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

NOVEMBER 13, 2019

Almost every anesthesiologist in America has experience with surgery using the da Vinci robot system. Until the 1990s most abdominal surgery was done through an open incision. Until the 1990s most abdominal surgery was done through an open incision. A gall bladder incision might be five inches long.

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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. Five minutes after induction and 15-30 minutes before the surgical incision will occur, her blood pressure drops to 85/45. Is this a problem?

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The Anesthesia Consultant

AUGUST 29, 2022

As House of the Dragon depicted, in primitive times there was no way to stop the acute bleeding from Cesarean incisions into the abdomen and the uterus. Prior to the discovery of general anesthesia, sedation for surgery usually included oral alcohol drinks, or opiates derived from poppies.

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The Anesthesia Consultant

MAY 10, 2016

I wish I’d had the foresight and the money ten years ago to invest in a factory that produced generic anesthetic drugs. 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.

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The Anesthesia Consultant

APRIL 30, 2024

Anesthesiologists work with surgeons of every specialty. Nezhat perfected laparoscopic operative repairs for management of multiple diseases of the pelvis and abdomen, and demonstrated the advantages of laparoscopic surgery: shorter hospital stays, smaller incisions, and faster recovery. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

NOVEMBER 4, 2021

You’re the anesthesiologist assigned to a freestanding ambulatory surgery center (ASC). The surgeon injects 2% lidocaine at the skin incision site, and the surgery begins. A second anesthesiologist responds to your call for help and arrives in the room. How could the anesthesiologist better manage the emergency?

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The Anesthesia Consultant

APRIL 20, 2019

I’m not,” said Dr. Lucas, who was her anesthesiologist. Each arm was draped in clear plastic to keep The Bricklayer sterile when it entered her body through tiny incisions. On the operating table, the five robot arms reached into the abdomen though five one-centimeter incisions. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

APRIL 26, 2018

The eligible residents were second-year residents (anesthesia residency training was only two years in duration during the 1980’s). As a second-year resident, I was a partially trained anesthesiologist who had done only 800-1000 anesthetics at that time, and was not yet eligible to sit for the American Board of Anesthesia exam.

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The Anesthesia Consultant

FEBRUARY 20, 2018

11 Sessler stated that 1/3 of intraoperative hypotension occurred during the time between induction of anesthesia and time of the surgical incision. This is a new topic and a cutting edge issue to most anesthesiologists, with the key studies only published in the last year. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

MARCH 2, 2018

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. I’ve been a full time anesthesiologist for 34 years, and I’ve heard this monologue from patients countless times. Propofol and sevoflurane are the mainstays of 21 st century general anesthesia. The patient is always right.

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The Anesthesia Consultant

NOVEMBER 7, 2018

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. Most anesthesia professionals have never cut into a patient’s neck, but we must own this skill if the necessity arises. A lubricated 6.0

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