Saturday, 03 September 2011 22:41

Anesthetists & Pilots

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Similarities between anesthetists and pilots

The view out of the window (if one is lucky to have an Operating Room with a window!) is a bit different for the two professions. Apart from that , we anesthetists are quite similar to pilots.

1:
ANESTHETIST
Highly safety conscious
PILOT
Highly safety conscious

2:
ANESTHETIST
Pre-op patient assessment
PILOT
Pre-flight assessment - e.g. weather, visibility

3:
ANESTHETIST
Anesthetic plan and alternate plans
PILOT
Making flight plan - e.g. route, airport, alternate plans, fuel

4:
ANESTHETIST
Checks patient documents e.g. confirming identity
PILOT
Checks aircraft documents

5:
ANESTHETIST
Checks anesthetic machine maintenance logbook - e.g. for recent service / checks
PILOT
Checks maintenance logbook - e.g. for defects repaired

6:
ANESTHETIST
Anesthetic machine checklist, ancillary equipment check (e.g. laryngoscopes), emergency drugs, defib, etc.
PILOT
"Walk around the aircraft inspection" and pre-flight checklist

7:
ANESTHETIST
Calculation of induction doses based on patients weight , physiological status etc
PILOT
Calculation of take off speeds (based on data such as runway, wind, temperature, weight etc

8:
ANESTHETIST
Pre-start briefing - Making clear to assistants about peri induction plans e.g. airway , lines, epidural , etc
PILOT
Pre-start briefing - Making clear to other crew about take off and departure plans.


9:
ANESTHETIST
Checking if surgeon is present before starting induction
PILOT
Permission from control tower to start engines


10:
ANESTHETIST
Induction phase of anesthesia
PILOT
Take off and Climb phase of flight


11:
ANESTHETIST
Failed intubation drill
PILOT
Predefined plans if take off fails / abnormal

12:
ANESTHETIST
Maintenance phase of anesthesia
PILOT
Cruise phase of flight

13:
ANESTHETIST
Depth of anesthesia
PILOT
altitude


14:
ANESTHETIST
Short and long operations (lots of activity Vs simply monitoring)
PILOT
Short and long haul flights (lots of activity Vs simply monitoring)

15:
ANESTHETIST
Hours of boredom and minutes of terror
PILOT
Hours of boredom and minutes of terror

16:
ANESTHETIST
Systematically scans patient systems
PILOT
Systematically scans aircraft systems


17:
ANESTHETIST
May have to cope with poor physiology
PILOT
May have to cope with poor weather

18:
ANESTHETIST
Monitor patient temperature
PILOT
Monitor aircraft temperature

19:
ANESTHETIST
Fluid management
PILOT
Fuel management (e.g. monitoring fuel consumption, moving fuel from one tank to another)

 

20:
ANESTHETIST
Hot air warmers to warm patient
PILOT
Hot air warmers heat part of wings and engine to prevent ice formation.

21:
ANESTHETIST
Use of protocols for emergencies e.g. anaphylaxis drill
PILOT
Control of cabin temperature for passenger comfort.

22:
ANESTHETIST
Adds fresh gas flow to replenish breathing system gases
PILOT
Use of protocols for emergencies e.g. engine fire drill

23:
ANESTHETIST
Re-circulates part of breathing system gases to save fresh gas flow, to conserve heat and moisture and to save money (less wastage of anaesthetic agent).
PILOT
Adds fresh gas flow (sucked from atmosphere by the engines) to replenish cabin gases.

24:
ANESTHETIST
Uses filters to clean patient gases
PILOT
Re-circulates part of cabin air to save fresh gas flow (the engine consumes extra fuel to provide it), to conserve heat and moisture and to save money.


25:
ANESTHETIST:
Uses adjustable pressure limiting valves to exhaust breathing system gases.
PILOT
Uses filters to clean cabin air

26:
ANESTHETIST
Extensive use of alarms
PILOT
Uses adjustable pressure limiting valves to exhaust cabin air.

27:
ANESTHETIST
Lightening and waking patient up
PILOT
Descent and landing


28:
ANESTHETIST
Rapid turn around between patients.
PILOT
Rapid turn around between flights.


29:
ANESTHETIST
Using patient trolley brakes important for safely transferring patients onto and off operating table.
PILOT
Using parking brakes important for safely

30:
ANESTHETIST
Trend records / anesthetic chart / central data backup
PILOT
transferring passengers into and out of aircraft.
Black Box recording

31:
ANESTHETIST
Old anesthetic machines had lots of individual dials/ displays. New anesthetic machines have electronic flat displays showing multiple systems on a few screens.
PILOT
Old aircraft had lots of individual dials/displays. New aircraft have electronic flat displays showing multiple systems on a few screens.

31:
ANESTHETIST
Use simulators for training
PILOT
Use simulators for training

32:
ANESTHETIST
Use incident reporting Systems
PILOT
Use incident reporting Systems

33:
ANESTHETIST
Anaesthetist maintain Logbooks
PILOT
Pilots maintain Logbooks

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