Date: 2025-12-18
Type: Anesthesia Record
Source: epic_ihe_xdm
Procedure SummaryProcedure NameResponsible AnesthesiologistAnesthesia Start TimeAnesthesia Stop TimeXI LIVER RESECTION - LAPAROSCOPIC ROBOTIC ASSISTED SEGMENT 5 8 and 4B, INTRAOPERATIVE ULTRASOUND and TAP BLOCK (Abdomen)King, Christopher R., MD PhD12/18/25 130912/18/25 1608EventsDateTimeEventComment12/18/20250949In Preop10561308In Room1309An Start1309An Start Data1319An InductionThe patient was reevaluated immediately before moderate or deep sedation use and before anesthesia induction.1324An Intubation1336Anesthesia Ready1405Proc Start1405Incision Start1544An Extubation1547Incision Close1547Proc Fin1551an stop data1553Out of Room1608Handoff to RNI completed my handoff to the receiving nurse during which we: 1. Patient identified 2. Responsible provider identified 3. Pertinent medical history reviewed 4. Procedure type and surgical course discussed 5. Intraoperative anesthetic management and any significant issues discussed 6. Expectations and concerns for postop period discussed 7. Questions solicited from receiving nurse 8. Patient disposition at the time of handoff: PACU1608An StopMedsNameTotalmidazolam PF2 mglidocaine (cardiac) syringe 2 %100 mgpropofol130 mgfentaNYL200 mcgHYDROmorphone 2 mg/mL1.2 mgrocuronium180 mgphenylephrine 100 mcg/mL100 mcgePHEDrine5 mgondansetron PF (ZOFRAN) 2 mg/mL injection4 mgglycopyrrolate0.2 mgcefOXitin (MEFOXITIN) 2,000 mg/20 mL in sterile water (premix) 2,000 mg4,000 mgmannitol 25 %12.5 gphenylephrine 5,000 mcg/50 mL (100 mcg/mL) SYR1.27 mgfamotidine20 mgsugammadex400 mgLactated Ringer’s (LR) infusion1,300 mLAgentsNameO2% ExpiredN2O ExpiredO2N2OAirExpired SevofluraneInspired SevofluraneBloodNo blood administrations on file.Lines, Drains, and AirwaysTypeDetailsPlacementRemovalImplanted PortExisting LDA Placed by: Other hospital (Placed at Anderson); Type: Non-power (Per patient); Orientation: Left; Location: Chest05/01/25 0739 by Wound12/18/25; 1454; N; Incision; Abdomen; 5 port sites12/18/25 1454 by Boehmer, Natalie Nicole, RNPeripheral IVPlacement Date: 12/18/25; Placement Time: 1008; Catheter Size: 18 G; Orientation: Left; Location: Wrist; Removal Date: 12/19/25; Removal Time: 1001; Removal Reason: Discharge12/18/25 1008 by Estes, Sydney, RN12/19/25 1001 by Evjen, Sofia Amanda, RNUrethral CatheterPlacement Date: 12/18/25; Placement Time: 1336; Inserted by: Andy RN; Type: Non-latex, Straight-tip, Temperature probe; Balloon Size: 10 mL; Urine Returned: Yes; Removal Date: 12/18/25; Removal Time: 1543; Removal Reason: Discontinued in OR12/18/25 1336 by Boehmer, Natalie Nicole, RN12/18/25 1543 by Boehmer, Natalie Nicole, RNETTPlacement Date: 12/18/25; Placement Time: 1405 (created via procedure documentation); Mask Ventilation: 1; Technique: Video laryngoscopy; Type: ETT - single; Single Lumen Tube Size: 7.5 mm; Cuffed: Yes; Laryngoscope: Macintosh; Blade Size: 4; Location: Oral; Insertion Attempts: 1; Placement Verification: Auscultation; Removal Date: 12/18/25; Removal Time: 155112/18/25 1405 by Maxey, Lucas Aaron, CRNA12/18/25 1551 by Maxey, Lucas Aaron, CRNAArterial LinePlacement Date: 12/18/25; Placemnt Time: 1405 (created via procedure documentation); Size: 20 G; Orientation: Left; Location: Radial; Removal Date: 12/18/25; Removal Time: 170912/18/25 1405 by Maxey, Lucas Aaron, CRNA12/18/25 1709 by Tabor, Caroline Eleanore, RNPeripheral IVPlacement Date: 12/18/25; Placement Time: 1405 (created via procedure documentation); Catheter Size: 14 G ; Orientation: Right; Location: Forearm; Site Prep: Alcohol; Insertion Attempts: 1; Removal Date: 12/19/25; Removal Time: 1001; Removal Reason: Discharge12/18/25 1405 by Maxey, Lucas Aaron, CRNA12/19/25 1001 by Evjen, Sofia Amanda, RNdocumented in this encounter