Gomer: Anesthesiology

MAY 25, 2020

At one New York medical center, intense clinical demands and provider fatigue have inspired one anesthesiologist to push the boundaries of clinical medicine. Dr. Mac “McGrath” Millerstein, a cardiothoracic anesthesiologist, has intubated countless patients with COVID over the last several weeks.

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The Anesthesia Consultant

MAY 12, 2015

In the operating room, you induce anesthesia with your standard recipe of 2 mg of midazolam, 100 mcg of fentanyl, 200 mg of propofol, and 40 mg of rocuronium, and intubate the trachea. Five minutes after induction and 15-30 minutes before the surgical incision will occur, her blood pressure drops to 85/45. Is this a problem?

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The Anesthesia Consultant

APRIL 26, 2018

Learjet anesthesia? Yes, anesthesia can be a glamorous specialty. Note that the anesthesia transport team member was only an anesthesia fellow or a resident. The eligible residents were second-year residents (anesthesia residency training was only two years in duration during the 1980’s). At this point I went home.

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The Anesthesia Consultant

NOVEMBER 13, 2019

Almost every anesthesiologist in America has experience with surgery using the da Vinci robot system. Until the 1990s most abdominal surgery was done through an open incision. Until the 1990s most abdominal surgery was done through an open incision. A gall bladder incision might be five inches long.

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The Anesthesia Consultant

MAY 10, 2016

Sugammadex reversal can make the duration of a rocuronium motor block almost as short acting as a succinylcholine motor block, and sugammadex can also eliminate complications in the Post Anesthesia Care Unit due to residual postoperative muscle paralysis.

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The Anesthesia Consultant

NOVEMBER 4, 2021

You’re the anesthesiologist assigned to a freestanding ambulatory surgery center (ASC). You attach the standard vital sign monitors, preoxygenate the patient, and induce anesthesia with 150 mg of propofol, 50 micrograms of fentanyl, and 40 mg of rocuronium. How could the anesthesiologist better manage the emergency?

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The Anesthesia Consultant

AUGUST 29, 2022

It’s a fact that cutting a child out from his mother’s womb was a death sentence for the mother in an era prior to the discovery of anesthesia and prior to the discovery of surgical techniques to control bleeding and infection. In emergency circumstances, general anesthesia may be required for Cesarean section.

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The Anesthesia Consultant

APRIL 30, 2024

Anesthesiologists work with surgeons of every specialty. Nezhat perfected laparoscopic operative repairs for management of multiple diseases of the pelvis and abdomen, and demonstrated the advantages of laparoscopic surgery: shorter hospital stays, smaller incisions, and faster recovery. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

APRIL 20, 2019

I’m not,” said Dr. Lucas, who was her anesthesiologist. Each arm was draped in clear plastic to keep The Bricklayer sterile when it entered her body through tiny incisions. On the operating table, the five robot arms reached into the abdomen though five one-centimeter incisions. I’m scared,” she said.

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The Anesthesia Consultant

FEBRUARY 20, 2018

Read on… Dr. Daniel Sessler, Chairman of the Department of Outcomes Research at the Anesthesia Institute of the Cleveland Clinic, spoke at the Stanford Anesthesia Grand Rounds last week. This is a new topic and a cutting edge issue to most anesthesiologists, with the key studies only published in the last year.

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Incision

JANUARY 29, 2024

In Washington , communication failures contributed to injury in 43% of perioperative anesthesia malpractice claims, with nearly half of these occurring in the intraoperative period. To this end, Incision has worked extensively with the concept of a universal surgical language. All of this is now changing.

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Incision

DECEMBER 18, 2023

In the operating room (OR), the team responsible for the delivery of a procedure is typically a combination of surgeons, nurses, anesthesiologists, and technicians working together on a shift-based and/or specialty-based rota. The presence of a dedicated laparoscopic team (vs. Similar benefits appear consistent across specialties.

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The Anesthesia Consultant

MARCH 2, 2018

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. I’ve been a full time anesthesiologist for 34 years, and I’ve heard this monologue from patients countless times. Propofol and sevoflurane are the mainstays of 21 st century general anesthesia. I sleep for hours and I’m nauseated.

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The Anesthesia Consultant

NOVEMBER 7, 2018

SCALPEL, BOUGIE, TUBE APPROACH TO CRICOTHYROIDOTOMY This week I attended an outstanding Stanford Anesthesia Grand Rounds delivered by Drs. The lecture reviewed the literature regarding CICO events, and concluded that performing a surgical airway through the cricoid membrane is an essential skill for anesthesiologists. A lubricated 6.0

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The Anesthesia Consultant

OCTOBER 12, 2015

I stood near my patient’s feet in an anesthesia cockpit surrounded by two ventilator hoses, three intravenous lines, and four computer monitor screens. It had been five hours since the initial skin incision. KIRKUS REVIEW In this debut thriller, tragedies strike an anesthesiologist as he tries to start a new life with his son.

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