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?

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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

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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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

MAY 2, 2023

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. Louis, Missouri are studying a novel system they call the Anesthesia Control Tower (ACT). What do you do?

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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

SEPTEMBER 28, 2023

The Stanford group published the academic article “Emergency Manual Uses During Actual Critical Events and Changes in Safety Culture From the Perspective of Anesthesia Residents: A Pilot Study” in 2016, and “Clinical Uses and Impacts of Emergency Manuals During Perioperative Crises” in 2020. Will I Have a Breathing Tube During Anesthesia?

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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

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

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

JANUARY 1, 2024

It may sound barbaric, but the practice of anesthesia requires at least one needle placement (an intravenous line) through which anesthetics are injected into the patient’s bloodstream, and usually one airway tube (an endotracheal tube or a laryngeal mask airway) into the patients upper airway through the mouth. A contemplative nature.

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Platinum Meidcal Staffing

MARCH 10, 2023

3 Ways Surgical Providers Improve Patient Outcomes Surgical providers—surgical assistants, nurses, and surgical technologists—provide aid during surgery to doctors. 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

APRIL 26, 2018

Learjet anesthesia? Yes, anesthesia can be a glamorous specialty. One registered nurse had a fulltime job locating appropriate brain dead heart donors within a 60-90 minute Learjet trip from Stanford. Note that the anesthesia transport team member was only an anesthesia fellow or a resident.

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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? What Are the Common Anesthesia Medications?

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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

APRIL 25, 2021

A doctor or a nurse? On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “

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The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. Anesthesiologists could chat with the surgeons and/or nurses, make an occasional phone call, and at times read materials they brought with them into the operating room. Major adverse events seldom occur during the middle of a general anesthetic of long duration on a healthy patient.

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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

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

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 assessment is ASA II, and the plan is general endotracheal anesthesia. What went wrong?

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The Anesthesia Consultant

FEBRUARY 16, 2021

Anesthesia is not the career for you if you like to sleep late—surgery always begins at 0730 hours). Anesthesia Workstation You log into the EMR system, and then you log into your first patient’s chart. The lower drawers to the computerized pharmacy cart unlock, and you’re able to access the propofol you’ll use to induce anesthesia.

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The Anesthesia Consultant

MAY 13, 2020

When you enter the healthcare facility, a nurse will question you regarding virus symptoms, and will screen you by taking your temperature. You will wear a mask in the preoperative room, and that mask will remain on your face until just prior to the induction of anesthesia.

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The Anesthesia Consultant

OCTOBER 1, 2015

It’s vital that your stomach is empty prior to elective surgery and anesthesia. Under anesthesia these reflexes are absent. These fasting guidelines do not apply to surgical procedures under local anesthesia, or to those with no anesthesia. Once you’re anesthetized, your cough reflex and gag reflex are abolished.

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The Anesthesia Consultant

MARCH 24, 2022

The only way to end the sedative effects of propofol is for an anesthesia professional to support the airway, breathing, and circulation of the patient until the drug effects of propofol wear off in time. I’ve never administered a dose of flumazenil in my entire career, nor have most of my anesthesia colleagues.

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The Anesthesia Consultant

JANUARY 29, 2018

Most anesthesiology residents go on to do a one- to two-year fellowship program to learn a subspecialty, such as critical care or obstetric anesthesia. The job of a certified nurse anesthetist was listed as #11 on the Best Paying Jobs list. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

OCTOBER 4, 2021

Anesthesia vital signs monitor display A second and more compelling use for smart glasses would be the display of a patient’s vital sign monitoring in real time on the smart glass screen, so that an anesthesiologist is in constant contact with the images of the vital sign electronic monitors. Let me give you a historical perspective.

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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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The Anesthesia Consultant

MARCH 2, 2020

Each bed would require a ventilator, a set of monitors, and around-the-clock nursing staffing. Can an anesthesia machine in an operating room be used as an ICU ventilator? Can an anesthesia machine in an operating room be used as an ICU ventilator? Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

AUGUST 14, 2015

Is the practice of anesthesia an art or a science? A generation ago an MD would follow up on his patients until all the work was done for a given day, in addition to being night on-call for patients of his partners or colleagues once a week. Why Did Take Me So Long To Wake From General Anesthesia? When three p.m.

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The Anesthesia Consultant

MAY 25, 2020

People with health risk factors such advanced age, diabetes, obesity, and hypertension, and elderly people crowded together indoors in nursing homes are also at high risk of dying from COVID-19. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

JANUARY 14, 2021

Sugammadex is not cheap (a cost of $100 per 200 mg vial), but since the availability of sugammadex, no anesthesia practitioner should ever have an awake and still-paralyzed patient at the conclusion of an anesthetic. The medical literature supports the fact that COVID patients have increased complications after anesthesia and surgery.

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The Anesthesia Consultant

SEPTEMBER 19, 2018

. * * * * LEARN MORE ABOUT RICK NOVAK’S FICTION WRITING AT RICK NOVAK.COM BY CLICKING ON THE PICTURE BELOW: The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

FEBRUARY 8, 2016

The most difficult challenge for any anesthesiologist is the transition from the end of anesthesia residency into the beginning of your first job. Their role is to teach anesthesia, to take care of patients, and to do research. You’re on your at the hospital, sometimes on weekend nights, and sometimes at 3 a.m. See #4 below.

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The Anesthesia Consultant

NOVEMBER 4, 2021

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. A 75-year-old patient who complains of shortness of breath on exertion was a poor candidate for anesthesia at an ASC. You intubate her trachea with a 7.0

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The Anesthesia Consultant

MAY 6, 2022

The CRONA (Committee for the Recognition of Nursing Achievement) nursing union at Stanford staged a strike beginning April 25, 2022 , just days ago. 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

NOVEMBER 13, 2019

Anesthesia for laparoscopy was similar to the anesthetic for open abdominal surgery. The circulating nurse then preps the patient’s abdomen with antiseptic solution and the scrub tech surrounds the patient’s abdomen with sterile drapes. Enter any hospital today and you’ll see doctors and nurses peering into computer screens.

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