BERLIN, GERMANY – A new and controversial study out of the esteemed Higginstein Community Surgery Center describes a curious phenomenon regarding rectal tone of anesthesiologists in response to the oxygen saturations of their patients.
The study was performed after the IRB had left for the day. Soviet Army surplus manometers roughly the size of soda cans were inserted into resident anesthesiologists who were volunteered by their classmates. Senior partner Kris Kanlaz agreed to serve as control for personal reasons.
Kanlaz’s probe showed physiological peristaltic waves with occasional spikes that correlated to Fox News Alerts from the lounge TV. One massive squeeze did occur when Kanlaz received a page from his vice chairman.
Of the test subjects, rectal tone increased in a linear fashion as patients’ oxygen saturations dropped from 100% to 50%. At 50%, the average rectal tone was 350 Newtons (the force required to crack walnuts). At saturations less than 50%, rectal tone was abruptly lost.
“The results appear to be biphasic,” Heister said. “Physician sphincter tone dramatically rises but suddenly plummets as patient oxygen levels continue to fall. So an anesthesiologist can indeed generate walnut-cracking pressures only to crap himself or herself seconds later.”
Critics argue that the study lacks clinical application. Heister counters that he hopes the research world will take notice once he has duplicated the results in rats. PETA has already objected to this proposal, stating that such invasive experiments should be reserved for anesthesia residents and SRNAs only.
About Dr. Doggles Heister: Heister is the author of “The Anesthesia Machine Works Better When There’s Sevo in It: Another Study We Didn’t Tell the IRB About.” He is currently before the medical review board.
Depends on the degree of the loss of rectal tone.
You just haven’t done enough.
the truth
Samit Ghia
Oh geez…..thats some amazing research!!
Amin Shazly
John Flaks
Say that in plain english Kev.xx
John Thomas this is for you:)
Gavan McAlinden share to John mcateer
So. According to this, the baseline rectal tone of anesthesiologists is zero, and the sphincter only becomes functional when sats hit around 90. May be practice-altering research!
True.
However, they left out some data with that metric.
Cane shaking and denture spitting from those watching FOX should have been combined in the data as well for accuracy.
One cannot know if the data is causation or correlation
Agreed.
It is exactly why most JC admins are sociopathic
John-Paul Cotter
How is this not in the BMJ Christmas Edition?
Karla Pngsrnrk Alistair Hustig Zach Tappenden
the comments are as funny as the story itself!
Sociopaths have impaired autonomic responses
Look at the data for yourselves people. Rectal tone isn’t abolished till atleast a saturation less than 20%. At saturations from 50-20% rectal tone is preserved at a baseline level via a sacral parasympathetic response.
I love it!
The GI suite makes you battle hardened.
The finding alos occurs in OB providers and fetal heart tones.
Mike Brown Mike Wendt
Like this one! Turn monitor volume down quietly leave room
Hah! Likely accurate
Hah! Likely accurate
:) ))) (I liked the FOX news variable input :P )
:) ))) (I liked the FOX news variable input :P )
Lol
The names are awfully familiar from Vandy! ;)
Yall probably wrote this article!!!! Rachel Lockhart Camille Carswell
Haha! No boat just the board that approves the research study to be conducted. Institutional Review Board, they’re all human rights and ethics concerned…not a super fun crew for a study like this. ;)
Berni Moore-Gallagher Jodie Dagger Helen Owen-Cooper Donna Riminton
For non Americans, what’s an IRB? Other than an inflatable rescue boat, which I suspect does not apply here?
Bahahaha Tony Bergin Jayne Berryman Barbara O’brien Mark Gibbs Richard Galluzzo
Last time I used adenosine I managed to get a guy’s heart rate from 160 to 280… That was fun..
Gary Leung
Rachel Lockhart
LOL
Ha ha!
I hate when that happens.
HA !!!!!!
Thomas White Oli Keane Dave Melia
Don’t need a study-direct observation correlates findings.
Lol. I would hate to be the one who measured this
Awesome
note the biphasic response.
Haha! Francis Dominic
Diamonds
You know, having done anesthesia, and having dealt with patients with low oxygen levels, I suspect this finding is valid. Fortunately, I do not recall any adverse outcome in myself in those situations!
Joshua Bush
Ha ha ha !!!
LOL! This is great!
Actually had to cancel a case once and the icd-9 code was surgeon sphincter valve over pressure…….
well of course, the loss of rectal tone is essential for shitting bricks!
True that.
All time most favorite drug to push! Wait for it…..wait for it……waaaaiiiit, THERE! Voila! Sinus rhythm!
True!!
That the 2% sheer terror voice of that profession. I know it well.
Wonder how the JCAHO visit affects the rectal tone of the administrators
All-time least favorite drug to push lol
Amanda
Bahahahahhahahahahahuahahahahahahhahahaahahauauahauaua!
How do they measure that statistic?!!!
The phenomenon is also seen in paramedics administering adenosine for SVT, when the monitor shows asystole before the rhythm converts.
Done after the IRB left for the day!! Hahahaha!!!! Brilliant.
Think it would increase…lol
Jay Winbourne I’m sure you’ve seen first hand evidence of this.
Matthew Shatz lol
Lol Christopher
We would consider cracking walnuts a doubling
Lmao
Hahaha
Hilarious
Bernie Wiebe
Omg!
The pooping of pants is inevitable at that point ;)
Why the abrupt drop after 50%?
I would have thought the rectal tone would double! ;)
Hahahaha
Lol love this!!
Wes Hunter
Commonly known as “the pucker factor”
Lol!!! Good one!!
George Iacono Christian Karcher
Astro Dickson