The Anesthesia Consultant

MAY 23, 2023

” Despite this, during surgery your anesthesiologist injected fentanyl into your IV as part of your anesthetic. As a street drug, fentanyl overdose is a critical problem in the United States, but anesthesiologists administer fentanyl to most patients, and do so safely. Why do anesthesiologists utilize fentanyl?

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

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., Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room.

Anesthesiologist 52

Anesthesiologist Vital Signs Operating Room Post-Anesthesia 52

The Anesthesia Consultant

APRIL 25, 2021

On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ The medical center previously had an anesthesia staff that included both MDs and CRNAs (Certified Registered Nurse Anesthetists). Are CRNAs and anesthesiologists equals?

Anesthesiologist 52

Anesthesiologist Nurse Anesthetist Supervision CRNA 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.

Anesthesiologist 52

Anesthesiologist Operating Room Surgery General Anesthesia 52

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). Anesthesiologists are vigilant during extubation.

General Anesthesia 52

General Anesthesia Anesthesia Anesthesiologist Post-Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. One can also order a laminated 8½ x 11½-inch version of the Manual to hang in each operating room. Both were published in the journal Anesthesia and Analgesia.

Operating Room 52

Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

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?

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

OCTOBER 11, 2020

Most patients have no real idea what anesthesiologists do. Most college premed students have no real idea what anesthesiologists do. Most medical students have no real idea what anesthesiologists do. Anesthesiologists are responsible for your medical care before, during, and after surgeries.

Anesthesiologist 52

Anesthesiologist Vital Signs Post-Anesthesia Incision 52

The Anesthesia Consultant

JULY 12, 2021

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. Major adverse events seldom occur during the middle of a general anesthetic of long duration on a healthy patient.

Operating Room 52

Operating Room General Anesthesia Vital Signs Post-Anesthesia 52

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.

Anesthesia 52

Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JULY 1, 2019

A French anesthesiologist was accused of poisoning patients to trigger cardiac arrests during surgery. He worked as an anesthesiologist in the eastern French city of Besançon. The IV line is the route in which anesthesiologists inject drugs into the patient’s bloodstream to induce sleep. Nine patients died.

Anesthesiologist 52

Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

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.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

DECEMBER 19, 2016

What’s the most critical technical skill for an anesthesiologist? I ask this question when I’m teaching anesthesia residents and medical students. The most critical technical skill for an anesthesiologist is. The American Society of Anesthesiologists Difficult Airway Algorithm addresses this issue.

Anesthesiologist 52

Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

Radius Anesthesia

MAY 17, 2023

Anesthesiologists therefore need to pay close attention to patients receiving chemotherapy, looking for any such side effects on organ systems 2. Patient safety and the precise delivery of radiotherapy remain the primary goals of intraoperative radiotherapy, presenting key challenges to anesthesiologists, whose role is multipronged.

Anesthesia 52

Anesthesia Operating Room Vital Signs Post-Anesthesia 52

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?

Anesthesiologist 52

Anesthesiologist Nurse Anesthetist General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

JULY 17, 2015

What are the personal characteristics of a successful anesthesiologist? You’ve found The Anesthesia Consultant website, so you have some interest in anesthesia. Perhaps you’ve heard that anesthesiologists earn a comfortable living. Anesthesiologists’ salaries are among the highest of all U.S. professions.”

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Operating Room General Anesthesia 52

The Anesthesia Consultant

MARCH 28, 2024

Every transplantation requires an anesthesiologist, and I’m qualified to answer this question for you. What sort of operating room setup would be required for brain transplantation? The transplant would require two fully-staffed neurosurgical operating rooms. How feasible is brain transplantation?

Vital Signs 52

Vital Signs Suturing Suture Post-Anesthesia 52

The Anesthesia Consultant

NOVEMBER 15, 2023

At the 2023 American Society of Anesthesiologists meeting in San Francisco, I walked by a booth advertising High Flow Nasal Oxygen. Dr. 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.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

NOVEMBER 28, 2017

You’re a board-certified anesthesiologist. You’ve graduated from a residency program in which you learned the nuances of preoperative, intraoperative, and postoperative anesthesia practice. Individuals would never board a Boeing 787 aircraft and tell the pilot what to do, but individuals will try to influence their anesthesiologist.

Anesthesiologist 52

Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

MARCH 22, 2023

How will astronauts conduct general anesthesia and surgery in outer space? Is an anesthesiologist required on board? Protocols regarding how to accomplish anesthesia in outer space exist in the medical literature. Is a surgeon required on board?

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

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).

Anesthesia 52

Anesthesia Anesthesiologist Operating Room General Anesthesia 52

The Anesthesia Consultant

JULY 6, 2018

Will Gawande change the future for anesthesiologists? Let’s look at these three proposed Gawande changes, and how they affect the future for anesthesiologists: Taking out the trash. This proposed elimination of wasteful spending would decrease the demand for anesthesia professionals.

Anesthesiologist 52

Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

NOVEMBER 18, 2017

Anesthesiologists work in hospitals, and when a hospital closes, anesthesiologists lose their jobs. What about anesthesiologists in the current healthcare systems? There are 46,000 anesthesiologists in the U.S, and these anesthesiologists provide $20 billion worth of health care services each year.

Anesthesiologist 52

Anesthesiologist Hospital Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

APRIL 14, 2017

Do you know the intersection between an anesthesiologist and the NFL? Was there an anesthesiologist involved in Damar Hamlin’s resuscitation? This Airway Management Physician is most commonly an anesthesiologist or an emergency medicine physician. No anesthesiologist or emergency room physician was present.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

DECEMBER 29, 2015

Do you want an older anesthesiologist only months from retirement? Do you want a young and inexperienced anesthesiologist? Do you want a young and inexperienced anesthesiologist? Do you want a geriatric anesthesiologist only months from retirement? Is there any data to help answer these questions?

Anesthesiologist 52

Anesthesiologist Post-Anesthesia General Anesthesia Anesthesia 52

The Anesthesia Consultant

MARCH 24, 2022

A non-anesthesia-professional can administer remimazolam, whereas an anesthesia professional/airway expert must administer and monitor propofol administration. Anesthesiologists can manage the airway of a patient over-sedated with a benzodiazepine without need to administer a reversal agent. Are these advantages important?

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 6, 2019

During the dayshift, working alone is seldom an issue for any anesthesiologist. A typical hospital will have dozens of other anesthesia providers working in the same building. Within seconds or minutes, any anesthesiologist can be assisted or bailed out by a colleague. There are multiple different models of anesthesia care.

Anesthesiologist 52

Anesthesiologist Operating Room General Anesthesia Post-Anesthesia 52

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% How can an anesthesiologist make such an error? He’s right. What happened?

Hematoma 52

Hematoma Anesthesiologist Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

FEBRUARY 11, 2018

Today I read a thoughtful and well-written essay in Anesthesiology News titled, Anesthesiologists-The Utility Players of the Medical Field written by anesthesiologist David Stinson MD from my native state of Minnesota. To me, the appropriate headline should read, “Anesthesiologists—the Most Valuable Players of the Medical Team.”

Operating Room 52

Operating Room Anesthesiologist Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

AUGUST 29, 2022

Prior to the discovery of general anesthesia, sedation for surgery usually included oral alcohol drinks, or opiates derived from poppies. General anesthesia was discovered in October 1846, when Dr. William Morton gave a public demonstration of inhaled ether use at the Massachusetts General Hospital in Boston.

General Anesthesia 52

General Anesthesia Post-Anesthesia Suturing Suture 52

The Anesthesia Consultant

SEPTEMBER 3, 2021

Very few patients die in the operating room, but significant numbers die in the weeks that follow. A board-certified physician anesthesiologist is therefore validated as an expert in all areas of perioperative medicine. Most anesthetics are conducted by physician anesthesiologists. Are CRNAs and anesthesiologists equals?

Nurse 52

Nurse Nurse Anesthetist Supervision CRNA 52

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.

Surgery 52

Surgery Post-Anesthesia General Anesthesia Intraoperative Care 52

The Anesthesia Consultant

JANUARY 24, 2023

The 2023 American Society of Anesthesiologists Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade were published last month.The paper is backed by strong science, and references an exhaustive list of no less than 277 previous publications on the topic, including this review. A 2010 survey documented that 9.4%

Post-Anesthesia 52

Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 12, 2023

Is it feasible that CHATGPT, this decades artificial intelligence wunderkind, can equal or better a physician anesthesiologist? I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. In 1997 the IBM computer Deep Blue beat world chess champion Gary Kasparov head to head.

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 15, 2022

William Morton (below) discovered ether anesthesia first. THE FIRST PUBLIC DEMONSTRATION OF ETHER AS A GENERAL ANESTHETIC. Dr. Morton performed the first public demonstration of general anesthesia at Harvard’s Massachusetts General Hospital on October 16, 1846. The patient was fully conscious during the operation.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JANUARY 9, 2023

Was there an anesthesiologist involved in Damar Hamlin’s resuscitation? Yes, either an anesthesiologist or an emergency room doctor who was an airway expert was involved in Damar’s successful resuscitation. Do you know the intersection between an anesthesiologist and the NFL? According to Dr. William A.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52