By Dawn Goodwin

Lately, evidence-based drugs (EBM), medical governance responsibility became more and more major in shaping the association and supply of healthcare. in spite of the fact that, those notions all construct upon and exemplify the belief of human-centred, person motion. during this ebook, sunrise Goodwin means that such types of perform exaggerate the level to which practitioners may be able to expect and keep an eye on the conditions and contingencies of healthcare. Drawing on ethnographic fabric, Goodwin explores the way in which that 'action' unfolds in a sequence of empirical instances of anaesthetic and in depth care perform. Anaesthesia configures a courting among people, machines and units that transforms and redistributes capacities for motion and thereby demanding situations the determine of a rational, intentional, appearing person. This e-book elucidates the ways that a variety of entities (machines, instruments, units and subconscious sufferers in addition to healthcare practitioners) take part, and the way activities turn into valid and liable.

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Additional info for Acting in Anaesthesia: Ethnographic Encounters with Patients, Practitioners and Medical Technologies (Learning in Doing: Social, Cognitive and Computational Perspectives)

Sample text

I came to understand how knowledge is thoroughly embodied and situated in practices; a particular technique performed by one anaesthetist may yield entirely different results as the same technique in the hands of another anaesthetist. And I began to appreciate how knowledge and expertise can be seen as an effect of a particular configuration of persons, routines, environments, machines, tools and devices. However, for me, questions remained around learning, knowing and doing: Which participants ‘act’, in that they contribute to shaping the trajectory of anaesthetic care?

What of the nurses and ODPs? Where should the dispersement of agency end? My response to these questions is to reiterate that the patientanaesthetic machine cyborg is an analytical unit, purposely chosen to elucidate the form agency might take when both human and technological components lack intentionality. To add conscious, intentional actors into this unit would only serve to cloud this analysis. The cyborg figure focuses attention on the intense human-machine interdependencies necessary for current anaesthetic practice, an emphasis that the term ‘anaesthetised patient’ does not convey.

It is this intersection of humans, technology and devices, with learning, knowing and doing that interests me, and it is how these relationships are enacted that I examine in this book. In this study of the relationships between patients, machines, devices, Understanding Anaesthesia 31 teams of practitioners and the hospital environment, along with formalisations such as policies, procedures and the prescriptions of EBM, this book draws heavily on the field of STS and ethnomethodology but also brings the fields of medical sociology and medical anthropology to bear on these topics.

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