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14 DIFFERENCES BETWEEN EXPERIENCED AND INEXPERIENCED ANESTHESIOLOGISTS

The Anesthesia Consultant

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. See #5 above.

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A DAY IN THE LIFE OF AN ANESTHESIOLOGIST

The Anesthesia Consultant

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. You take the elevator to the third floor and proceed to the locker room.

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WHAT ANESTHESIOLOGISTS DO… AN EXAMPLE ANESTHETIC

The Anesthesia Consultant

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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MY ANESTHESIOLOGIST ADMINISTERED FENTANYL TO ME. IS THAT OK?

The Anesthesia Consultant

” 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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SMART GLASSES IN THE OPERATING ROOM

The Anesthesia Consultant

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. This was an important study, and important information.

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CODE BLUE – WHEN AN ANESTHESIOLOGIST PREMATURELY DEPARTS A FREESTANDING SURGERY CENTER

The Anesthesia Consultant

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 anesthesiologist meets the patient prior to the surgery, reviews the chart, and examines the patient.

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EMERGENCY AT A SURGERY CENTER

The Anesthesia Consultant

You’re the anesthesiologist assigned to a freestanding ambulatory surgery center (ASC). On physical exam, her vital signs are normal, her lungs are clear, and her heart exam is positive for the clicking sound of a mechanical valve and a 2/6 systolic murmur. Are you and the facility prepared for an emergency at a surgery center?

Surgery 52