H1867B2728A05222       SFL:JB  12/17/07    #90             A05222
                       AMENDMENTS TO HOUSE BILL NO. 1867
                                    Sponsor:  REPRESENTATIVE KENNEY
                                           Printer's No. 2728

     1       Amend Sec. 3, page 2, lines 6 through 12, by striking out all
     2    of said lines and inserting
     3       "Anesthesia."  Includes general anesthesia and spinal or
     4    major regional anesthesia. It does not include local anesthesia.
     5    General anesthesia is a drug-induced loss of consciousness
     6    during which patients are not arousable, even by painful
     7    stimulation. The ability to independently maintain ventilatory
     8    function is often impaired. Patients often require assistance in
     9    maintaining a patent airway, and positive pressure ventilation
    10    may be required because of depressed spontaneous ventilation or
    11    drug-induced depression of neuromuscular function.
    12    Cardiovascular function may be impaired.
    13       "Deep sedation/analgesia."  A drug-induced depression of
    14    consciousness during which patients cannot be easily aroused but
    15    respond purposefully following repeated or painful stimulation.
    16    The ability to independently maintain ventilatory function may
    17    be impaired. Patients may require assistance in maintaining a
    18    patent airway, and spontaneous ventilation may be inadequate.
    19    Cardiovascular function is usually maintained.

    20       Amend Sec. 3, page 3, lines 9 and 10, by striking out
    21    "contained in the ambulatory surgical facilities" and inserting
    22               covered by a health care facility's
    23       Amend Sec. 4, page 3, line 17, by striking out "be present"
    24    and inserting
    25               function
    26       Amend Sec. 4, page 3, line 18, by striking out "by a
    27    physician"
    28       Amend Sec. 4, page 3, lines 19 through 21, by striking out
    29    all of said lines and inserting
    30               under general anesthesia or deep sedation in a health
    31               care facility's operating room.

    L17L90SFL/HB1867A05222