The Anesthesia Consultant

NOVEMBER 15, 2023

The capacity to deliver this much oxygen to a non-intubated patient is a marked advance in anesthesia care. One day after attending the ASA meeting in San Francisco, I heard an in-person lecture in Palo Alto, California by Professor Anil Patel from the Royal National Throat, Nose and Ear Hospital in London.

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The Anesthesia Consultant

JUNE 12, 2023

I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. INTRAOPERATIVE DECISION A 60-year-old man with a history of hypertension is having a knee arthroscopy surgery under general anesthesia. Is CHATGPT as good as an MD? No, not really.

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The Anesthesia Consultant

MAY 2, 2023

The Barnes Jewish Hospital, Washington University, St. Louis Imagine this: You’re an anesthesiologist in the operating room at a busy hospital. Anesthesiologists at Barnes Jewish Hospital at Washington University in St. Louis, Missouri are studying a novel system they call the Anesthesia Control Tower (ACT).

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The Anesthesia Consultant

JULY 6, 2023

This column will help you find the top 10 anesthesia journals. Prior to the internet, hard copies of medical journals were bound into volumes and stored at hospital or medical school libraries. Note that 2 of the top 4 publications did not even exist when I began my anesthesia training in 1984. This publication launched in 1988.

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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

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

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

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

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

OCTOBER 10, 2018

Richard Novak, an Adjunct Clinical Professor of Anesthesiology at Stanford University Medical Center, is available for anesthesia expert witness consultation. Chemistry, Magna Cum Laude, Carleton College 1976-80 M.D., Chemistry, Magna Cum Laude, Carleton College 1976-80 M.D.,

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Radius Anesthesia

NOVEMBER 13, 2023

According to an American Hospital Association (AHA) survey of community hospitals, nearly 50% of responding hospitals reported at least 21 drug shortages within the first 6 months of 2011, and more than 99% of hospitals reported at least 1 drug shortage within the same time period. min for ciprofol and 0.80 Anesth Prog.

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The Anesthesia Consultant

NOVEMBER 18, 2017

America’s hospitals are in fiscal chaos. Anesthesiologists work in hospitals, and when a hospital closes, anesthesiologists lose their jobs. Hospitals are losing money, particularly when it comes to the treatment of Medicaid/Medicare patients. 2 An anesthesia group’s success is closely tied to the fate of their hospital.

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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. In a perfect anesthesia world, patients will not move.

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The Anesthesia Consultant

NOVEMBER 5, 2020

The video provides answers to individuals who have obstructive sleep apnea and are contemplating surgery and anesthesia. Patients with OSA frequently present for surgery, and all anesthesia professionals must be aware of the risks involved with anesthetizing OSA patient. Risks of anesthesia and the OSA patient?

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The Anesthesia Consultant

FEBRUARY 22, 2018

THIS ORIGINAL ANESTHESIA CARTOON WAS PUBLISHED IN THE CALIFORNIA SOCIETY OF ANESTHESIOLOGISTS BULLETIN, VOLUME 52, NUMBER 2, APRIL-JUNE 2003. IS ANESTHESIA AN ART OR A SCIENCE? The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

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The Anesthesia Consultant

SEPTEMBER 28, 2023

The Stanford Emergency Manual has been used in all Stanford Hospital anesthetizing locations since 2012, and Stanford has printed and shipped thousands of Manuals to institutions around the United States and the world. Both were published in the journal Anesthesia and Analgesia. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

FEBRUARY 4, 2018

Recognizing frailty in anesthesia patients is critical. What if your patients, especially elderly patients, could enter their personal data and symptoms into an iPad app, and what if that information could help you determine if their risk for anesthesia was too great to risk having surgery? Can you imagine this? Etzioni DA, et al.

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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

SEPTEMBER 6, 2022

But one large subset of anesthesia work closely mimics the lifestyle of dermatology practice. Ambulatory anesthesiology is defined as the administration of anesthetics for outpatient surgical procedures, which are minor procedures which don’t require hospitalization. Anesthesia will never be as safe or predictable as dermatology.

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The Anesthesia Consultant

APRIL 26, 2018

Learjet anesthesia? Yes, anesthesia can be a glamorous specialty. Norman Shumway MD PhD, a Stanford surgical professor and legend, invented the heart transplantation procedure and performed the first heart transplant in the USA on January 6, 1968 in operating room 13 of Stanford University Hospital. At this point my work began.

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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

MAY 23, 2023

Fentanyl was introduced in the 1960s when it was first patented under the brand name Sublimaze , and fentanyl quickly became the most commonly administered narcotic by anesthesia providers. In operating room anesthesia, the narcotic fentanyl is a clear liquid usually marketed in vials of two milliliters or five milliliters.

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The Anesthesia Consultant

NOVEMBER 8, 2022

Lawyers can subpoena the audit trail in malpractice legislation, and the hospital must provide the audit trail if the court decides that the audit trail is relevant. The patient suffers an acute cardiac arrest fifteen minutes after the induction of general anesthesia. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. Anesthesia is said to be “99% boredom and 15 panic,” because 99% of the time patients are stable, yet 1% of the time, especially at the beginning and the end of anesthetics, urgent or emergency circumstances could threaten the life of the patient. Love it or hate it, the EMR is here to stay.

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The Anesthesia Consultant

JANUARY 24, 2023

Very few anesthesia professionals have access to a quantitative NM monitoring device at present. Currently a large number of anesthesia practitioners don’t monitor neuromuscular blockade level at all. Multiple other large hospital systems are on the verge of completing purchases of 100-200 units as of January 2023. The problem?

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The Anesthesia Consultant

MARCH 31, 2015

An anesthesia emergency occurs without warning. You need the ultimate anesthesia emergency guidebook. That ultimate guidebook is the S tanford Emergency Manual of Cognitive Aids for Perioperative Critical Events S , written by the Stanford Anesthesia Cognitive Aid Group. Your patient’s vital signs are dropping.

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Platinum Meidcal Staffing

MARCH 10, 2023

If you’re wondering how your hospital or surgery center could benefit from the integration of these professionals, here are three ways that they improve patient outcomes. Minimize patient time under anesthesia General anesthesia induces a sleep-like state using a combination of intravenous medications and inhaled gasses.

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The Anesthesia Consultant

DECEMBER 10, 2020

Shirlee Xie, Minneapolis This week Dr. Shirlee Xie, Associate Director of Hospital Medicine at Hennepin Healthcare in Minneapolis, Minnesota, taped an interview in which she described her personal experiences caring for COVID inpatients. I mean, people are literately suffocating inside our hospitals, and they are dying alone.

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The Anesthesia Consultant

JUNE 20, 2017

We learn those skills, and then we pass the American Board of Anesthesia written and oral exams on these skills. Then for the rest of our careers we lose many anesthesia skills. Every year in June across the United States another class of anesthesia residents finishes training. In the 1990’s the rock group R.E.M. Very common.

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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 hospital was Watertown Regional Medical Center, located in Watertown, Wisconsin , population 23,861, midway between Milwaukee and Madison. In a word, no. See this link.

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The Anesthesia Consultant

DECEMBER 14, 2016

Patients wonder what the disease is, if it could possibly strike them during anesthesia, and how the disease would be treated. MH is rare, life threatening, and triggered by general anesthetic drugs. This biopsy of the anterior thigh muscle (quadriceps) is done under local anesthesia. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

MAY 13, 2020

The main questions as to whether a hospital or an ambulatory surgery center can resume elective surgery as of May 2020 are: What is the incidence of COVID-19 in your geographic area? When I’m at Stanford Hospital or the surgery centers in our area I’m confident the environment is safe.

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The Anesthesia Consultant

JULY 11, 2019

Sixty-six percent of surgeries in the United States take place as an outpatient , and many of these surgeries are performed at freestanding facilities distant from hospitals. If the patient is unstable, a physician, usually an anesthesiologist, will need to accompany the patient and the EMTs to the hospital emergency room.

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The Anesthesia Consultant

JULY 4, 2020

McClain went into cardiac arrest on the way to the hospital, and was taken off life support on August 30. Regarding the indications to use ketamine in the pre-hospital setting, the paper stated: “Violent and agitated patients pose a serious challenge for emergency medical services (EMS) personnel. Miller’s Anesthesia, 7th ed.

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The Anesthesia Consultant

OCTOBER 21, 2015

The incidence of cardiac arrest totally attributable to anesthesia mismanagement was low (0.47 per 10,000 anesthetics), and anesthesia mismanagement was responsible for only 1.5% 2) From 2010 to 2013 the National Anesthesia Clinical Outcomes Registry reported the risk of intraoperative cardiac arrest as 5.6 of deaths. (1)

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SpecialtyCare

JULY 28, 2024

Shorter Hospital Stay : Many patients can leave the hospital within a few days after ALIF surgery, thanks to the minimally invasive nature of the procedure. The ALIF Surgery Procedure On the day of the surgery: Anesthesia : You will be placed under general anesthesia to ensure you are comfortable and pain-free during the procedure.

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SpecialtyCare

AUGUST 16, 2024

The PLIF Surgical Procedure PLIF surgery is typically performed under general anesthesia and involves several critical steps: Incision and Exposure: The surgeon makes an incision in the lower back to access the spine. These may include infection, bleeding, nerve damage, and issues related to anesthesia.

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