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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The Anesthesia Consultant

APRIL 14, 2017

Do you know the intersection between an anesthesiologist and the NFL? On January 3rd, 2023, Buffalo Bills safety Damar Hamlin 24 suffered a cardiac arrest mid-game when he collapsed after a helmet to his sternum tackle against the Cincinnati Bengals. Was there an anesthesiologist involved in Damar Hamlin’s resuscitation?

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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

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., To the contrary, in our practice we physician anesthesiologists start the IVs ourselves.

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The Anesthesia Consultant

OCTOBER 18, 2017

He believes his neurosurgical procedure and his weak right leg have something to do with his anesthesiologist. How can an anesthesiologist make such an error? A well-informed anesthesiologist, properly aware of the anticoagulation medication, chooses to time his blood patch per the accepted guidelines for enoxaparin.

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The Anesthesia Consultant

OCTOBER 17, 2024

The device will now undergo a phase of safety and efficacy testing on difficult intubation human subjects, in its path toward expected eventual FDA approval. No anesthesiologist wants to resort to cricothyrotomy to save a patient’s life. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

OCTOBER 17, 2019

You’re an anesthesiologist. I’d like to focus on one specific aspect of this important study: anesthesiologists need to lose their reluctance to cut a surgical airway into a patient’s neck in a “can’t intubate, can’t oxygenate” airway emergency. Case 5: “The anesthesiologist asked the surgeon to perform an emergency cricothyrotomy.

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The Anesthesia Consultant

AUGUST 13, 2021

The anesthesiologist induces general anesthesia, and ten minutes later the patient has ventricular arrhythmias which descend into a cardiac arrest. The anesthesiologist followed ACLS guidelines, but standard ACLS treatments and hyperkalemia (elevated potassium concentration) treatments were unsuccessful.

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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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The Anesthesia Consultant

FEBRUARY 6, 2019

The 2018 movie Free Solo showcases Alex Honnold as he became the first person to free solo climb the 3000-feet high El Capitan wall of granite in Yosemite National Park without ropes or safety gear. FREE SOLO movie poster 2018 Believe it or not, but Free Solo could have been an anesthesiologist’s movie.

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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. The presence of an anesthesiologist was reassuring to the stunned parents who had no expectation of a complication after a common surgery such as a tonsillectomy.

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The Anesthesia Consultant

JULY 6, 2023

Per their website, this journal “addresses all aspects of anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, cost issues, and similar concerns anesthesiologists contend with daily. FOUR: The ASA Monitor.

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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 13, 2020

The joint statement also said that “facilities should use available testing to protect staff and patient safety whenever possible and should implement a policy addressing requirements and frequency for patient and staff testing.” Why Did Take Me So Long To Wake From General Anesthesia?

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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). A generation ago an anesthesiologist started a case and finished that case.

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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. The Emergency Manual was created by the same team which pioneered simulator training for anesthesiologists, headed by Stanford faculty members Drs. The patient is turning blue and lacks pulses.

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The Anesthesia Consultant

APRIL 12, 2021

Perhaps his anesthesiologist knows. Prior to administering an anesthetic, it would be important for the anesthesiologist to know the toxicology screen results in any patient who just survived such an accident. In 2013 the Food and Drug Administration released the following Safety Communication regarding zolpidem (Ambien) : The U.S.

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The Anesthesia Consultant

SEPTEMBER 3, 2021

Who is responsible for your safety before, during, and after your surgery? 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? No, they are not.

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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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Salem Anesthesia

MARCH 5, 2024

However, several myths surround the use of anesthesia, leading to misconceptions and concerns among individuals. In this blog, we’ll debunk some of the most common myths regarding anesthesia. Myth: Anesthesia always leads to unconsciousness. Myth: You can wake up during surgery due to anesthesia failure.

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The Anesthesia Consultant

JULY 2, 2018

Dexmedetomidine and narcotics are not on the FDA list, but dexmedetomidine and narcotics are not sufficient to provide general anesthesia by themselves. At times infants or toddlers require general anesthesia or sedation so they will stay still during a procedure, such as when they need an MRI or a CT scan.

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The Anesthesia Consultant

OCTOBER 10, 2018

Novak has personally performed more than 25,000 anesthetics since 1984, and is uniquely qualified because he works in an academic medical center but is also a community private practice anesthesiologist. CONTACT EMAIL: RJNOV@yahoo.com Curriculum Vitae Richard John Novak, M.D.

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The Anesthesia Consultant

OCTOBER 4, 2021

Wearing smart glasses improved the anesthesiologist’s first-attempt success rate, and reduced the procedure time and complication rates. In the control group of this study, each anesthesiologist would use a traditional ultrasound screen to visualize the artery. Any step which enhances safety can be seen as a valuable change.

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The Anesthesia Consultant

OCTOBER 14, 2022

Patients can have inadequate breathing on arrival at the PACU for multiple reasons, including oversedation from narcotics, oversedation from propofol or general anesthetic gases, residual paralysis from muscle paralysis drugs, upper airway obstruction, laryngospasm, obesity, sleep apnea, or pulmonary disease.

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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.

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The Anesthesia Consultant

JANUARY 14, 2021

In a demanding short time frame, anesthesiologists and other critical care physicians developed safe measures to intubate COVID patients and to manage their failing organ systems during intensive care unit admissions. In the era of COVID, Zoom videoconferencing made person-to-person communication involving anesthesiologists possible.

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The Anesthesia Consultant

JANUARY 26, 2024

During general anesthetics, anesthesiologists commonly administer a concentration of 50% oxygen to assure a margin of safety if there is difficulty with a patient’s airway, breathing, or circulation. The extra margin of oxygen is a safety net. No anesthesiologist would ever administer less than 21% oxygen to a patient.

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DFW Anesthesia Professionals

APRIL 28, 2024

Awareness during anesthesia typically happens when a patient under general anesthesia is not fully unconscious or when there is inadequate depth of anesthesia to prevent consciousness and memory formation during surgery. Consequently, the prevention of awareness is a primary concern for anesthesiologists.

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The Anesthesia Consultant

JULY 4, 2020

Rapid control of these patients is paramount to successful prehospital evaluation and also for the safety of both the patient and crew. As an anesthesiologist I’ve administered ketamine safely to hundreds of patients. Miller’s Anesthesia, 7th ed. Induction of general anesthesia ∗ 0.5-2 Intravenous anesthetics.

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The Anesthesia Consultant

AUGUST 26, 2015

Anesthesia providers, be they physician anesthesiologists or nurse anesthetists, are tasked with providing safe and quality anesthesia care. Anesthesia providers are at best consultants, and at worst, “worker bees” called upon to provide a service. You may be an outstanding anesthesiologist, but you are replaceable.

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The Anesthesia Consultant

AUGUST 17, 2020

The report recommended that instead of blaming individuals, to instead prevent future errors by designing safety into the system. Case #2020: Review of the case shows that the BP and heart rate increases occurred within minutes after the anesthesiologist administered an intravenous dose of the drug atropine.

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The Anesthesia Consultant

MARCH 5, 2018

I’m a Stanford University-trained anesthesiologist and internist, and I’m uniquely qualified to answer the question: Are American surgery centers safe? Surgery and anesthesia are never 100% safe, no matter where procedures are done. The roles of anesthesiologists and surgeons at surgery centers are to minimize the risks.

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The Anesthesia Consultant

SEPTEMBER 1, 2017

One goal of theanesthesiaconsultant.com is to make the practice of anesthesia safer. The practice of anesthesia on healthy patients is quite safe, but we want to do everything we can to avoid preventable errors. The safety of anesthesia on ASA I and II patients has been compared to the safety record of commercial aviation.

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Radius Anesthesia

NOVEMBER 13, 2023

In clinical trials, the efficacy and safety characteristics of ciprofol were compared with those of propofol in different clinical scenarios (2). Similarly, another phase III trial compared ciprofol with propofol for the successful induction of general anesthesia in patients (n = 176) undergoing elective surgery.

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The Anesthesia Consultant

MARCH 31, 2015

An anesthesia emergency occurs without warning. As the anesthesiologist, it’s your job to make the correct diagnosis and act promptly to save your patient. You need the ultimate anesthesia emergency guidebook. Anesthesia practice is described as 99% boredom and 1% panic. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

OCTOBER 28, 2020

The article showed a 37% increased incidence of autistic spectrum disorder (ASD) in children whose mothers received epidural anesthesia during labor. The American Society of Anesthesiologists is a very reputable professional organization. The article drew scant publicity. The local anesthetic is usually bupivacaine or ropivacaine.

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The Anesthesia Consultant

APRIL 30, 2024

Anesthesiologists work with surgeons of every specialty. Prior to the TAVR procedure, replacement of a heart valve required general anesthesia, a heart-lung bypass machine and open heart surgery, to enable a surgeon to directly sew a new valve prosthesis into place. Why Did Take Me So Long To Wake From General Anesthesia?

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