You never know how a patient will respond to an anesthetic induction until the anesthesia mask is pressed on the face. Some love it, many find it strange and scary, and a few go into a full-on panic. It's important to be ready for every eventuality...
Frau Durlich has come to have a polyp removed from her vagina. Doreen settles her into the gyno chair...
Frau Durlich seems relaxed about the whole thing...
Doreen puts Frau Durlich's legs into the stirrups...
Rather than a catheter, Doreen fits a rubber catch bag to drain any urine...
Doreen secures restraints. Doreen explains that is necessary as you can convulse under anesthesia and injure yourself, legs falling out of the restraints or even by sliding off the chair.
With Frau Durlich secured to the chair, Doreen readies the anesthesia mask
Doreen presses the mask onto Frau Durlich's face...
The strong rubber smell, the dry cold sweetish rush of nitrous into her lungs and the claustrophobic pressing of the mask onto her face is too much for Frau Durlich. She starts to panic!
Frau Durlich struggles, but Doreen holds the mask firmly in place, so Frau Durlich will absorb the nitrous as quickly as possible...
As Frau Durlich absorbs the gas, her head starts to spin and she becomes easier to restrain...
Finally, Frau Durlich becomes sedated enough to proceed...
Doreen relieves Frau Durlich of her glasses...
Frau Durlich is still struggling against her sedation...
...so Doreen increases the nitrous from 50% to 60%...
Frau Durlich settles down and is now sedated enough have the mask strapped firmly onto her face...
Due to her patient's panic responses, Doreen decides to also strap her head into a restraint...
There, that's better - now it's time to deepen the sedation to full general anesthesia...
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