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. Because anesthesiologists do not scrub in a sterile fashion, it’s OK to wear your watch and ring., Anesthesia Workstation You log into the EMR system, and then you log into your first patient’s chart.

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The Anesthesia Consultant

JANUARY 19, 2017

What qualities define an outstanding anesthesiologist? 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. This can be a vain conceit. Be prepared.

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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% The patient does well, and is discharged from the Post Anesthesia Care Unit in excellent condition.

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Gomer: Anesthesiology

MAY 25, 2020

At one New York medical center, intense clinical demands and provider fatigue have inspired one anesthesiologist to push the boundaries of clinical medicine. 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 10, 2015

.” Let’s answer this question for some common surgeries: KNEE ARTHROSCOPY: Common knee arthroscopy procedures are meniscectomies and anterior cruciate ligament reconstructions. Anesthetic options include general anesthesia, regional anesthesia, or local 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

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? Is an anesthesiologist required on board?

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DFW Anesthesia Professionals

APRIL 24, 2024

Cesarean sections are among the most common surgical procedures worldwide, performed either electively or as an emergency measure to deliver a baby when vaginal delivery would put the mother or baby at risk. The three main types of anesthesia used in cesarean sections are general anesthesia, spinal anesthesia, and epidural 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. 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

SEPTEMBER 6, 2022

Dermatologists perform procedures with their hands, including biopsies or the resection of lesions. Ambulatory anesthesiology is defined as the administration of anesthetics for outpatient surgical procedures, which are minor procedures which don’t require hospitalization.

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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). What can we expect in the next 10 years of anesthesiology?

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The Anesthesia Consultant

JULY 28, 2022

The Anesthesia Consultant’s 2022 List of the Top Anesthesia Books includes: Miller’s Anesthesia , 9th edition, 2019, Editor-in-Chief Michael Gropper. All anesthesia providers should have access to the current two-volume 3112-page edition. If you purchased all 11 books in a print version today it would cost $1,643.49.

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The Anesthesia Consultant

MAY 13, 2020

An important question for many Americans is, “Is it safe for me to have surgery during this COVID pandemic?” It depends. In the San Francisco Bay Area where I work, the answer as of today, May 13 th , 2020, is “yes.” Is testing for the virus that causes COVID-19 available in your area? Everyone in the healthcare facility will be wearing masks.

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The Anesthesia Consultant

OCTOBER 28, 2018

The parents/guardians and the anesthesia team need to be actively involved with forming the preoperative plan for uncooperative patients. Patients with autism commonly need to be sedated for routine procedures that a normal child or adult would cooperate with. The mother was adamant that the procedure needed to be performed.

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The Anesthesia Consultant

DECEMBER 23, 2015

Regional anesthesia is a growing frontier in modern clinical anesthesia, in part because of the availability of ultrasonic imaging to help us direct needle placement. The subspecialty of regional anesthesia has blossomed. following general anesthesia in contrast to a peripheral nerve injury rate of 1.7%

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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. Between them, Larson and Jaffe have taught hundreds of anesthesia residents the finer points of clinical care. Philip Larson and Richard Jaffe. He was my neuroanesthesia professor at Stanford.

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The Anesthesia Consultant

NOVEMBER 5, 2020

The video provides answers to individuals who have obstructive sleep apnea and are contemplating surgery and anesthesia. Patients with OSA frequently present for surgery, and all anesthesia professionals must be aware of the risks involved with anesthetizing OSA patient. Preoperative sleep study results matter to the anesthesiologist.

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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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Salem Anesthesia

MARCH 5, 2024

Anesthesia is a critical component of medical procedures, ensuring that patients undergo surgeries and interventions with minimal pain and discomfort. However, several myths surround the use of anesthesia, leading to misconceptions and concerns among individuals. Myth: Anesthesia always leads to unconsciousness.

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The Anesthesia Consultant

JULY 11, 2019

If the patient is unstable, a physician, usually an anesthesiologist, will need to accompany the patient and the EMTs to the hospital emergency room. Her breathing tube had been removed, but she developed upper airway obstruction in the Post Anesthesia Care Unit (PACU) and needed urgent reintubation. Do doctors ever ride in ambulances?

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The Anesthesia Consultant

MAY 3, 2017

Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. 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.

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The Anesthesia Consultant

OCTOBER 19, 2018

Let’s discuss an elephant in the room of operating room anesthesia–the association between peripheral nerve blocks and nerve injury. The use of peripheral nerve blocks has crescendoed in anesthesia practice, stimulated by the use of ultrasound-guided visualization of nerves. Liu SS, et al. Why is this?

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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. Let’s look at some examples.

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The Anesthesia Consultant

OCTOBER 4, 2021

Placing a catheter into the tiny radial artery in a child’s wrist is one of the most difficult procedures in our specialty. Wearing smart glasses improved the anesthesiologist’s first-attempt success rate, and reduced the procedure time and complication rates. The average internal diameter of the radial artery is 1.2 ± 0.3

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The Anesthesia Consultant

MAY 29, 2015

Are anesthesiologists on the verge of being replaced by a new robot? 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.” In a word, “No.”

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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. The intersection of an alcohol-addicted patient and surgery is therefore common.

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The Anesthesia Consultant

DECEMBER 19, 2016

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. A 3-year-old boy is eating a McDonalds Happy Meal on the lawn of the restaurant.

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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. Consequently, the prevention of awareness is a primary concern for anesthesiologists.

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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. The lecture reviewed the literature regarding CICO events, and concluded that performing a surgical airway through the cricoid membrane is an essential skill for anesthesiologists.

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The Anesthesia Consultant

AUGUST 24, 2020

He is scheduled for general anesthesia for the endoscopy procedure. Twenty minutes before his procedure, the anesthesiologist asks the patient if he takes any medicine or drugs. the anesthesiologist asks. Cannabis use is common. This number approaches the total of 59 million cigarette smokers in America.

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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. DISCUSSION: During surgery, anesthesiologists balance their administration of drugs to the level of surgical stimulation the patient is experiencing.

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The Anesthesia Consultant

JANUARY 9, 2020

Should you tell your anesthesiologist or not? You’re about to have an anesthetic. PREVALENCE OF MARIJUANA USAGE Cannabis, or marijuana, is used by approximately 2.7-4.9% of the world’s population, making it the most widely used illicit drug on Earth. Schedule 1 drugs have no accepted medical use and have a high potential for abuse.

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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. Is robot surgery a miraculous futuristic device that advances surgery to a higher plain? Or is it an expensive gadget for hospitals and surgeons to market and attract potential patients?

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Radius Anesthesia

NOVEMBER 13, 2023

Propofol is an agonist of the gamma-aminobutyric acid (GABA) receptor, and exerts sedative and general anesthetic effects by reducing excitability and enhancing the central inhibitory effects of the GABA neurotransmitter (2). Over the past couple of decades, drug shortages have become a relatively common occurrence in clinical settings.

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The Anesthesia Consultant

JULY 6, 2023

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. SEVEN: Journal of Cardiothoracic and Vascular Anesthesia.

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The Anesthesia Consultant

NOVEMBER 15, 2021

If you become an anesthesiologist, you’ll routinely put your patients into pharmaceutical comas and then reverse that status. You’re in the middle of your medical school years, and wondering what specialty to pursue. There are two major forks in the road when trying to choose the career that suits your emotional make-up and work ethic.

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The Anesthesia Consultant

MARCH 4, 2022

How soon will we see robotic anesthesia in our hospitals and surgery centers? But what’s new in anesthesia the last 30 years? Ten years ago, when I asked him what new anesthesia drugs were in the pipeline, he answered, “None, and there probably will be very few new ones. Relatively little. Why have there been no new anesthetics?

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