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. To aid you in visualizing yourself in the hospital, I’m substituting the pronoun “you” instead of “I” in the narrative below. Your hospital contains multiple operating rooms, and today you are in room #10.

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Gomer: Anesthesiology

APRIL 2, 2022

Mayim Bialik may be the straw that broke the camel’s back once and for all for Anesthesiologists throughout the world. On Friday night’s Jeopardy during the meet and greet portion, Bialik referred to one of the contestants who is an anesthesiologist as “just an anesthesiologist”, and not a surgeon.

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The Anesthesia Consultant

JANUARY 30, 2024

Imagine you’re two months out of anesthesia training, working at a community hospital, and at 2 a.m. Anesthesia emergencies are anxiety-producing for both experienced and inexperienced anesthesiologists, but experienced doctors are more likely to know exactly what to do and what not to do. This observation is no surprise.

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Concordia Anesthesiology

OCTOBER 12, 2021

In almost every hospital the OR is the “lion”, bringing in the largest share of revenue (as much as 70%) - and eating up a large share (an estimated 40%) of a hospital’s total expenses. link] Efficient Case Scheduling - Secret to a Well-Run OR Operating room costs can be categorized as fixed or variable. link] Permalink

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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

JULY 6, 2018

Dr. Gawande is a Professor of Surgery at Harvard/ Brigham and Women’s Hospital, and is the bestselling author of multiple nonfiction books directed at healthcare topics. Will Gawande change the future for anesthesiologists? I’ve read Dr. Gawande’s books and I’ve heard him speak at Stanford. Creating a checklist.

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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.

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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% He wants to get out of bed, walk as much as possible, and go home from the hospital as soon as he can. How can an anesthesiologist make such an error?

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Gomer: Anesthesiology

MAY 25, 2020

New York, NY – The era of COVID-19 has pushed the envelope in hospitals across the world, challenging care delivery models and allowing one ventilator to ventilate 600 patients at once. Dr. Mac “McGrath” Millerstein, a cardiothoracic anesthesiologist, has intubated countless patients with COVID over the last several weeks.

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Amanda Xi

SEPTEMBER 30, 2024

Additionally, academic anesthesiology is unique because we often schedule a pre-operative phone call [usually the day before surgery when we get our assignments] with the residents in order to discuss the anesthetic plan and direct educational topics for the day [see below].

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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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Concordia Anesthesiology

AUGUST 30, 2021

Without a doubt, the operating room (OR) brings in the lion’s share of a hospital’s revenue, amounting to as much as 70% or more. So, why aren’t hospitals developing and expanding the OR? link] The Three Anesthesia Staffing Models: The optimal hospital staffing model should: 1. improve efficiencies 2.

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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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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. Anesthesiologists win the tally for most operating room hours per week.

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The Anesthesia Consultant

MAY 13, 2020

The main questions as to whether a hospital or an ambulatory surgery center can resume elective surgery as of May 2020 are: What is the incidence of COVID-19 in your geographic area? 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.

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The Anesthesia Consultant

JULY 11, 2019

Sixty-six percent of surgeries in the United States take place as an outpatient , and many of these surgeries are performed at freestanding facilities distant from hospitals. If the patient is unstable, a physician, usually an anesthesiologist, will need to accompany the patient and the EMTs to the hospital emergency room.

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Amanda Xi

JUNE 27, 2023

Before residency, my definition of career success was based on my exposure predominantly to a private practice group and absorbing information about how those anesthesiologists lived their life. I work at a world-renowned hospital with incredible researchers, clinicians, and change-makers.

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The Anesthesia Consultant

MAY 6, 2017

The Merriam-Webster online dictionary defines private practice as: “a professional business (such as that of a lawyer or doctor) that is not controlled or paid for by the government or a larger company (such as a hospital).” Why should anesthesiologists be any different? Let’s look at the issues. Employees of whom?

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The Anesthesia Consultant

MARCH 23, 2020

Today’s post demonstrates making a reusable N95 mask from common inexpensive operating room supplies. The required parts are an operating room anesthesia mask and a ventilator in-line bacterial/viral filter: The mask assembly is held over your face with elastic straps. The video is posted here.

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Gomer: Anesthesiology

APRIL 10, 2020

Peter, MN – Physician on FIRE , an anesthesiologist and financial blogger , recently hit the magical goal of Financial Independence and Retire Early (FIRE) in his mid 40s. Once he achieved ‘FIRE status’ JACHO and hospital administration determined he was too much of a fire risk to be in the operating room.

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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

AUGUST 28, 2016

How much money does an anesthesiologist earn? What is a physician anesthesiologist’s salary in today’s marketplace? I recently received an email from a medical student who was considering anesthesia as a career specialty, but his concern was: is the bottom about to fall out for anesthesiologists’ salaries?

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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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Amanda Xi

JUNE 26, 2023

Imagine this: I’m a brand new attending critical care anesthesiologist in a major academic medical center and in an effort to make up for the opportunity costs of becoming a doctor, I willingly take on a very aggressive clinical schedule. Cases that most hospitals would not dare to touch. I guess I actually know a few things!

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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. A printable version of the Stanford Emergency Manual is available online for free.

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The Anesthesia Consultant

DECEMBER 19, 2016

The boy suffers a penetrating open eye injury, and is taken to the nearest hospital. Let’s assume your surgeon is determined to operate urgently, and doesn’t want to wait 6 hours after the patient’s meal. The second issue in this case is that you’re not a pediatric anesthesiologist. You are on call for the repair.

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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. Hospital systems will have increased incentives to perform anesthetics with cheaper labor. An on-call anesthesiologist came to work at 7 a.m.,

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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. Or is it an expensive gadget for hospitals and surgeons to market and attract potential patients? Assistant surgeon(s) and techs stand at the patient’s side, watch the surgery on video screens, and assist during the operation.

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Concordia Anesthesiology

OCTOBER 30, 2021

Even as hospitals across the country focus on finding ways to deliver higher quality care at lower cost, there is a growing realization that healthcare itself is undergoing a major “attitude shift”. In recent decades, the role of anesthesiologists in perioperative care has been expanding, and PSH is seen as a natural extension of this trend.

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The Anesthesia Consultant

MARCH 31, 2015

As the anesthesiologist, it’s your job to make the correct diagnosis and act promptly to save your patient. You’re a Medical Director or medical educator, and you’re scheduled to deliver a lecture on the management of two or three common operating room emergencies. An anesthesia emergency occurs without warning.

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The Anesthesia Consultant

SEPTEMBER 7, 2018

My friend, colleague, and President of the company I work for, the Associated Anesthesiologists Medical Group in Palo Alto, California, wrote an excellent column describing Locker Slammers for the American Society of Anesthesiologists Monitor (September 1, 2018; Volume 82, Number 9). Read on–you won’t be disappointed.

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The Anesthesia Consultant

JUNE 7, 2019

This week the Palo Alto (California) Weekly ran a feature story on Rick Novak and Doctor Vita Uploaded: Thu, Jun 6, 2019, 9:27 am Doctor by day, sci-fi novelist by night Longtime Atherton resident spotlights AI and medicine in books by Angela Swartz / Dr. Rick Novak poses for a portrait at Stanford Hospital in Palo Alto on May 23.

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The Anesthesia Consultant

NOVEMBER 16, 2015

Particularly in acute care, the computer keyboard and screen have no place between an anesthesiologist and his patient, an emergency room physician and his patient, an ICU doctor and his patient, or an ICU nurse and her patient. I agree with him that the current cumbersome EHRs come between doctors and patients during hospital care.

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The Anesthesia Consultant

FEBRUARY 22, 2018

THIS ORIGINAL ANESTHESIA CARTOON WAS PUBLISHED IN THE CALIFORNIA SOCIETY OF ANESTHESIOLOGISTS BULLETIN, VOLUME 52, NUMBER 2, APRIL-JUNE 2003. ” In 2018, anesthesiologists consider surgeons our colleagues, and we seek and expect collegial relationships with them. Do anesthesiologists have surgeries which last 10 hours?

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The Anesthesia Consultant

MARCH 2, 2024

I’m an anesthesiologist, and I like to tell stories. I contacted the group via telephone, mailed them my resume, and they invited me to travel to their hospital for an interview. This is where the story gets more interesting, because I was not a fully trained anesthesiologist yet. We’ll be in the operating room with you.”

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The Anesthesia Consultant

NOVEMBER 5, 2020

PREOPOPERATIVE CARE : Let’s talk about the diagnosed sleep apnea patient and pre-operative assessment for upcoming surgery: The diagnosis of OSA is based on the presence of symptoms, such as disturbed sleep, snoring, hypertension, and also the frequency of sleep-related respiratory events during a sleep study or home sleep apnea testing.

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Picis

OCTOBER 9, 2023

Anesthesia EMR software is a driving force behind this change, heralding an era that gives clinicians more time with the patient, and helps improve operations. The moment a physician’s focus shifts from paperwork to the patient, strides in healthcare become reality.

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