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?

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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?

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The Anesthesia Consultant

OCTOBER 17, 2024

Complete Spiro unit with the fiberoptic laryngoscope threaded through an endotracheal tube, which is fitted into a grove on the Spiro device The sleeve disposable contains a joystick and the control buttons, which the operator moves with his/her left thumb. Depressing the joystick moves the FOL distally, out of the tip of the ETT.

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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.

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The Anesthesia Consultant

NOVEMBER 8, 2016

Anesthesiologists prefer their patients to have a gentle transition from the anesthetized state into the awake state. When the general anesthetic requires an endotracheal tube, an issue is how to awaken the patient with minimal patient coughing and bucking while the tube remains in the trachea. The desired goal is “smooth emergence.”

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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. The scrubs are enclosed in a device not dissimilar to a soda machine, and you need your ID to operate it. Because anesthesiologists do not scrub in a sterile fashion, it’s OK to wear your watch and ring.,

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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. The dentist and an anesthesiologist were both present. What do you do?

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The Anesthesia Consultant

JUNE 26, 2022

What’s the difference between a physician anesthesiologist and a nurse anesthetist? After the first 3 – 4 years in the workforce, either one can master the manual skills of anesthesia. So what really is the difference between a physician anesthesiologist and a nurse anesthetist? The answer: internal medicine.

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The Anesthesia Consultant

OCTOBER 4, 2021

In the control group of this study, each anesthesiologist would use a traditional ultrasound screen to visualize the artery. The anesthesiologist must look up to see the ultrasound machine, while he is working on the patient’s wrist. Smart glasses are being studied in aviation. Let’s look at this last point.

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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.

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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

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 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.

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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

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.

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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.

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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.

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The Anesthesia Consultant

FEBRUARY 23, 2018

The most significant anesthesiologist of the 20 th century died just weeks ago, on December 21, 2017. Many of you have never heard of Dr. New, and don’t know what he was famous for, but in my opinion he was the Most Valuable Player of the anesthesia ranks in the last one hundred years. His name was William New, MD, PhD.

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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 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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DFW Anesthesia Professionals

APRIL 24, 2024

The choice of anesthesia for a cesarean section is influenced by several factors, including the urgency of the procedure, the mother’s health, previous anesthesia experiences, and individual preferences. 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

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

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.

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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. Creating a checklist.

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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?

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Anaesthesia News

OCTOBER 6, 2024

July, 1800 – Humphry Davy (1778–1829)—In his Researches…, Davy observes “As nitrous oxide in its extensive operation appears capable of destroying physical pain, it may probably be used with advantage during surgical operations in which no great effusion of blood takes place.” Leonard Corning (1855-1923).

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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.

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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.”

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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

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.

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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. What do you do?

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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.

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The Anesthesia Consultant

MARCH 28, 2024

Every transplantation requires an anesthesiologist, and I’m qualified to answer this question for you. The brain, encased in the dura, is freed from the cranial vault and base, and a robotic scoop with retractable tines would be brought into the operating field. How feasible is brain transplantation? ANESTHETIC TECHNIQUE.

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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

APRIL 30, 2024

Anesthesiologists work with surgeons of every specialty. Prior to the machine, it was impossible to successfully operate on the heart while it was still beating. In 1953 he performed the first successful operation on a human using the heart-lung machine. Inventor: Dr. John Gibbon (1950s). In 2023, 110 hospitals in the U.S.

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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

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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