Electrical glitch

The case A previously healthy 58-year-old female with a family history of breast cancer noted a lump in her left breast on self-examination. Following a positive biopsy and an in-depth discussion with her surgeon, the decision was made to proceed with bilateral total mastectomy with left sentinel lymph node biopsy. After a smooth induction, easy intubation, and 90 minutes of general anesthesia with oxygen, desflurane, and fentany1, the surgeon has nearly completed dissection of the first breast. In your vigilance, you glance at your anesthesia machine and notice the digital display has gone dark, the bellows are not moving, and there is no evidence of fresh gas flow. Patient care Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families. The patient is asleep, and you have your hands full, so your caring behavior will be exactly that – caring for the patient. There will be plenty of time after the operation for respectful discussion of the day's events with the patient and her family. Gather essential and accurate information about their patients. With your preoperative assessment complete and the patient under general anesthesia, information gathering is limited to physical exam and available monitors. In this case, the oxygen sensor, gas analyzer, and end-tidal capnography are lost with the machine.