Whippe Procedure and Arterial Lines.

[nimbus]

For these kind of emergent cranis we set up the room in such a fashion so that post-intubation we can immediately turn the bed about 120 so the surgeon can start prepping- but we still have the patient’s arm facing us and accessible to work on 2nd IV and aline. Your patient does need an a-line, but what they need more is their skull flap off and a blood transfusion.

This. Like a NASCAR pit crew, we can work in parallel and do more than one thing at a time.

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[zizzer]

For these kind of emergent cranis we set up the room in such a fashion so that post-intubation we can immediately turn the bed about 120 so the surgeon can start prepping- but we still have the patient’s arm facing us and accessible to work on 2nd IV and aline. Your patient does need an a-line, but what they need more is their skull flap off and a blood transfusion.

I offered to work together like that and usually do when I can anyway for elective cases as well but he acted like it wasn't feasible to do with the positioning he wanted so I insisted on an arterial line where all I had to do was cannulate the vessel (set up already done because our techs are outstanding). A second anesthesiologist who was free was helping me get lines and monitoring cables situated and a hot line connected for blood.