The Anesthesia Consultant

FEBRUARY 13, 2018

Meanwhile, back at the metaphor, anesthesiologists practiced their essential healing profession, and hoped HMOs and hospital administrators would not decrease their anesthesia quantum wage any further. 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 29, 2018

News and World Report credited anesthesiologist with another honor: the highest paying job in their 2018 Best Paying Jobs survey. Regarding the #1 job, physician anesthesiologist , the article states, “the breadth of the profession has dramatically expanded in the last decade. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

FEBRUARY 16, 2021

One of my readers asked me to describe a day in the life of an anesthesiologist, as he was considering a career in anesthesiology. To aid you in visualizing yourself in the hospital, I’m substituting the pronoun “you” instead of “I” in the narrative below. Your hospital contains multiple operating rooms, and today you are in room #10.

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The Anesthesia Consultant

JULY 6, 2018

Dr. Gawande is a Professor of Surgery at Harvard/ Brigham and Women’s Hospital, and is the bestselling author of multiple nonfiction books directed at healthcare topics. Will Gawande change the future for anesthesiologists? This proposed elimination of wasteful spending would decrease the demand for anesthesia professionals.

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The Anesthesia Consultant

JANUARY 30, 2024

Imagine you’re two months out of anesthesia training, working at a community hospital, and at 2 a.m. you need to induce emergency anesthesia for a 300-pound man who just ate a full meal of pizza and beer two hours earlier. You’re working alone without that anesthesia attending who stood next to you during residency training.

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The Anesthesia Consultant

JULY 25, 2022

JAMA Surgery published the study “ Association of Anesthesiologist Staffing Ratio With Surgical Patient Morbidity and Mortality ” on July 22, 2022. The physician-CRNA team, otherwise known as an anesthesia care team, is a model strongly supported by the American Society of Anesthesiologists.

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The Anesthesia Consultant

OCTOBER 18, 2017

He wants to get out of bed, walk as much as possible, and go home from the hospital as soon as he can. They walk out of the hospital room together, and the patient, still headache free, looks back over his shoulder to you and says, “Thanks, Doc. How can an anesthesiologist make such an error? The patient objects. Let’s do it.”

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Gomer: Anesthesiology

MAY 25, 2020

New York, NY – The era of COVID-19 has pushed the envelope in hospitals across the world, challenging care delivery models and allowing one ventilator to ventilate 600 patients at once. Dr. Mac “McGrath” Millerstein, a cardiothoracic anesthesiologist, has intubated countless patients with COVID over the last several weeks.

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The Anesthesia Consultant

MAY 29, 2018

Why become an anesthesiologist? ” Listen to Dr. 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? Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

AUGUST 15, 2024

Miller 2 Direct Laryngoscope Video Laryngoscope When it’s time to insert an endotracheal tube, for decades anesthesiologists have utilized a direct laryngoscope. Direct laryngoscopy (DL) is a difficult skill to acquire, but all anesthesiologists become masters of it. Enter the video camera, which changed surgical practice.

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The Anesthesia Consultant

OCTOBER 18, 2018

The other half are detailed, well-referenced articles aimed at physician anesthesiologists, nurse anesthetists, and anesthesia assistants the world over. I began my writing career in 2001, when I was the Deputy Chief of Anesthesia at Stanford University Hospital. Why Did Take Me So Long To Wake From General Anesthesia?

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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

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. As a double-boarded anesthesiologist and internal medicine doctor, preoperative evaluation has been my area of interest and expertise for decades.

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The Anesthesia Consultant

JUNE 4, 2024

Here’s why the three A’s are in a different order for anesthesiology: ABILITY: For an anesthesiologist seeking a high-paying job in a competitive region of the country, the most important asset is ability. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room?

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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

OCTOBER 28, 2018

Dental cases are common, and are frequently referred to a hospital because the typical care systems at an outpatient surgery center or a dental office are inadequate to complete a successful anesthetic. The most common anesthesia induction technique in children and toddlers is an inhalation induction with sevoflurane.

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The Anesthesia Consultant

SEPTEMBER 6, 2022

A career in anesthesiology seems markedly different than a career in dermatology, because anesthesiologists frequently deal with acutely ill patients, middle of the night emergency surgeries, and complex anesthetics for open heart, brain, or neonatal surgeries. The duration of training for an anesthesiologist and a dermatologist is identical.

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The Anesthesia Consultant

JANUARY 2, 2016

I’m writing this from the perspective of a busy clinician who has worked as an anesthesiologist in California in both private practice and at a major university hospital for over 30 years. More care team anesthesia and more Certified Nurse Anesthetists (CRNAs). An on-call anesthesiologist came to work at 7 a.m.,

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The Anesthesia Consultant

OCTOBER 10, 2018

Novak is a clinician who administers anesthesia and directs perioperative medical care at Stanford University Hospital and multiple outpatient surgery centers in and around Palo Alto, California. Chemistry, Magna Cum Laude, Carleton College 1976-80 M.D.,

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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). An anesthesiologist can easily make a diagnosis of inadequate breathing if a patient is connected to a pulse oximeter.

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The Anesthesia Consultant

MAY 6, 2017

The Merriam-Webster online dictionary defines private practice as: “a professional business (such as that of a lawyer or doctor) that is not controlled or paid for by the government or a larger company (such as a hospital).” Why should anesthesiologists be any different? These groups are still single specialty anesthesia groups.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. Most surgeons’ comprehension of what anesthesiologists are doing is limited. The patient must wake up (when the surgery is over).

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The Anesthesia Consultant

DECEMBER 19, 2016

The boy suffers a penetrating open eye injury, and is taken to the nearest hospital. You’re are an experienced practitioner, but not a pediatric anesthesia specialist. One is how to safely perform the open-eye, full stomach anesthetic, and the other is the performance of pediatric anesthesia by non-pediatric anesthesia specialists.

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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? ” In 2018, anesthesiologists consider surgeons our colleagues, and we seek and expect collegial relationships with them.

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The Anesthesia Consultant

AUGUST 28, 2016

How much money does an anesthesiologist earn? What is a physician anesthesiologist’s salary in today’s marketplace? I recently received an email from a medical student who was considering anesthesia as a career specialty, but his concern was: is the bottom about to fall out for anesthesiologists’ salaries?

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The Anesthesia Consultant

NOVEMBER 16, 2015

Particularly in acute care, the computer keyboard and screen have no place between an anesthesiologist and his patient, an emergency room physician and his patient, an ICU doctor and his patient, or an ICU nurse and her patient. I agree with him that the current cumbersome EHRs come between doctors and patients during hospital care.

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The Anesthesia Consultant

MAY 3, 2017

In many health care systems there are no anesthesia clinics, and primary care doctors (internal medicine specialists, family practitioners, or pediatricians) do the preoperative assessments. What do anesthesiologists want to see in the internal medicine preoperative clearance consult? Let’s choose an illustrative example.

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The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. The Emergency Manual was created by the same team which pioneered simulator training for anesthesiologists, headed by Stanford faculty members Drs. The patient is turning blue and lacks pulses.

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The Anesthesia Consultant

MARCH 2, 2024

I’m an anesthesiologist, and I like to tell stories. 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. This one is true. I was excited.

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The Anesthesia Consultant

DECEMBER 23, 2015

following general anesthesia in contrast to a peripheral nerve injury rate of 1.7% Perioperative nerve injury after total shoulder arthroplasty: assessment of risk after regional anesthesia. It’s striking that the patients with general anesthesia had MORE peripheral nerve injuries than patients who had an interscalene block.

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The Anesthesia Consultant

MAY 10, 2016

The cooperation between surgeons, anesthesiologists, and internal medicine specialists to develop the protocols has been outstanding, the standardized checklist care has been well accepted, and patients are benefiting. This group would cover a hospital or several hospitals along with nearby surgery centers and offices.

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The Anesthesia Consultant

NOVEMBER 5, 2020

Preoperative sleep study results matter to the anesthesiologist. All anesthesia care follows the priorities of Airway-Breathing-Circulation, or A B C. For the anesthesiologist, mask ventilation, direct laryngoscopy, endotracheal intubation, and fiberoptic visualization of the airway can be more difficult in patients with OSA.

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The Anesthesia Consultant

MARCH 18, 2021

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. Following surgery, anesthesiologists are vigilant symptoms of acute alcohol withdrawal syndromes. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

MARCH 22, 2019

Medicare for All would decimate the specialty of physician anesthesiologists in America. My aim is to inform my readers, both anesthesia professionals and laypersons, that if Medicare for All becomes reality, there will be a dire consequence regarding anesthesia staffing and services to patients. of insured rates.

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The Anesthesia Consultant

OCTOBER 26, 2016

This column is designed as a brief tutorial for non-anesthesiologists who wish to better comprehend how anesthetic drugs work. General anesthesia is the sum of hypnosis (sleep), amnesia, analgesia (pain relief), and the lack of any motion response to pain. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JUNE 20, 2017

Eventually the training programs are all completed, and each individual anesthesiologist will get a job. Will the anesthesiologist have the opportunity to utilize all the skills he or she learned in their residency during their post-training job? One anesthesiologist cannot remain skilled in every subspecialty. Very common.

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The Anesthesia Consultant

NOVEMBER 13, 2019

Almost every anesthesiologist in America has experience with surgery using the da Vinci robot system. Or is it an expensive gadget for hospitals and surgeons to market and attract potential patients? Sixty hospitals in the United States used the system in 2002, but this number grew to 431 hospitals by 2014.

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