The Anesthesia Consultant

OCTOBER 18, 2018

When an anesthesiologist finishes their formal training, he or she has a brain full of academic teachings, and has performed hundreds of anesthetics in a university setting while being supervised by faculty members. It’s the most difficult transition in an anesthesiologist’s career. But are you ready to work alone?

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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

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

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. We can be regarded as a commodity because, like the nurses, technicians, and janitors, patient referrals do not originate with us.

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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

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). A generation ago an anesthesiologist started a case and finished that case.

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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

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

AUGUST 7, 2017

Anesthesiologists work in operating rooms and intensive care units—acute care settings which demand vigilance, steady hands, and quick thinking. My medical board certifications are in internal medicine and anesthesiology—two fields which have significant overlap in their knowledge base but radically different practice settings.

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The Anesthesia Consultant

SEPTEMBER 25, 2015

When it was time to begin the first anesthetic, the attending faculty anesthesiologist said to me, “I don’t think the operating room is a good place to learn in the beginning.” A supervising attending must teach them, mentor them, and lecture them—case by case—until each resident learns the basic skills.

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The Anesthesia Consultant

OCTOBER 14, 2022

When you arrive at the PACU, a nurse reattaches your patient to the vital sign monitors, and discovers that the patient’s oxygen saturation has dropped from 100% in the OR to a severely low value of 80% in the PACU. An anesthesiologist can easily make a diagnosis of inadequate breathing if a patient is connected to a pulse oximeter.

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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

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

NOVEMBER 12, 2015

At Stanford every nurse, doctor, and janitor knew my name. He was an anesthesiologist in California, but now he’s one of us, the slightly-better-than-average staff of Hibbing General. Not much up here for princesses.” “Nico, I want you to meet Bobby Dylan, our Director of Nurse Anesthesia,” Perpich said. Six nurse anesthetists.

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