DFW Anesthesia Professionals

AUGUST 5, 2024

Pre-operative anxiety , the psychological distress which patients experience that is provoked by concerns related to their surgical and anesthetic care, 1 is estimated to affect up to 75% of children 2 and 80% of adult patients. 3,4 It has been linked to multiple intra-operative and post-operative complications (e.g.,

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Nashville Anesthesia Professionals

SEPTEMBER 11, 2024

In experimental animal models, sevoflurane has been linked to cognitive dysfunction 1 , which may manifest as post-operative cognitive dysfunction (POCD) in elderly human patients and neurobehavioral abnormalities in younger subjects. The hippocampus is a critical neuronal structure well known to be involved in learning and memory.

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DFW Anesthesia Professionals

APRIL 24, 2024

Anesthesia plays a critical role in cesarean sections, not only to ensure the mother’s comfort and pain-free experience but also to safeguard her physiological stability and promote a positive initial bonding with the baby. However, spinal anesthesia can cause hypotension (low blood pressure), which might reduce blood flow to the fetus.

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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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The Anesthesia Consultant

JUNE 4, 2024

Ability can also be evidenced the quality of the anesthesia residency/fellowship training program you’ve completed, as well as the medical school you’ve graduated from. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room? Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JANUARY 29, 2020

The February 2020 edition of Anesthesiology , our specialty’s preeminent journal, published an article on robotic anesthesia. 1 The accompanying editorial by Dr. Thomas Hemmerling was titled “Robots Will Perform Anesthesia in the Near Future. ” robotic) anesthesia is at least as good as the best human anesthesia.

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The Anesthesia Consultant

MAY 28, 2024

Primary Consultant Anesthesiologist The “Preoperative Evaluation” chapter in our Bible, Miller’s Anesthesia , is 80 pages long—one of the longest chapters in the book. It’s almost June, and hundreds of anesthesia residents are about to graduate from residency programs. Read on and I’ll explain why. His clinic resulted in 87.9%

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The Anesthesia Consultant

OCTOBER 4, 2021

In the smart glasses group, the ultrasound machine was located behind the operator, and the smart glasses were paired with the ultrasound machine. Would the addition of smart glasses for routine monitoring be an overdose of technology in the operating room cockpit? Does excessive technology distract us from the actual patient?

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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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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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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. All anesthesia providers should have access to the current two-volume 3112-page edition.

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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. Anesthesiologists typically spend 90+% of their working hours in the operating room.

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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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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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The Anesthesia Consultant

NOVEMBER 3, 2015

Patients sometimes say, “Why did it take me so long to wake up after anesthesia?” They wonder if they are at increased risk for anesthesia, if something went wrong in their past anesthetics, and whether they can do about it. Anesthesia and Analgesia. ” when they discussed their previous anesthetic history.

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The Anesthesia Consultant

OCTOBER 14, 2022

Imagine this scenario: You’ve just finished anesthetizing a patient in a hospital setting, and the patient now requires transport from the operating room (OR) to the post-anesthesia care unit (PACU). This is a reasonable policy, but what if anesthesia patient transport to the PACU lasts 4 minutes and 59 seconds (i.e.

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Nashville Anesthesia Professionals

MAY 17, 2023

Trauma is the most common indication for surgery and anesthesia of an acutely intoxicated individual, but other types of surgical emergencies can result from drug misuse, including vascular dissection and hemorrhagic complications linked to certain stimulants.  The CAGE questionnaire can be used to this end. References 1.

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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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The Anesthesia Consultant

JULY 25, 2022

This was a landmark paper on the topic of anesthesiologist:CRNA staffing ratios, which documented that having physician anesthesiologists direct three or four operating rooms simultaneously for major noncardiac inpatient surgical procedures increased the 30-day risks of patient morbidity and mortality.

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The Anesthesia Consultant

JUNE 26, 2018

Point/Counterpoint: How new is modern anesthesia? Are modern anesthesia techniques radically different from the methods of twenty years ago? How can it be that general anesthesia has ceased to evolve? What about regional anesthesia? Anesthesia in 2018 is markedly different from anesthesia in the 1990s.

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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?

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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. Intravenous caffeine post-surgery is not a new idea. I tried it on several of my patients who had prolonged awakening after general anesthesia. 1 A cup of coffee contains from 80 to 120 mg of caffeine.A

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The Anesthesia Consultant

MAY 6, 2017

A private practice single-specialty anesthesia group will usually provide anesthesia for similarly self-employed surgeons who are in private practice. For insured patients, the anesthesia group collects whatever the insurance company pays, along with the deductible or co-pay the patient owes through their insurance plan.

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The Anesthesia Consultant

JULY 23, 2021

In recent years, engineers have developed closed-loop AI machines that can administer appropriate doses of anesthetics without human input , as described in The Washington Post article, “We Are Convinced the Machine Can Do Better Than Human Anesthesiologists.” Thus, we might ask, ‘What happens to the operator/clinician involved?’

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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

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. This could indicate a cardiac event or a complication related to the anesthesia.

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DFW Anesthesia Professionals

APRIL 28, 2024

Awareness during anesthesia is a rare but profoundly distressing condition that can occur when a patient becomes conscious during surgery and has recall of their surroundings or events related to the operation. One of the most effective methods for preventing awareness is the careful monitoring of depth of anesthesia.

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The Anesthesia Consultant

MARCH 2, 2024

If you wonder how much the anesthesia scene has changed significantly over the past four decades, check out this narrative: In 1986 I was in my second and final year of anesthesia residency training at Stanford, and I was looking for a job. I heard about an opening with a busy private practice anesthesia group in Southern California.

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Sullivan Healthcare Consulting

JULY 25, 2024

Are your surgical services struggling to contain inflated anesthesia costs? If any of that sounds familiar, you may benefit from anesthesia consulting services. Here, we’ll call out the essentials you should look for in an anesthesia consultant. Anesthesia services don’t exist in a vacuum.

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The Anesthesia Consultant

FEBRUARY 4, 2018

There are iPad apps to help you answer the question regarding frailty and anesthesia. My training was in both internal medicine and anesthesiology, and the intersection of these two fields is geriatric anesthesia. References: Sieber F, Pauldine R, Geriatric Anesthesia, Miller’s Anesthesia, Chapter 80, 5 th edition, 2407-2422.

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The Anesthesia Consultant

JULY 6, 2023

This column will help you find the top 10 anesthesia journals. There are multiple fine journals in our specialty, but in my opinion the top 10 periodical anesthesia publications for clinical information follow below. Note that 2 of the top 4 publications did not even exist when I began my anesthesia training in 1984.

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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.

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The Anesthesia Consultant

AUGUST 15, 2024

For non-anesthesiologists, who will not undergo three years of anesthesia residency training to become DL experts, learning video laryngoscopy instead of direct laryngoscopy makes sense. Of course none of the anesthesiologists or operating room personnel are dishonest, but preventing theft of these small valuable devices would be difficult.

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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

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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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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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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