Doctor anesthetist-réanimateur
The Anesthésie is an medical act. Consequently, this act can be carried out only under the responsibility and the control of a doctor anesthetist-réanimateur . It returns to this one to evaluate the state of the patient, to inform it on unfolding and the consequences of the anesthetic act and to determine the anesthetic technique most suitable, finally to ensure the interventionnelles continuations concerned with the Anesthesia-reanimation. The anesthetic act is not limited to the only assumption of responsibility during the intervention, but includes/understands other stages before and after this one. Only the Médecin anesthetist-réanimateur can control the whole of these stages. In particular, the reduction of the operational risk, of which rise from the therapeutic choices, supposes an analysis and a physiopathological reasoning that only the doctor can ensure from his specific training and his competence.
The realization of the Anesthésie itself imperatively requires the presence of a doctor anesthetist-réanimateur during the induction (beginning of the anesthesia), constantly where, because of critical events, the state of the patient can justify a modification of the control of the Anesthésie and/or operational Réanimation, like at the exit of room of intervention after general anesthesia or rachidian. The decision of exit of the recovery room is also spring of the doctor anesthetist-réanimateur.
In the same way, the decision to postpone a Anesthesia or to change technique as well as the post-interventionnelles regulations are exclusive competence of the doctor anesthetist-réanimateur .
The role of the male nurse (E) - graduate anesthetist (E) of State is to in practice assist the doctor anesthetist-réanimateur of the anesthesia and in the more general organization of this activity. This role includes/understands in particular the checking, the preparation and the maintenance of the material of anesthesia, the execution of some gestures under the direction of the doctor anesthetist-réanimateur, the assistance of this one for the execution of the technical epic which it carries out, monitoring of the course of the anesthesia, like certain transverse tasks such as the matériovigilance.
Functions of the doctor anesthetist-réanimateur and male nurse (E) - graduate anesthetist (E) of State are thus registered in complementarity and not in substitution of the one with the other. This mode of exercise offers best guaranteed quality of the care lavished to the patients and safety of the latter.
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