El Dr. Armando Fortuna, profesor, abogado y anestesiólogo, nos comparte algunas de sus experiencias en su largo trayecto como querido y excepcional profesionista y académico. Párrafos enviados a la lista de distribución de anestesiología (AMI-List), en marzo de 2009.
Experiencia No.1: The very first case we went to see was a woman, about 40 years old, who was going to have tubal ligation. The resident in charge was a resident, who just had finished given her a caudal. On returning the patient to the dorsal decubitus, she proceeded to give her around 750 mg of thiopental. One minute or so after she finished the intravenous injection, the patient stopped breathing, start to turn cyanotic and she could not feel a pulse or blood pressure… [Bajar archivo completo]
Experiencia No.2: Without checking her blood pressure, he had her turned on the side and did an epidural puncture, injecting 30 ml of 2% lidocaine, with epi. She was placed in a dorsal decubitus and he waited about 10 minutes to give the go ahead to the surgeon. Up to this moment, no oxygen was delivered either by a face mask or nasal probe. Fifteen minutes after the incision was done, he told me that he had another case to start and asked me if I could stay with his patient until his return, as the anesthesia had settled very well and there was nothing to worry about. He also said that I must have a good experience in the field, otherwise the British Council would not have given me such a fellowship… [Bajar archivo completo]
Experiencia No.3: I was assisting two rooms. I was in one doing a case with the residents that was going well, without any problems. Then, I received a call to go to the other room, where a serious complication happened. A very strong young man, schedulated for abdominal surgery, after receiving thiopental for induction, become agitated, the vein was lost and he develloped a severe trismus, blocking his airway. When I come in, he was quite cyanotic, with a very low O2 saturation. Ventilation was impossible and they were trying for a new venous access, so they could inject Suxinilcholine to fix the situation… [Bajar archivo completo]
