR becomes more like an
efficient surgicenter - look at the smoothness and low level of frustration in
those in comparison with regular ORs.