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 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. This week U.S.

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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. Anesthesia is not the career for you if you like to sleep late—surgery always begins at 0730 hours). Because anesthesiologists do not scrub in a sterile fashion, it’s OK to wear your watch and ring.,

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The Anesthesia Consultant

SEPTEMBER 3, 2021

Who is responsible for your safety before, during, and after your surgery? Will it be a nurse or will it be a physician? The word “perioperative” means “around the time of surgery.” It’s officially defined as the 30-day time period following surgery. Note this data was for inpatient surgeries. No, they are not.

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The Anesthesia Consultant

MAY 29, 2018

Why become an anesthesiologist? ” Listen to Dr. 12 Important Things to Know as You Near the End of Your Anesthesia Training Should You Cancel Surgery For a Blood Pressure = 178/108? Advice For Passing the Anesthesia Oral Board Exams What Personal Characteristics are Necessary to Become a Successful Anesthesiologist?

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The Anesthesia Consultant

FEBRUARY 13, 2018

Meanwhile, back at the metaphor, anesthesiologists practiced their essential healing profession, and hoped HMOs and hospital administrators would not decrease their anesthesia quantum wage any further. 12 Important Things to Know as You Near the End of Your Anesthesia Training Should You Cancel Surgery For a Blood Pressure = 178/108?

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Salem Anesthesia

JUNE 12, 2023

Certified Registered Nurse Anesthetists (CRNAs) serve an irreplaceable function on medical teams across the country. CRNAs received specialized training that is critical in surgeries and healthcare. As a critical component of a successful surgery, CRNAs are constantly assessing the patient’s vitals and pain level/comfort.

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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

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

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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Concordia Anesthesiology

AUGUST 30, 2021

While few administrators would consider reducing the number of surgeries (that would strangle the golden goose!) All MD In this model, (most prevalent in one-or two-room surgery centers and less common in large ambulatory surgery centers), all anesthesia care is provided by medical doctors only, specifically physician anesthesiologists.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

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

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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. Your patient is in mid-surgery, and you receive a call from the Anesthesia Control Tower that the patient’s blood pressure is too low, your blood transfusion replacement is inadequate, and that the patient is in danger. What do you do?

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The Anesthesia Consultant

OCTOBER 21, 2015

How common are cardiac arrests during surgery? In 2004 the Japanese Society of Anesthesiologists reported 2,443 cardiac arrests (6.34 1) The American College of Surgeons National Surgical Quality Improvement database from 2005 to 2007 documented the incidence of intraoperative cardiac arrest in non-cardiac surgery as 7.22

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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. Note that anesthesiologists who specialize in pain medicine in a clinic setting can be exceptions to this discussion.

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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. This was an important study, and important information.

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The Anesthesia Consultant

OCTOBER 18, 2018

The Anesthesia Consultant exists to increase your knowledge about anesthesia and the practice of medicine before, during, and after surgery. The other half are detailed, well-referenced articles aimed at physician anesthesiologists, nurse anesthetists, and anesthesia assistants the world 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. These devices enable an anesthesiologist to remain connected to the outside world during surgery.

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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

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

JUNE 20, 2017

In anesthesiology residency training we learn to perform every kind of anesthetic—cardiac, trauma, brain surgery, transplant surgery, abdominal surgery, chest surgery—on every type of patient—newborns, one-hundred-year-olds, or pregnant women. One anesthesiologist cannot remain skilled in every subspecialty.

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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). After a surgery is finished, anesthetic gases and intravenous anesthesia drugs are discontinued, and the patient wakes up within 5 to 15 minutes. Extubation is not a time to relax.

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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? What sort of preoperative tests or therapies should this patient have before surgery? They will consider her individual medical history and unique circumstances to ensure a safe and successful surgery.

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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

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. The degree of risk is variable.

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The Anesthesia Consultant

MAY 10, 2016

It’s not clear the idea has widespread traction as of yet, and the concept will always be at odds with the individual aspirations of internal medicine doctors, hospitalists, intensivists, surgeons, and certified nurse anesthetists, all who want to make their own management decisions, and all who desire to be paid for owning those decisions.

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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?” Anesthesiologists are the experts.

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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

SEPTEMBER 19, 2018

12 Important Things to Know as You Near the End of Your Anesthesia Training Should You Cancel Surgery For a Blood Pressure = 178/108? Advice For Passing the Anesthesia Oral Board Exams What Personal Characteristics are Necessary to Become a Successful Anesthesiologist? Hibbing also happens to be the hometown of music icon Bob Dylan.

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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

JULY 2, 2018

What should you do if your 2-year-old son or daughter requires surgery and anesthesia? Discuss with parents, caregivers, and pregnant women the benefits, risks, and appropriate timing of surgery or procedures requiring anesthetic and sedation drugs.” What are the anesthetic risks for children? Should you consent to proceed?

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The Anesthesia Consultant

AUGUST 16, 2018

These three words make any anesthesiologist cringe. If something dire goes wrong during anesthesia and surgery and the flow of oxygen to the brain is cut off, an anesthesia practitioner has about five minutes to diagnose the cause of the problem and treat it. A 40-year-old male presented for outpatient septoplasty surgery.

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The Anesthesia Consultant

MAY 4, 2016

If a patient suffers a bad outcome after anesthesia, did the anesthesiologist commit malpractice? There are risks to every anesthetic and every surgery, and if a patient sustains a complication, it may or may not be secondary to substandard anesthesia care. The anesthesiologist must have made a contract to care for the patient.

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The Anesthesia Consultant

DECEMBER 19, 2016

In his judgment delaying the surgery would increase the patient’s risk of loss of vision. At the conclusion of surgery, because of the full stomach, the patient is extubated awake. The second issue in this case is that you’re not a pediatric anesthesiologist. An oral gastric tube is used to suction out the stomach.

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The Anesthesia Consultant

FEBRUARY 12, 2016

A landmark study published in Anesthesiology Dokkedal U et al, Cognitive Functioning after Surgery in Middle-aged and Elderly Danish Twins. Results from cognitive tests were compared in twins in which one sibling was exposed to surgery and the other was not. Anesthesiology. 2016 Feb;124(2):312-21 answers this question.

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The Anesthesia Consultant

OCTOBER 28, 2018

It’s not infrequent that autistic patients need surgery and anesthesia. Dental cases are common, and are frequently referred to a hospital because the typical care systems at an outpatient surgery center or a dental office are inadequate to complete a successful anesthetic. What do you do? mg/kg midazolam, and.02

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The Anesthesia Consultant

FEBRUARY 4, 2018

What if your patients, especially elderly patients, could enter their personal data and symptoms into an iPad app, and what if that information could help you determine if their risk for anesthesia was too great to risk having surgery? I have both an interest and expertise in the evaluation and management of geriatric surgery patients.

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