August 05, 2009

Surgery

I've been a bit preoccupied the last few days because on Monday my brother had major surgery. I was worried about how it would go, and of course also worried because in any major surgery there's a very low but non-zero chance that the anesthetic will kill the patient.

So I was particularly  preoccupied all yesterday because I hadn't heard anything. Finally I told the part of me that was worrying, "Shut up. If anything really bad happened, your sister-in-law would have told you by now. So no news is good news."

Today I heard from him, and in fact things went extremely well. He's fine. But he's going to be house-bound for a while until he heals up.

Having people die in surgery for reasons unrelated to the surgery really is very uncommon, but it does happen. Something like 35 years ago here in Portland, a woman who was in surgery for something that should have been routine died on the operating table. It turned out that someone at Airco had filled an oxygen bottle with nitrogen by mistake, and she died of suffocation.

Since then a couple of things have been done nationwide, at great expense, to make sure that never happens again. First, oxygen bottles now have a different connector than any other kind of gas. You can't fill an oxygen bottle with nitrogen now because the nitrogen-fill connector won't fit. And you can't connect a nitrogen bottle where an oxygen bottle should be at the hospital for exactly the same reason. (It probably should always have been like that.)

Second, anesthetic consoles were all redesigned to include an active oxygen detector on the oxygen line, which will sound an audible alarm if there isn't any oxygen in it. And the routine now is for the anesthiologist to actively check the oxygen before putting the patient under.

Airco got its ass sued off for that fuckup, but that didn't bring that woman back to life. I didn't expect that particular problem to happen with my brother, but the little part of my mind which worries about things kept bringing that case to mind. Murphy's Law has killed countless people, and I didn't want my brother to be one of them.

But everything's alright. He's home, and he's fine, and so I am much relieved. I don't have to be preoccupied any longer.

Posted by: Steven Den Beste in Daily Life at 05:47 PM | Comments (3) | Add Comment
Post contains 396 words, total size 2 kb.

1 Glad to hear your brother is OK.  I never worried much about anesthesia before, until we recently took both our cats to the vet for dental procedures, which required it.  Chloe was happy as a clam afterwards.  But Cheshire apparently didn't take the anesthesia too well, because over the course of a few hours he threw up about 15 times, which started to affect his breathing; he then spent 2 days in the vet and 3 weeks on a couple different medications to prevent/remove infection in his lungs and airways.  He's OK now, but it was scary there for a while.

Posted by: AnthonyDiSante at August 05, 2009 06:40 PM (xJ4r5)

2 Amen on general anesthesia.  My wife needed some minor surgery that unfortunately required GA.  The surgery concerned me not at all, the GA quite a bit. 
If GA had to meet the same safety standards that the FDA requires of new medicines, all use of GA would be banned.  This is not the fault of anesthesiologists or the systems, it's just that GA is an inherently dangerous procedure with an unavoidable element of chance due to natural variations in human physiology.
Altering the fittings for the various gases was a huge step forward in safety (interestingly, it was done by an industry group--not the government).  I'm a rebreather diver and like most rebreather divers, I mix my own gases, so I have a pretty good knowledge of the systems and requirements.  I've had to build most of my gas mixing and transfer gear myself. 
The problems now tend to come from pure carelessness, such as not checking a mix with a He/CO2/O2/CO sensor, or cranking on oxygen valves with great enthusiasm, leading to compressive heating, leading to really awesome oxygen-fed fires.
I used Scott Specialty Gases (now part of Air Liquide) and they are very devoted to safety.  Any time I have a question I can call them up and get all the advice I can stand.
(Sorry, TMI.)

Posted by: Toren at August 05, 2009 07:09 PM (T8y65)

3

I think I'm going to close this thread now before it becomes a litany of horror stories which will give me nightmares.

Posted by: Steven Den Beste at August 05, 2009 07:21 PM (+rSRq)

Hide Comments | Add Comment

Enclose all spoilers in spoiler tags:
      [spoiler]your spoiler here[/spoiler]
Spoilers which are not properly tagged will be ruthlessly deleted on sight.
Also, I hate unsolicited suggestions and advice. (Even when you think you're being funny.)

At Chizumatic, we take pride in being incomplete, incorrect, inconsistent, and unfair. We do all of them deliberately.

How to put links in your comment

Comments are disabled. Post is locked.
9kb generated in CPU 0.0041, elapsed 0.0105 seconds.
21 queries taking 0.0075 seconds, 20 records returned.
Powered by Minx 1.1.6c-pink.