@drdanmul: it’s not about hierarchy. It’s about scope of responsibility, clinical judgment, and patient safety.Different roles. One patient. One team. #creatorsearchinsights @አዳም አንስቴቲስት(Msc)🩺💉🏝️ @Tafmhen
the team leader is the surgeon .......he is the boss !!!! canula secure adrgialehu ke surgeonu ga ekull negnn endemalet nw!!!
2026-09-06 22:43:20
2
Haile Demissie :
:I remember once I faced, APH patient with active bleeding come to OR to undergone emergency CS. she is anemic with pale conjunctiva and borderline BP, tachycardia. after I take a history and informed consent I decided to proceed with GA. then I prepared necessary material and start to preoxygenate. then the senior resident comes and denied my plan, ordered me to proceed with SA. I were asked for him for his clarification and I told him my concern with justification. he didn't want to hear anything from me. in meantime our patient becomes agitated with our conversation. I stopped talking with him and reassured my patient and calm down my self and proceeded with SA after I saying him to discuss at the end of case. I were managed her appropriately during intraoperative. after all I stablised the patient and transferred from table. I were find him to discuss smoothly about the scenario at the end of the case. unfortunately he disappeared from the OR before the fascia was closed.
what is your suggestions on this scenario?
እናንተ ብትሆኑስ?
2026-09-06 20:07:24
4
The doctor :
Eziga yeqomal min lemalet new?
Surgeon decides the comfort of the procedure, or MAP of the patient if he is bleeding. if patient feels pain while on SA and is disturing, the surgeon decides to be changed to GA.
mecheresa lemin team work tilaleh, mejemeriza decision le anesthestist/logy seteh...
if you have good intention, you start with your talk it is team work.
2026-09-07 18:25:37
0
Butu butu :
Adelem be Ezi discuss madreg Adelem case cancellation rasu senor yalachew disrespect ego especially residents demo eziga metew patient condition menamen yelalu le patient yemeyasebu yemesel,
2026-09-07 09:45:24
0
pinoche :
I believe in discussion.After all it is a teamwork.
2026-09-06 17:04:00
0
ዠቨቸጀ :
btw unless anesthesiologist kalhone the surgeon should decide. Anesthetists are nurses of anesthesiology how can they decide
2026-09-06 12:27:32
5
Dr. Dejene Asefa :
MMA lemn angetmem? 🥊 ..kelden new terry
2026-09-05 20:00:48
11
Dr. Shimelis (Surgeon) :
I once had an argument with an anesthetist regarding SA vs GA for Young man with acute appendicitis. I told her only if you scrub in with me and retract his abdominal muscles will you give SA. 😁😁
2026-09-06 08:44:52
8
Tafmhen :
surgeons ego might not allow that😏
2026-09-05 19:44:08
6
21 ማርያምን 🙏 :
exactly 💯
2026-09-07 04:01:47
0
Yalewayker ²¹ :
I think such kinds of things are matters of approach. Non-egoistic, non-arrogant, and scientific ways are best for discussion and planning.
I was a good student so that no one else could make decisions for me regarding my own profession.
2026-09-05 20:01:38
3
Dr.T.birhan :
it is all about standard of care, if you practice per the standard no one will argue.
2026-09-06 09:13:01
6
Stofi(Anesthetist) :
communication matters and reach the best is best,.....I saw from somewhere there was one gynaecologist who refused the anesthetist decision even he
ordered the MAC ......😏
2026-09-05 20:41:42
5
"Asnake(Anaesthetist)" :
What makes me nervous through out my career is looking for that surgoen
The choice is primarily made by an anesthesiologist/ Anesthetist! #CLEAR!
Health Profession & Delivering Medical Health services system itself is a Team Work that Not Only for operational procedures but also for any Medical Decisions for each patient. Never Negelect Pre-op evaluations and discations for the team as well as patient preferences any where! any time! by any means!
...Thats why its different from Other service delivery system sectors & Faculties.🤔
2026-09-06 13:09:22
1
kibrom tesfay Art Gallery :
ያንተ ተሻለን ዶክ
2026-09-06 23:05:32
1
Desu B. (MD) :
It should be a shared decision
2026-09-06 14:06:55
2
fkru :
ante gn gobez nh u have a very imprressive way of looking at things
2026-09-05 20:16:14
2
Habtamu A🦂 :
we will decide together
2026-09-05 19:48:54
2
Nehemyia :
Good point. Teamwork is central to the operating theatre, with every member contributing to the best patient outcome. The anesthetic approach should be tailored to the patient and procedure, with the anesthetist competent in various techniques and maintaining vigilant monitoring throughout.
2026-09-06 11:59:26
1
ዘ-Resident :
🥰🥰🥰Great explanation bro!
2026-09-05 19:47:34
1
ዘቢብ ፋሽን :
I think shared decision is better since at the end the patient will suffer if their is unnecessary arguments
2026-09-06 07:10:19
1
To see more videos from user @drdanmul, please go to the Tikwm
homepage.