Clemson

MAY 30, 2022

The Realizing Improved Patient Care through Human-Centered Design in the Operating Room (RIPCHD.OR) learning lab uses a socio-technical approach incorporating human factors engineering and evidence-based design principles to create an optimal ergonomically sound operating room that results in improved patient and staff safety.

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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.

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Transforming Outcomes

JUNE 26, 2020

When you think of the operating room (OR), what comes to mind? I first learned how to scrub – setting up the instruments and handing them to the surgeon during the procedure – and then I moved into circulating, a more typical RN role of providing direct patient care before, during and after the procedure.

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Operating Room Nurse Operation In-Procedure 52

The Anesthesia Consultant

JULY 28, 2022

There are hundreds of anesthesia textbooks, but which current books are the gold standards for anesthesia knowledge? Digital access to all this written expertise can be at your fingertips anywhere, including in the operating room suite. ebook $165.29, hardcover $126.17) The Stanford Emergency Manual.

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The Anesthesia Consultant

JUNE 23, 2016

GENERAL ANESTHESIA FOR DENTAL OFFICES CASE PRESENTATION: A 5-year-old developmentally delayed autistic boy has multiple dental cavities. The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. Options for anesthesia induction include: Intramuscular sedation. What do you do?

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General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

EARN Cares

MARCH 24, 2022

The operating room (OR) is a team based unit where patients undergo surgical procedures. This means that they understand the different types of procedures, required surgical equipment for each procedure, and know how to prepare the OR for surgery. Surgical nursing is unlike any other nursing specialty or unit.

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Operating Room Nurse Surgery Operation 52

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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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

Somnia

MAY 31, 2024

Anesthesia departments are crucial to the success of operating rooms (ORs). Ensuring your anesthesia team excels in both areas is vital. Here are five warning signs that your anesthesia team might be underperforming: 1. Here are five warning signs that your anesthesia team might be underperforming: 1.

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Anesthesia Post-Anesthesia Post-Anesthesia Care Operating Room 49

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.

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Anesthesia Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 1, 2017

One goal of theanesthesiaconsultant.com is to make the practice of anesthesia safer. The practice of anesthesia on healthy patients is quite safe, but we want to do everything we can to avoid preventable errors. The safety of anesthesia on ASA I and II patients has been compared to the safety record of commercial aviation.

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Anesthesia Post-Anesthesia General Anesthesia Operating Room 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. The patient had an immediate cardiac arrest.

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Anesthesia Post-Anesthesia Operating Room General Anesthesia 52

The Anesthesia Consultant

NOVEMBER 23, 2016

In the anesthesia world that book is now available, and it’s called Practical Anesthetic Management—The Art of Anesthesiology, authored by C. link] Their book contains a series of chapters designed to teach the anesthesia professional how to perform our craft at a higher level. Philip Larson and Richard Jaffe.

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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. Patel has been a pioneer in bringing HFNO/THRIVE from the ICU into the operating room. Widespread adoption of HFNO as routine therapy in the operating room is still lacking. I was—in a word—flabbergasted.

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Surgical Directions

FEBRUARY 22, 2022

1,2 Throughout the turmoil, health systems have leaned heavily on anesthesia providers’ diverse skill set to tackle these challenges.

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The Anesthesia Consultant

JUNE 12, 2023

I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. Medications may need to be adjusted or temporarily stopped to minimize potential risks during the procedure. This could indicate a cardiac event or a complication related to the anesthesia.

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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 15, 2024

A recent 2024 publication in JAMA looked at 8429 surgical procedures from March 2021 to December 2022 in a single institution. It’s easier to train non-anesthesiologists (emergency room MDs, critical care internal medicine MDs, EMTs and helicopter trauma RNs) to use VL versus DL. The handheld McGrath video scope has a 2.5-inch

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Operating Room Post-Anesthesia Anesthesiologist Anesthesia 69

The Anesthesia Consultant

MAY 29, 2015

The new device being discussed is the iControl-RP anesthesia robot. THE iCONTROL-RP ANESTHESIA ROBOT On May 15, 2015, the Washington Post published a story titled, “We Are Convinced the Machine Can Do Better Than Human Anesthesiologists.” A score of 40 – 60 is considered an optimal amount of anesthesia depth.

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Anesthesia Post-Anesthesia Anesthesiologist Vital Signs 52

The Anesthesia Consultant

JANUARY 1, 2024

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. A busy surgeon may work in the operating room two or three days per week. Operating room medicine requires action.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

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? Protocols regarding how to accomplish anesthesia in outer space exist in the medical literature.

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The Anesthesia Consultant

JUNE 18, 2019

Data exists that intravenous caffeine may be effective in assisting the awakening of patients following general anesthesia. I tried it on several of my patients who had prolonged awakening after general anesthesia. Anesthesia was terminated 5 minutes later and the rats were placed on their backs on a table.

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General Anesthesia Anesthesia Post-Anesthesia Vital Signs 52

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. Since the development of the internet, anesthesia practice has changed forever.

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Operating Room General Anesthesia Post-Anesthesia Anesthesia 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). Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room. Your hospital contains multiple operating rooms, and today you are in room #10.

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Anesthesiologist Operating Room Vital Signs Post-Anesthesia 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. The patient consents.

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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 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). If the patient has an ET tube, it is usually removed.

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MEDITEK

SEPTEMBER 22, 2021

2 Do you want unique solutions for spine surgery in your operating room (OR)? Although the prone position is utilized in various surgical procedures, it is most commonly implemented during posterior spine surgery. Prone head supports provide support for the patient’s face during prone procedures.

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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. Let’s look at the anesthesia literature to learn what has been described about this problem. Her blood pressure is 150/90 on admission.

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The Anesthesia Consultant

FEBRUARY 11, 2018

He writes, “Our specialty, anesthesia, has suffered an identity crisis for decades. In the late 1970’s I was a third-year medical student at a prominent Midwestern medical school, where an unspoken rank system existed in the operating room. Read my column on bullying in the operating room. Hold your heads high.

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Operating Room Anesthesiologist Post-Anesthesia General Anesthesia 52

Platinum Meidcal Staffing

AUGUST 29, 2024

The Crucial Role of Surgical Assistants in Plastic Surgery Surgical assistants are indispensable in the operating room, handling tasks that are critical to the success of any procedure. Postoperative Care: Assisting with closing incisions, applying dressings, and ensuring patient comfort as they recover from anesthesia.

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The Anesthesia Consultant

MARCH 24, 2022

In July 2020 the Food and Drug Administration (FDA) approved the intravenous benzodiazepine remimazolam (Byfavo, Acacia Pharma) for use in sedation for procedures of 30 minutes or less. remimazolam propofol For use in procedural sedation, remimazolam will not replace Versed, but rather will aim to replace propofol.

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The Anesthesia Consultant

MAY 13, 2020

The inside of the healthcare facility will be cleaned prior to any patient care, and will be recleaned after each patient leaves an operating room. 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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Salem Anesthesia

JUNE 12, 2023

They play a crucial role in healthcare by ensuring patient safety and comfort before, during, and after surgical procedures. Anesthesia is a vital tool in modern medicine and CRNAs serve as experts in providing this medical service to patients. Proper planning creates the best possibility for surgical procedures to go well.

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CRNA Nurse Anesthetist Post-Anesthesia Operating Room 52

Platinum Meidcal Staffing

SEPTEMBER 24, 2024

Whether it’s a heart bypass or valve replacement, these procedures require precision and teamwork. Their role is crucial for ensuring a smooth operation, but what exactly do they do, and why are they so essential in cardiovascular surgeries? Surgical assistants work closely with surgeons to ensure safe and efficient procedures.

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Surgical Assistant Surgical Assisting Surgery Operating Room 52

The Anesthesia Consultant

JULY 17, 2015

You’ve found The Anesthesia Consultant website, so you have some interest in anesthesia. The truth is: a career in anesthesia involves unique demands that most people would not seek, tolerate, or ever grow accustomed to. An operating room emergency is not a time for screaming, temper tantrums, or freezing.

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Anesthesiologist Post-Anesthesia Anesthesia Operating Room 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. Planning anesthesia care, based on your training, experience, and knowledge, is critical.

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The Anesthesia Consultant

MARCH 5, 2018

Surgery and anesthesia are never 100% safe, no matter where procedures are done. There are four key questions regarding safe patient care at surgery centers: Is the scheduled procedure appropriate for an outpatient surgery center? Is the patient healthy enough to tolerate the scheduled procedure as an outpatient?

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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. Most anesthesia professionals have never cut into a patient’s neck, but we must own this skill if the necessity arises. In addition, barotrauma occurred in 32% of CICO emergency procedures.

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