The Anesthesia Consultant

JUNE 18, 2019

Data exists that intravenous caffeine may be effective in assisting the awakening of patients following general anesthesia. Will future anesthesiologists routinely use caffeine to wake patients after surgery? Will a shot of IV espresso be the stimulus for you to return to consciousness after your general anesthetic?

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The Anesthesia Consultant

JANUARY 1, 2024

Anesthesiologists aren’t well known to most patients, but these specialty doctors have certain traits in common. Anesthesiologists are likely to have: A preference for being in an operating room rather than in a clinic. Most of the time an anesthesiologist works in the operating room.

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The Anesthesia Consultant

JUNE 4, 2024

Here’s why the three A’s are in a different order for anesthesiology: ABILITY: For an anesthesiologist seeking a high-paying job in a competitive region of the country, the most important asset is ability. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room?

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The Anesthesia Consultant

MAY 28, 2024

Primary Consultant Anesthesiologist The “Preoperative Evaluation” chapter in our Bible, Miller’s Anesthesia , is 80 pages long—one of the longest chapters in the book. As a double-boarded anesthesiologist and internal medicine doctor, preoperative evaluation has been my area of interest and expertise for decades.

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The Anesthesia Consultant

JANUARY 30, 2024

Is your doctor an experienced anesthesia provider or a newbie? The list below chronicles the crescendo of growth of as I’ve witnessed it from a newly-trained anesthesia doctor to an expert practitioner. In my view, inexperienced anesthesia providers are more likely to: Be nervous/anxious. This observation is no surprise.

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The Anesthesia Consultant

MARCH 22, 2023

Because the spaceship is more than 200 days away from Earth, the physicians instruct the crew to proceed with surgery and anesthesia in outer space. How will astronauts conduct general anesthesia and surgery in outer space? Is an anesthesiologist required on board?

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Salem Anesthesia

MARCH 5, 2024

Anesthesia is a critical component of medical procedures, ensuring that patients undergo surgeries and interventions with minimal pain and discomfort. However, several myths surround the use of anesthesia, leading to misconceptions and concerns among individuals. Myth: Anesthesia always leads to unconsciousness.

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The Anesthesia Consultant

MARCH 2, 2024

I’m an anesthesiologist, and I like to tell stories. If you wonder how much the anesthesia scene has changed significantly over the past four decades, check out this narrative: In 1986 I was in my second and final year of anesthesia residency training at Stanford, and I was looking for a job. This one is true. I was excited.

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The Anesthesia Consultant

MARCH 7, 2024

The Anesthesia Consultant was just named the #1 anesthesiology blog in the world by Feedspot. million clicks on The Anesthesia Consultant from over 100 countries. Half the articles are intended for anesthesia professionals, and half are intended for lay readers. Feedspot ranked a total of 25 anesthesia blogs/websites.

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The Anesthesia Consultant

FEBRUARY 12, 2016

Does exposure to general anesthesia cause dementia? Association of Mild Cognitive Impairment With Exposure to General Anesthesia for Surgical and Nonsurgical Procedures: A Population-Based Study. All of their anesthesia records for surgeries after the age of 40 were reviewed. In a word, “No.” Anesthesiology.

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The Anesthesia Consultant

OCTOBER 8, 2019

The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. At the onset of general anesthesia anesthesiologists place an ET tube through the mouth, past the larynx (voice box), and into the trachea (windpipe). Anesthesiologists are vigilant during extubation.

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Nashville Anesthesia Professionals

FEBRUARY 5, 2024

Bronchoscopy is an investigative or therapeutic procedure that involves inserting an instrument into the lungs via the airway and is often performed under anesthesia. Rigid bronchoscopy generally warrants general anesthesia, while flexible bronchoscopy can be carried out under sedation supplemented with topical anesthesia [1].

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The Anesthesia Consultant

MAY 23, 2023

” Despite this, during surgery your anesthesiologist injected fentanyl into your IV as part of your anesthetic. As a street drug, fentanyl overdose is a critical problem in the United States, but anesthesiologists administer fentanyl to most patients, and do so safely. Why do anesthesiologists utilize fentanyl?

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The Anesthesia Consultant

JANUARY 28, 2021

The physician anesthesiologist job market looks excellent. The current demand for anesthesiologists is high. If you’re geographically mobile and willing to relocate to where the demand for anesthesiologists is maximal, you’ll have little problem securing a solid job. The anesthesiologist job market is expected to grow by 15.5%

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DFW Anesthesia Professionals

APRIL 28, 2024

Awareness during anesthesia is a rare but profoundly distressing condition that can occur when a patient becomes conscious during surgery and has recall of their surroundings or events related to the operation. Consequently, the prevention of awareness is a primary concern for anesthesiologists.

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The Anesthesia Consultant

JULY 6, 2023

This column will help you find the top 10 anesthesia journals. There are multiple fine journals in our specialty, but in my opinion the top 10 periodical anesthesia publications for clinical information follow below. Note that 2 of the top 4 publications did not even exist when I began my anesthesia training in 1984.

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The Anesthesia Consultant

APRIL 25, 2021

On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ The medical center previously had an anesthesia staff that included both MDs and CRNAs (Certified Registered Nurse Anesthetists). (He Are CRNAs and anesthesiologists equals?

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The Anesthesia Consultant

NOVEMBER 15, 2023

At the 2023 American Society of Anesthesiologists meeting in San Francisco, I walked by a booth advertising High Flow Nasal Oxygen. The capacity to deliver this much oxygen to a non-intubated patient is a marked advance in anesthesia care. The product was called Optiflow. I asked the representative to educate me.

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The Anesthesia Consultant

JUNE 12, 2023

Is it feasible that CHATGPT, this decades artificial intelligence wunderkind, can equal or better a physician anesthesiologist? I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. This could indicate a cardiac event or a complication related to the anesthesia.

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The Anesthesia Consultant

JUNE 26, 2022

What’s the difference between a physician anesthesiologist and a nurse anesthetist? After the first 3 – 4 years in the workforce, either one can master the manual skills of anesthesia. So what really is the difference between a physician anesthesiologist and a nurse anesthetist? The answer: internal medicine.

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The Anesthesia Consultant

MAY 2, 2023

Louis Imagine this: You’re an anesthesiologist in the operating room at a busy hospital. Your patient is in mid-surgery, and you receive a call from the Anesthesia Control Tower that the patient’s blood pressure is too low, your blood transfusion replacement is inadequate, and that the patient is in danger. What do you do?

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The Anesthesia Consultant

JANUARY 31, 2023

Jed Wolpaw, the host of ACCRAC An anesthesia education success story: I was administering a mock oral board exam to a Stanford first-year anesthesia resident in November 2022, and the young man aced the test. How do you know so much about anesthesia already?” What void in anesthesia education did you identify?

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The Anesthesia Consultant

SEPTEMBER 3, 2019

Regarding anesthesiologist burnout: What if I told you 50% of physician anesthesiology trainees suffer burnout, and those trainees average $220,000 in educational debt by the age of 32? The anesthesia residency was 80 hours per week with in-hospital night call. Why Did Take Me So Long To Wake From General Anesthesia?

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Radius Anesthesia

MAY 17, 2023

In particular, there are unique considerations for patients undergoing cancer treatment, especially radiation therapy, who need anesthesia. Anesthesiologists therefore need to pay close attention to patients receiving chemotherapy, looking for any such side effects on organ systems 2.

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The Anesthesia Consultant

JUNE 15, 2022

The first public demonstration of anesthesia, at the Ether Dome in Massachusetts General Hospital Important advances in the history of anesthesia changed medicine forever. Humans have inhabited the Earth for 200,000 years, yet the discovery of surgical anesthesia was a relatively recent development in the mid-1800s.

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The Anesthesia Consultant

MARCH 18, 2021

What’s the relationship between alcohol and anesthesia? Miller’s Anesthesia , 9 th edition, Chapter 31, Preoperative Evaluation) All adults and adolescents should be questioned regarding their history of alcohol use prior to anesthesia. Why Did Take Me So Long To Wake From General Anesthesia? Is this OK?

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The Anesthesia Consultant

FEBRUARY 16, 2021

One of my readers asked me to describe a day in the life of an anesthesiologist, as he was considering a career in anesthesiology. Anesthesia is not the career for you if you like to sleep late—surgery always begins at 0730 hours). Because anesthesiologists do not scrub in a sterile fashion, it’s OK to wear your watch and ring.,

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The Anesthesia Consultant

SEPTEMBER 15, 2020

There are Two Laws of Anesthesia, according to surgeon lore. Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. Most surgeons’ comprehension of what anesthesiologists are doing is limited.

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The Anesthesia Consultant

OCTOBER 11, 2020

Most patients have no real idea what anesthesiologists do. Most college premed students have no real idea what anesthesiologists do. Most medical students have no real idea what anesthesiologists do. Anesthesiologists are responsible for your medical care before, during, and after surgeries.

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The Anesthesia Consultant

OCTOBER 18, 2018

My name is Dr. Richard Novak, the author of About The Anesthesia Consultant. The Anesthesia Consultant exists to increase your knowledge about anesthesia and the practice of medicine before, during, and after surgery. This anesthesia blog contains more than 180 distinct pages and posts, all written by me. Greetings.

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The Anesthesia Consultant

JULY 1, 2019

A French anesthesiologist was accused of poisoning patients to trigger cardiac arrests during surgery. He worked as an anesthesiologist in the eastern French city of Besançon. I authored a chapter on Disorders of Potassium Balance in Complications in Anesthesia , 3 rd Edition, 2017, edited by Drs. Nine patients died.

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The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. Both were published in the journal Anesthesia and Analgesia. The manual lists diagnostic and therapeutic steps to follow in 26 different emergency scenarios.

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The Anesthesia Consultant

OCTOBER 28, 2018

The combination of autism and anesthesia requires careful planning. The parents/guardians and the anesthesia team need to be actively involved with forming the preoperative plan for uncooperative patients. It’s not infrequent that autistic patients need surgery and anesthesia. Anesthetizing uncooperative patients is difficult.

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The Anesthesia Consultant

NOVEMBER 15, 2017

Let’s look at a case study which highlights a specific risk of general anesthesia at a freestanding surgery center or a surgeon’s office operating room, when the anesthesiologist departs soon after the case is finished. The anesthesiologist meets the patient prior to the surgery, reviews the chart, and examines the patient.

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OR Manager

AUGUST 28, 2024

In this issue, two articles take a careful look at the career and profile of the perioperative leader in both inpatient More » The post Anesthesia workforce challenges taking center stage appeared first on OR Manager. Every year, OR Manager shines a light on staffing issues via the Salary/Career Survey.

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The Anesthesia Consultant

OCTOBER 10, 2018

Richard Novak, an Adjunct Clinical Professor of Anesthesiology at Stanford University Medical Center, is available for anesthesia expert witness consultation. CONTACT EMAIL: RJNOV@yahoo.com Curriculum Vitae Richard John Novak, M.D.

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The Anesthesia Consultant

DECEMBER 19, 2016

What’s the most critical technical skill for an anesthesiologist? I ask this question when I’m teaching anesthesia residents and medical students. The most critical technical skill for an anesthesiologist is. Control of the airway is the most important clinical priority in anesthesia care. This is the wrong answer.

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