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Patti Murphy MD, Jordan Zacny MD

 Learning Objectives

1 To provide a practical overview of the student’s role as part of the anesthesia care team.

2 To provide a practical overview for establishing intravenous access and monitoring procedures for patients requiring anesthesia care.

 Key Points

1 The degree to which students actively participate in the anesthetic care of a patient correlates directly with their knowledge and their acquired technical skill set.

2 The mnemonic ‘STATICS’ can be used as a memory prompt for preparing equipment.

3 A blood pressure (BP) cuff can be used as a tourniquet in patients with difficult intravenous access. Inflation of the cuff to approximately 60 mmHg results in distension of both the deep and superficial veins.

4 To decrease the chance of a medication error, avoid distractions when preparing medications, and label syringes before drawing up medications.

5 For patient safety, students should not attempt to perform unfamiliar tasks unless under supervision.

6 Reasons for prescribing medications prior to an operative procedure can be related to the patient, the procedure, or the patient’s coexisting medical condition.

Introduction:

In this chapter, students are presented with a brief introduction to the anesthetic care of patients beginning with step-by-step guidelines for establishing monitoring procedures, intravenous access, and initial airway management. Students rotating through the operating room may find participating in the anesthetic care of patients daunting. As important members of the anesthesia care team, we encourage students to participate actively in operating room (OR) activities to maximize their learning opportunities. Anesthesiologists are uniquely positioned to pass on a wealth of knowledge in pharmacology and applied physiology as well as important skill sets involving airway management and intravenous access. This knowledge base and accompanying basic skills are valuable for all physicians. Few specialties can offer the precious one-on-one teaching that anesthesia provides. Anesthesiology is a unique and fascinating specialty! We hope all students enjoy their anesthesia rotation!