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You Are Not “Asleep” Under Anesthesia

Ed Mariano

“You will be asleep for your surgery,” anesthesiologists often reassure their patients. Just before the start of anesthesia, a patient may hear the operating room nurse saying, “Think of a nice dream as you go off to sleep.” Akshay Shanker and Emery Brown explain brain wave patterns found in patients under general anesthesia.

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DYING UNDER GENERAL ANESTHESIA

The Anesthesia Consultant

You’re an anesthesiologist and you’re contacted by a patient who is dying of cancer. Will you enable dying under general anesthesia? A recent article from the United Kingdom discussed this topic of end of life anesthesia , otherwise known as “terminal anesthesia.” Is anyone doing terminal anesthesia anywhere?

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HOW LONG DOES GENERAL ANESTHESIA LAST?

The Anesthesia Consultant

How long will the anesthesia last?” The query “How long does general anesthesia last?” When your surgery ends, your anesthesiologist will turn off the sevoflurane in your inhaled gas mixture, and 90% of the sevoflurane is typically ventilated away in the first 10-15 minutes. Will I Have a Breathing Tube During Anesthesia?

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INTRAVENOUS CAFFEINE FOLLOWING GENERAL ANESTHESIA

The Anesthesia Consultant

Data exists that intravenous caffeine may be effective in assisting the awakening of patients following general anesthesia. Will future anesthesiologists routinely use caffeine to wake patients after surgery? Will a shot of IV espresso be the stimulus for you to return to consciousness after your general anesthetic?

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DOES GENERAL ANESTHESIA CAUSE DEMENTIA?

The Anesthesia Consultant

Does exposure to general anesthesia cause dementia? Association of Mild Cognitive Impairment With Exposure to General Anesthesia for Surgical and Nonsurgical Procedures: A Population-Based Study. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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DENTAL ANESTHESIA DEATHS. GENERAL ANESTHESIA FOR PEDIATRIC PATIENTS IN DENTAL OFFICES

The Anesthesia Consultant

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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WHO WILL BE PROVIDING ANESTHESIA CARE 10 YEARS FROM NOW?

The Anesthesia Consultant

Specific trends have led to the anesthesia workforce supply–demand relationship. ANESTHESIA WORKFORCE BALANCE: INCREASED DEMANDS VS DECREASED SUPPLY OF PROVIDERS Let’s examine how the Anesthesiology article described each of these trends: An Aging Population In 2023, more than 58 million Americans were 65 years of age or older (17.3%