The Anesthesia Consultant

APRIL 12, 2021

The anesthesiologist needs to know what other drugs, if any, were present in the patient’s system at the time of the crash, because this fact could influence anesthesia management. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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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Anesthesiologist Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

JUNE 26, 2022

After the first 3 – 4 years in the workforce, either one can master the manual skills of anesthesia. By contrast, CRNAs are registered nurses experienced in intensive care or emergency room nursing, who then enter a 2 – 3 year program of learning the skills to anesthetize patients. The PGY2 year consists of all anesthesia rotations.

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Nurse Anesthetist Anesthesiologist Nurse Post-Anesthesia 52

The Anesthesia Consultant

MAY 22, 2018

I stay with the child until the anesthetic depth has dissipated, the breathing tube is removed, and the child is awake and safe with the recovery room nurse in the Post Anesthesia Care Unit. 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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Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

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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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

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. ANESTHESIA ELECTRONIC MEDICAL RECORDS (EMRs)– The idea is sound.

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Anesthesiologist Post-Anesthesia Nurse Anesthetist Anesthesia 52

The Anesthesia Consultant

JANUARY 19, 2017

A bell-shaped curve exists for the abilities of anesthesia doctors as well. I’ve been practicing anesthesia since the mid 1980s. I’ve met and worked alongside hundreds of anesthesia colleagues from all corners of the globe. Every anesthetic is an opportunity to care for a patient at the highest level, and an opportunity to err.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

OCTOBER 18, 2017

You utilize the current multimodal strategies for operating room anesthesia and postoperative pain reduction, including an ultrasound-guided adductor canal block with 0.5% 300 mg of morphine, and a light general anesthetic using 1-1.5% 300 mg of morphine, and a light general anesthetic using 1-1.5%

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Anesthesiologist Hematoma Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

MARCH 2, 2018

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. Listen to them and adjust your care. Hangover after general anesthesia (HAGA) describes a patient who has a safe general anesthetic, but who then feels hungover, sedated, and wasted for a time period exceeding two hours afterwards.

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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. We extended the apnea times of 25 patients with difficult airways who were undergoing general anesthesia for hypopharyngeal or laryngotracheal surgery. I was—in a word—flabbergasted. Its use expanded to adult ICUs.

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

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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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

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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Anesthesiologist Operating Room General Anesthesia Surgery 52

The Anesthesia Consultant

NOVEMBER 28, 2017

You’ve graduated from a residency program in which you learned the nuances of preoperative, intraoperative, and postoperative anesthesia practice. Just do MAC (Monitored Anesthesia Care) anesthesia for this case, but make sure he’s asleep. You’re a board-certified anesthesiologist. You’re in charge of the anesthetic.

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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

AUGUST 17, 2020

My experience in Quality assurance/Quality improvement programs includes: Stanford University Hospital QA Committee (Care Review Committee), 1997 – 2009 Stanford University Anesthesia QA Committee, 2002 – 2009, and Waverley Surgery Center QI Committee (Chairman), 2002 – present. Will I Have a Breathing Tube During Anesthesia?

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Anesthesia Post-Anesthesia Operating Room General Anesthesia 52

The Anesthesia Consultant

NOVEMBER 8, 2022

The patient suffers an acute cardiac arrest fifteen minutes after the induction of general anesthesia. The EMR shows standard of care anesthetic management. The patient receives general anesthesia for the case and has a cardiac arrest mid-surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MAY 4, 2016

If a patient suffers a bad outcome after anesthesia, did the anesthesiologist commit malpractice? If there was an anesthesia error, was it anesthesia malpractice? There are risks to every anesthetic and every surgery, and if a patient sustains a complication, it may or may not be secondary to substandard anesthesia care.

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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

OCTOBER 11, 2020

An anesthesia machine, with the vital signs monitor screen on the left, and the electronic medical records computer screen on the right. Dr. A then records all pertinent preoperative information into the electronic medical record (EMR) via a computer keyboard and screen located just to the right of his anesthesia machine.

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Anesthesiologist Vital Signs Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

NOVEMBER 15, 2018

I practiced cardiac anesthesia from 1985 until 2000. In the 1980s, cardiac anesthesia was achieved by high dose narcotic techniques, specifically with high dose fentanyl (100 micrograms/kg) techniques. We also used intravenous sufentanil to supplement anesthesia for non-cardiac surgeries.

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Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

APRIL 8, 2025

anesthesia, I see commandments as guidelines for how to be a safe and excellent anesthesiologist. Based on forty years of clinical practice and administration in both community and academic anesthesiology, here are Ten Commandments of Anesthesia as I see them: Be a doctor, not a propofol technician.

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Anesthesia General Anesthesia Operating Room Post-Anesthesia 97

The Anesthesia Consultant

NOVEMBER 25, 2024

Females recover from anesthesia faster than males. Should anesthesiologists change their clinical care based on these studies? I. Wasilczuk from the Department of Anesthesiology and Critical Care at the University of Pennsylvania led the study. isoflurane.

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