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 assessment is ASA II, and the plan is general endotracheal anesthesia. The patient consents.

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The Anesthesia Consultant

JULY 23, 2021

In recent years, engineers have developed closed-loop AI machines that can administer appropriate doses of anesthetics without human input , as described in The Washington Post article, “We Are Convinced the Machine Can Do Better Than Human Anesthesiologists.” Thus, we might ask, ‘What happens to the operator/clinician involved?’

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The Anesthesia Consultant

JULY 17, 2015

What are the personal characteristics of a successful anesthesiologist? You’ve found The Anesthesia Consultant website, so you have some interest in anesthesia. Perhaps you’ve heard that anesthesiologists earn a comfortable living. Anesthesiologists’ salaries are among the highest of all U.S. professions.”

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The Anesthesia Consultant

APRIL 25, 2021

On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ The medical center previously had an anesthesia staff that included both MDs and CRNAs (Certified Registered Nurse Anesthetists). (He Are CRNAs and anesthesiologists equals?

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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

JANUARY 19, 2017

What qualities define an outstanding anesthesiologist? A bell-shaped curve exists for the abilities of anesthesia doctors as well. I’ve been practicing anesthesia since the mid 1980s. I’ve met and worked alongside hundreds of anesthesia colleagues from all corners of the globe. This can be a vain conceit.

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The Anesthesia Consultant

OCTOBER 17, 2024

I’m writing this review to inform anesthesia providers and laypersons regarding developments in the field of anesthesiology. Vladimir Nekhendzy, Clinical Professor of Anesthesiology and Otolaryngology, Stanford University School of Medicine, and Past President of the Society for Head and Neck Anesthesia, is the inventor of the Spiro device.

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The Anesthesia Consultant

FEBRUARY 23, 2018

The most significant anesthesiologist of the 20 th century died just weeks ago, on December 21, 2017. Many of you have never heard of Dr. New, and don’t know what he was famous for, but in my opinion he was the Most Valuable Player of the anesthesia ranks in the last one hundred years. His name was William New, MD, PhD.

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The Anesthesia Consultant

JANUARY 30, 2024

Is your doctor an experienced anesthesia provider or a newbie? The list below chronicles the crescendo of growth of as I’ve witnessed it from a newly-trained anesthesia doctor to an expert practitioner. In my view, inexperienced anesthesia providers are more likely to: Be nervous/anxious. This observation is no surprise.

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The Anesthesia Consultant

OCTOBER 11, 2020

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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The Anesthesia Consultant

DECEMBER 19, 2016

What’s the most critical technical skill for an anesthesiologist? I ask this question when I’m teaching anesthesia residents and medical students. The most critical technical skill for an anesthesiologist is. Control of the airway is the most important clinical priority in anesthesia care. This is the wrong answer.

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The Anesthesia Consultant

AUGUST 15, 2024

Miller 2 Direct Laryngoscope Video Laryngoscope When it’s time to insert an endotracheal tube, for decades anesthesiologists have utilized a direct laryngoscope. Direct laryngoscopy (DL) is a difficult skill to acquire, but all anesthesiologists become masters of it. Enter the video camera, which changed surgical practice.

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The Anesthesia Consultant

APRIL 14, 2017

Do you know the intersection between an anesthesiologist and the NFL? Was there an anesthesiologist involved in Damar Hamlin’s resuscitation? This Airway Management Physician is most commonly an anesthesiologist or an emergency medicine physician. No anesthesiologist or emergency room physician was present.

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The Anesthesia Consultant

MAY 23, 2023

” 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 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. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

NOVEMBER 18, 2017

Anesthesiologists work in hospitals, and when a hospital closes, anesthesiologists lose their jobs. 2 An anesthesia group’s success is closely tied to the fate of their hospital. What about anesthesiologists in the current healthcare systems? There are 46,000 anesthesiologists in the U.S,

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The Anesthesia Consultant

OCTOBER 18, 2017

You utilize the current multimodal strategies for operating room anesthesia and postoperative pain reduction, including an ultrasound-guided adductor canal block with 0.5% The patient does well, and is discharged from the Post Anesthesia Care Unit in excellent condition. He’s right. What happened? What happened?

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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

JULY 1, 2019

A French anesthesiologist was accused of poisoning patients to trigger cardiac arrests during surgery. He worked as an anesthesiologist in the eastern French city of Besançon. I authored a chapter on Disorders of Potassium Balance in Complications in Anesthesia , 3 rd Edition, 2017, edited by Drs. Nine patients died.

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The Anesthesia Consultant

NOVEMBER 28, 2017

You’re a board-certified anesthesiologist. You’ve graduated from a residency program in which you learned the nuances of preoperative, intraoperative, and postoperative anesthesia practice. Individuals would never board a Boeing 787 aircraft and tell the pilot what to do, but individuals will try to influence their anesthesiologist.

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The Anesthesia Consultant

JULY 6, 2018

Will Gawande change the future for anesthesiologists? Let’s look at these three proposed Gawande changes, and how they affect the future for anesthesiologists: Taking out the trash. This proposed elimination of wasteful spending would decrease the demand for anesthesia professionals. Creating a checklist.

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The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. 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. Since the development of the internet, anesthesia practice has changed forever.

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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. He writes, “Our specialty, anesthesia, has suffered an identity crisis for decades. Why would I say this?

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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.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

There are Two Laws of Anesthesia, according to surgeon lore. 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

FEBRUARY 6, 2019

Every anesthesia provider must learn to free-solo anesthesia early in his or her career. During the dayshift, working alone is seldom an issue for any anesthesiologist. A typical hospital will have dozens of other anesthesia providers working in the same building. There are multiple different models of anesthesia care.

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The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. One can also order a laminated 8½ x 11½-inch version of the Manual to hang in each operating room. Both were published in the journal Anesthesia and Analgesia.

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The Anesthesia Consultant

JUNE 4, 2024

Here’s why the three A’s are in a different order for anesthesiology: ABILITY: For an anesthesiologist seeking a high-paying job in a competitive region of the country, the most important asset is ability. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room?

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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 video is posted here. 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.

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The Anesthesia Consultant

MARCH 31, 2015

An anesthesia emergency occurs without warning. As the anesthesiologist, it’s your job to make the correct diagnosis and act promptly to save your patient. You need the ultimate anesthesia emergency guidebook. Anesthesia practice is described as 99% boredom and 1% panic. Will you perform perfectly?

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The Anesthesia Consultant

JULY 12, 2017

This is what the anesthesia experience is like for most patients: You show up for surgery, and some anesthesia professional you’ve never met or talked to appears 10 minutes before you are to be wheeled into the operating room. The anesthesia professional might be an MD, a CRNA, or both a MD and a CRNA might be involved.

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The Anesthesia Consultant

MAY 13, 2020

The inside of the healthcare facility will be cleaned prior to any patient care, and will be recleaned after each patient leaves an operating room. You will wear a mask in the preoperative room, and that mask will remain on your face until just prior to the induction of anesthesia.

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The Anesthesia Consultant

OCTOBER 14, 2022

Imagine this scenario: You’ve just finished anesthetizing a patient in a hospital setting, and the patient now requires transport from the operating room (OR) to the post-anesthesia care unit (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

MAY 6, 2017

Why should anesthesiologists be any different? A private practice single-specialty anesthesia group will usually provide anesthesia for similarly self-employed surgeons who are in private practice. A private practice anesthesia group needn’t be a physician-only group. Let’s look at the issues. How does the business work?

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The Anesthesia Consultant

SEPTEMBER 25, 2015

An anesthesia residency is three years long, preceded by one year of internship. One year after medical school, the same graduate who just completed twelve months of internship now reaches perhaps an even more difficult transition—the first months of anesthesia residency. After ten minutes, he left to pursue other duties.

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The Anesthesia Consultant

AUGUST 26, 2015

Anesthesiology is a wonderful profession, as I have described in many previous posts on theanesthesiaconsultant.com. But nothing is perfect, and anesthesia has one threat which could in time undermine the entire specialty. In the operating rooms, the patients are brought in by the surgeons. What is this threat?

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The Anesthesia Consultant

JUNE 23, 2016

GENERAL ANESTHESIA FOR DENTAL OFFICES CASE PRESENTATION: A 5-year-old developmentally delayed autistic boy has multiple dental cavities. The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. The dentist and an anesthesiologist were both present. What do you do?

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