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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. Because anesthesiologists do not scrub in a sterile fashion, it’s OK to wear your watch and ring., The patient will probably already have an IV in their arm, placed by a registered nurse. (To

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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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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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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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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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THE RISK OF ANESTHESIA PATIENT TRANSPORT 

The Anesthesia Consultant

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. It’s common for zero monitoring equipment to be attached to 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. How could the anesthesiologist better manage the emergency?

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