The Anesthesia Consultant

APRIL 12, 2020

Surgeons, anesthesiologists, certified nurse anesthetists, and operating room nurses are barely working at all now, for the fourth consecutive week. The post UNDEREMPLOYED: AMERICAN SURGEONS, ANESTHESIOLOGISTS AND NURSES appeared first on The anesthesia consultant.

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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

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. The scrubs are enclosed in a device not dissimilar to a soda machine, and you need your ID to operate it. Because anesthesiologists do not scrub in a sterile fashion, it’s OK to wear your watch and ring.,

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Somnia

APRIL 3, 2024

Key Highlights: The report sheds light on several key highlights, revealing compelling statistics that underscore the significance of the findings: • Anesthesiologists: An impressive 61% make over $376,000 annually, showcasing the lucrative nature of the field.

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Salem Anesthesia

JUNE 12, 2023

Certified Registered Nurse Anesthetists (CRNAs) serve an irreplaceable function on medical teams across the country. In an operating room, the CRNA administers the anesthesia according to the predetermined plan and monitors the patient’s vitals in order to adjust levels as needed.

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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.

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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.

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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?

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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. Still, with the OR a prime revenue-generator for any hospital, its operation should be scrutinized to see where cost-savings might be implemented. So, why aren’t hospitals developing and expanding the OR?

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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.

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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.

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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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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.”

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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. The patient must wake up (when the surgery is over).

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

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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?

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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?” Why would I say this?

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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.

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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. Physician anesthesiologists pay their nurse anesthetists as employees as well as their other expenses, and then divide the profit.

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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.

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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

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.

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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.

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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

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.,

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The Anesthesia Consultant

DECEMBER 19, 2016

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. Call schedules and staffing are different in community hospitals, where a smaller team of anesthesiologists shares night call.

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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.

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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).

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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.

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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.

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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. Nurses consistently have their backs to patients as they type, type, type data into computer terminals.

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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).

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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.

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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.

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The Anesthesia Consultant

FEBRUARY 4, 2018

More than half of all operations in the United States are performed on patients of ages ≥65 years, and this proportion will continue to increase. Researchers at the Seoul National University Bundang Hospital enrolled 275 consecutive elderly patients (aged ≥65 years) who were undergoing intermediate-risk or high-risk elective operations.

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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.

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The Anesthesia Consultant

OCTOBER 26, 2016

This column is designed as a brief tutorial for non-anesthesiologists who wish to better comprehend how anesthetic drugs work. Anesthesiologists administer other types of drugs, including narcotics, paralyzing drugs, and local anesthetics. I commonly hear two questions from my patients: “How does anesthesia work?”

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