[05:17.02]patients weren't driven into a long sleep
[05:20.59]and could breathe on their own sooner.
[05:23.97]They suffered no additional pain, awoke more aware,
[05:30.63]and the tube was removed quickly — sometimes six hours after surgery.
[05:37.18]11  The team, led by a manager of breathing care,
[05:42.04]called the process "surgery light"
[05:45.39]because patients are kept just barely asleep rather than out cold.
[05:51.37]Nurses had a pleasant surprise:
[05:55.44]Because patients weren't so heavily drugged,
[05:58.93]they wake up soon after entering intensive care.
[06:03.00]The staff still refers to patients as "fresh hearts"
[06:09.19]because they arrive from surgery cold and pale.
[06:13.65]But because patients no longer remain sleeping logs,
[06:18.80]nurses get to know them sooner and help them recover,
[06:22.98]says one team member. "That's nice."
[06:26.97]12  Although team members knew almost from the start
[06:31.65]that reducing drugs was the answer,
[06:34.32]they also faced resistance from those
[06:36.94]who were used to doing things in the traditional way.
[06:41.12]They spent six weeks educating everyone about the changes
[06:47.82]and winning the cooperation of doctors.
[06:50.88]nurses and breathing specialists — all of whom
[06:54.73]had grown comfortable with the old procedure.
[06:58.47]13  When a team member who is a doctor
[07:02.36]first gave lectures to his fellow doctors,
[07:05.64]he called it a "new technique".
[07:04.64]About 10 of the 40 doctors resisted the change.
[07:03.64]He learned to call it a "suggested technique"
[07:02.64]because people "don't like to be told what to do.
[07:01.64]It wouldn't have worked if we tried to force people to use it."

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