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

Anesthesiologist 52

Anesthesiologist Operating Room Surgery General Anesthesia 52

The Anesthesia Consultant

MAY 2, 2023

Louis Imagine this: You’re an anesthesiologist in the operating room at a busy hospital. Anesthesiologists at Barnes Jewish Hospital at Washington University in St. A team led by an attending anesthesiologist uses remote monitoring to provide evidence-based support to anesthesia colleagues in all the operating rooms.

Anesthesia 52

Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

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. Every hospital operating room is equipped with a computer connected to the internet.

Operating Room 52

Operating Room General Anesthesia Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

JANUARY 19, 2017

What qualities define an outstanding anesthesiologist? Some were academic professors, some were trainees at a university, and some were community anesthesiologists either in my group or in other anesthesia companies. Rather, I’m choosing to list the qualities I’ve witnessed that make physician anesthesiologists stand out as leaders.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

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.

Nurse Anesthetist 52

Nurse Anesthetist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 3, 2021

Very few patients die in the operating room, but significant numbers die in the weeks that follow. 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?

Nurse 52

Nurse Nurse Anesthetist Supervision CRNA 52

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. While the increased number of providers requires a higher level of supervision, the added availability of another physician to work with OR nursing enhances efficiency.

Anesthesia 52

Anesthesia Supervision Nurse Anesthetist Operating Room 52

The Anesthesia Consultant

DECEMBER 29, 2015

Do you want an older anesthesiologist only months from retirement? Do you want a young and inexperienced anesthesiologist? Do you want a young and inexperienced anesthesiologist? Do you want a geriatric anesthesiologist only months from retirement? Is there any data to help answer these questions?

Anesthesiologist 52

Anesthesiologist Post-Anesthesia General Anesthesia Anesthesia 52

The Anesthesia Consultant

DECEMBER 19, 2016

What’s the most critical technical skill for an anesthesiologist? The most critical technical skill for an anesthesiologist is. The American Society of Anesthesiologists Difficult Airway Algorithm addresses this issue. Anesthesiologists would be wise to avoid hand or wrist injuries which could make them unemployable.

Anesthesiologist 52

Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

PANA

FEBRUARY 28, 2023

Dawn Bent, DNP, MSN, CRNA , didn’t choose to be a nurse anesthetist as much as the profession chose her. She was working as an ICU nurse for eight years when one of the anesthesiologists that she worked with told her: “I think you would be a great nurse anesthetist.”

Nurse Anesthetist 52

Nurse Anesthetist CRNA Operating Room Nurse 52

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).

Anesthesia 52

Anesthesia Anesthesiologist Operating Room General Anesthesia 52

The Anesthesia Consultant

AUGUST 26, 2015

No, it’s not the nurse anesthetists, nor the stress of covering surgeries in the middle of the night, nor the stress of saving patients who are trying to die in front of our eyes during acute care emergencies. In the operating rooms, the patients are brought in by the surgeons. What is this threat?

Nurse Anesthetist 52

Nurse Anesthetist Anesthesiologist Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

FEBRUARY 11, 2018

Today I read a thoughtful and well-written essay in Anesthesiology News titled, Anesthesiologists-The Utility Players of the Medical Field written by anesthesiologist David Stinson MD from my native state of Minnesota. Are we physicians or are we glorified advanced practice nurses?” Anesthesiologists are the experts.

Operating Room 52

Operating Room Anesthesiologist Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

MARCH 24, 2022

Items 1 – 5 are discussed as follows: Non-anesthesiologists can reverse the effects of remimazolam with flumazenil if they overdose a patient, but this advantage is less important for anesthesia professionals. Anesthesiologists can manage the airway of a patient over-sedated with a benzodiazepine without need to administer a reversal agent.

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 6, 2019

During the dayshift, working alone is seldom an issue for any anesthesiologist. Within seconds or minutes, any anesthesiologist can be assisted or bailed out by a colleague. Unlike Alex Honnold, the anesthesiologist is not putting their own life at risk—rather it is their patient who is at risk. Working alone may be less safe.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

JULY 25, 2022

JAMA Surgery published the study “ Association of Anesthesiologist Staffing Ratio With Surgical Patient Morbidity and Mortality ” on July 22, 2022. The physician-CRNA team, otherwise known as an anesthesia care team, is a model strongly supported by the American Society of Anesthesiologists.

Operating Room 52

Operating Room Anesthesiologist Operation CRNA 52

The Anesthesia Consultant

JUNE 12, 2023

Is it feasible that CHATGPT, this decades artificial intelligence wunderkind, can equal or better a physician anesthesiologist? The surgical team will be assembled, and the child will be transferred to the operating room for further assessment and management. Is CHATGPT as good as an MD? No, not really.

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

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?

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

OCTOBER 8, 2019

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. The anesthesiologist decided to extubate the trachea at that time. Extubation is risky business. The patient began to cough.

General Anesthesia 52

General Anesthesia Anesthesia Anesthesiologist Post-Anesthesia 52

The Anesthesia Consultant

APRIL 26, 2018

Norman Shumway MD PhD, a Stanford surgical professor and legend, invented the heart transplantation procedure and performed the first heart transplant in the USA on January 6, 1968 in operating room 13 of Stanford University Hospital.

Anesthesia 52

Anesthesia Operating Room Vital Signs Post-Anesthesia 52

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). An on-call anesthesiologist came to work at 7 a.m.,

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesiologist Anesthesia 52

The Anesthesia Consultant

OCTOBER 28, 2018

The two hospital guards and the mother donned white operating room coveralls. At the mother’s consent, the guards laid the patient down on the hospital gurney, held him there, and the surgical team and the guards pushed the gurney down the hallway to the operating room (a significant distance of approximately 100 yards).

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

SEPTEMBER 25, 2015

Instead of writing histories, examining patients, making diagnoses, and prescribing medications as interns and internal medicine doctors do, anesthesia residents are rendering their patients unconscious, applying acute pharmacology, and inserting tubes and needles into patients in operating rooms at all hours of the day and night.

Operating Room 52

Operating Room Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

OCTOBER 21, 2015

In 2004 the Japanese Society of Anesthesiologists reported 2,443 cardiac arrests (6.34 Two other significant risk factors were emergency surgery and the patient’s preoperative health as assessed by the American Society of Anesthesiologists (ASA) physical status ranking. Anesthesiologists will continue to be challenged.

Anesthesia 52

Anesthesia Surgery General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

FEBRUARY 8, 2016

The most difficult challenge for any anesthesiologist is the transition from the end of anesthesia residency into the beginning of your first job. For anesthesiologists, it’s more like twenty-five years of training and they put you on the night shift. Every anesthesiologist walks a long road before they finish their education.

Anesthesia 52

Anesthesia Post-Anesthesia Anesthesiologist General Anesthesia 52

The Anesthesia Consultant

AUGUST 7, 2017

Anesthesiologists work in operating rooms and intensive care units—acute care settings which demand vigilance, steady hands, and quick thinking. These arenas will be: 1) diagnosis of images, 2) clinics, and 3) operating rooms/intensive care units. Let’s look at each of these in turn.

Post-Anesthesia 52

Post-Anesthesia Anesthesia Operating Room Nurse Practitioner 52

The Anesthesia Consultant

JUNE 27, 2017

The two blood vessels in the neck are the jugular vein and the carotid artery, and even the most experienced surgeon or anesthesiologists could not stab a needle into either of them in his own neck at a 90 degree angle without even aiming. The potent inhaled anesthetics we anesthesiologists use are sevoflurane, desflurane, and isoflurane.

Vital Signs 52

Vital Signs General Anesthesia Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

OCTOBER 8, 2015

I’m an anesthesiologist, and my job is to keep people alive. Anesthetist options were limited. Before her surgery, Alexandra reclined awake on the operating room table. Her eyes were closed, and she was unaware I’d entered the room. 1) GOING, GOING, GONE first-degree murder n.

Post-Anesthesia 52

Post-Anesthesia Anesthesia Nurse Anesthetist Anesthesiologist 52

The Anesthesia Consultant

AUGUST 16, 2018

These three words make any anesthesiologist cringe. The topic of anoxic encephalopathy as related to anesthesia disasters and brain death—a issue that can ruin both a patient’s life and an anesthesiologist’s career—is not specifically covered in Miller’s Anesthesia. The anesthesiologist decided to extubate the trachea.

Post-Anesthesia 52

Post-Anesthesia Anesthesia Anesthesiologist Vital Signs 52

The Anesthesia Consultant

APRIL 2, 2016

Our facility, the Plastic Surgery Center in Palo Alto, has two operating rooms. At times the second room is not occupied, and a solo anesthesiologist is the only anesthesia professional present on site and must be prepared to handle any and all emergencies. General anesthesia is continued until these garments are applied.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 23, 2016

The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. The dentist and an anesthesiologist were both present. Possible anesthesia professionals include a physician anesthesiologist, a dental anesthesiologist, or an oral surgeon (who is trained in both surgery and anesthesia).

General Anesthesia 52

General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MAY 6, 2017

Why should anesthesiologists be any different? In many private practice anesthesia groups, physician anesthesiologists supervise multiple nurse anesthetists in multiple operating rooms. The model is being replaced by jobs where the anesthesiologists are employees. Let’s look at the issues.

Anesthesia 52

Anesthesia Anesthesiologist Post-Anesthesia Nurse Anesthetist 52

The Anesthesia Consultant

DECEMBER 19, 2016

The second issue in this case is that you’re not a pediatric anesthesiologist. A children’s hospital or a university hospital will have a team of pediatric anesthesiologists with specialized training on call for emergencies. In my opinion, neonates and younger infants need anesthesiologists with specialized pediatric training.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 26, 2018

Each operating room anesthesia location is the epicenter of computerized medical record-keeping machines, computerized Pyxis-style drug storage systems, computerized labeling machines, and bar-code reading billing machines. Sugammadex is the single most important new medication in the toolbox of the 21 st -century anesthesiologist.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Vital Signs 52

The Anesthesia Consultant

MAY 4, 2016

If a patient suffers a bad outcome after anesthesia, did the anesthesiologist commit malpractice? percent When the minor claims for teeth damage are omitted, claims for death and cardiopulmonary arrest account for nearly one in four closed claims for anesthesiologists. The anesthesiologist sees him and evaluates him.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

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. In the past with a paper record you would merely write “0.4” on the atropine line.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

SEPTEMBER 1, 2017

This was an important study which documented what experienced anesthesiologists already know—although our specialty has never been safer, preventable deaths still occur. A total of 266 cases of brain damage or death during anesthesia care in the operating room under the care of a solo anesthesiologist occurred.

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Operating Room 52