Anesthesia in General

I'm sure everyone has experienced this kind of thing; a solution is derived, to solve a problem, but no research was done. Over time, as the complexity of the "problem" develops, further work around's are devised. When leadership chooses to make do with the process as it has developed, they smile and wave, beaming about their home-made solution. And when outsiders, look at the process, all they care about is...........can you process 38 procedural patients with prep, do-the-deed, and recover, tomorrow?
The outsider doesn't care how it's done (and neither does the Overseer), they only care, that it's accomplished. This is not a good and safe way to solve challenges in a hospital.


A systematic malfunction
Without a doubt,
It never matters
How loud ya shout,
When the powers that be
Refuse to budge,
Is this Anesthesia Recovery?
You be the judge.

Patients return from
From a Procedural lab,
They were intubated
On a padded slab,
Given Etomidate
And Propofol,
Fentanyl and midazolam
But that's not all.

But don't let me bore you
With persnickety details,
We pat ourselves on the back
Rescuing the fails,
When Pulmonary Edema
Happened in a flash,
A Code Blue call
Made everyone dash.

Take Joe Bob with bad kidneys
And a failing heart,
Slip in a pacemaker
So he can't depart,
But that's a misnomer
Breath is essential,
The surgical sedatives
Inhibit the potential.

Deep sedation
Is akin to anesthesia,
An LMA or oral airway
May look like paraplegia,
Demanding a nurse
Stands guard, no leaving,
Inviting aspiration
With imminent bereaving.

But, ask the Great Wizard
Do we recover Anesthesia?
Heck, delivering Yak twins
That would be easy-ya,
Than getting a straight answer...
How about a shake of the head,
Perhaps there will be a moratorium
When someone ends up dead.