This reflection presents the complete care which the patient was able to experience as far as the anaesthetic process is concerned while undergoing right knee replacement. During the process, a critical incident involving failed spinal anaesthesia will be discussed including…
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Spinal anaesthesia is a very reliable surgical method because it is a very uncomplicated and straight forward technique (Wenk, et.al., 2012). The target area to be covered anatomically can easily be predicted, especially if the anaesthesia is appropriately introduced. However, failure may still be possible. An effective block would be sufficient in cases where the quality is up to standard, or when the duration is sufficient or when it is adequately intense (Abdallah, et.al., 2013).
The patient in this reflective essay shall be referred to as Robert to protect his identity in compliance with the provisions of the 2015 Nursing and Midwifery Council (NMC). He is 48 years old, generally healthy and has had no adverse medical incidents in the past. He was admitted however for revision of left knee replacement. Overall, he is healthy and had previous experiences with local and general anaesthetics. His BMI is in the normal range (28) and weighs 180 lbs. and height of 5’9”. According to the grading provided by the standards of the American Society of Anesthesiologists, he is of grade 1 status which basically translates to a rating of a normal and healthy patient (Daabiss, 2011). An anaesthetist examined him and he was later admitted into the elective unit.
For his surgery, an operating room/theatre was prepared and prior to his entry into the room/theatre, the usual pre-operative checks were conducted. I checked the anaesthetic machine for possible defects of leaks, based on the 2004 standards indicated by the Association of Anaesthetists of Great Britain and Ireland (AAGBI), including the local trust guidelines and standards. Equipment for monitoring was also assessed based on the 2007 standards indicated by the AAGBI. The ABCD guidelines were also evaluated (Davies and Yesudian, 2013). This refers to
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