Intresting case with the intra-operative cholangiogram. Not uncommon for the one at the head of the table to place and remove x-ray plate. Two thoughts tech and practice.
Tech: Ventilators on anesthesia machines have gone from noisy to silent then drifting back to " controlled audibility". There was a time when everyone in the room could hear the vent. That went away over the years. When I retired a few years ago, Ohmeda had designed user controlled audio sounds to work along with the vents. Disconnect and apnea alarms were also present.
Practice: Knowing that I was primarily responsable for patient ventilation, that task was high on my to do list. If my patient was vent dependant, and I turned off the vent, my hand NEVER left the on/off switch until it was turned back on....NEVER! If x-ray thought I was a jerk for not helping with the x-ray tray when they wanted, that was thier problem! I wouldt take the seconds required for the patient, then help the x-ray tech. No one ever complained.
A third thought is that airing cases such as this in open forum is a great learning tool for health care pros. Professional discussion of the one in a million case helps keep folks focused, as they do in professional journals. Open public forum can also just flat scare the be-Jesus out of folks who are going to surgery tomorrow, next week or never.
It is my most humble opinion, that some things are best discussed by PM. Second, I do not know who you are, for all I know, you may be a malpractice attorney fishing for info to hang a pretty good Doc.
My humble $.02.
RF 1