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). Should we routinely monitor a patient’s oxygen saturation level during transport to the PACU?

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Anesthesia Vital Signs General Anesthesia Post-Anesthesia 52

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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Surgery Post-Anesthesia General Anesthesia Anesthesiologist 52

Salem Anesthesia

JUNE 12, 2023

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. The CRNA uses a variety of information to execute and modify the anesthesia plan as needed, including measures to assess patient safety and comfort.

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CRNA Nurse Anesthetist Post-Anesthesia Operating Room 52

The Anesthesia Consultant

JULY 11, 2019

When a patient decompensates emergently at a freestanding ambulatory surgery center or in an operating room at a doctor’s office, the facility will call for an ambulance staffed with EMT personnel. Why did an anesthesiologist travel with each patient? The patient was discharged the following day without further complication.

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General Anesthesia Post-Anesthesia Anesthesiologist Anesthesia 52

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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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

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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Anesthesiologist Operating Room General Anesthesia Surgery 52

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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Anesthesiologist Vital Signs Post-Anesthesia Anesthesia 52

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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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

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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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

NOVEMBER 15, 2023

At the 2023 American Society of Anesthesiologists meeting in San Francisco, I walked by a booth advertising High Flow Nasal Oxygen. Dr. Patel has been a pioneer in bringing HFNO/THRIVE from the ICU into the operating room. Widespread adoption of HFNO as routine therapy in the operating room is still lacking.

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

AUGUST 17, 2020

Case study #2020: The attending surgeon and the operating room nurse each filed digital Adverse Event documents because of their patient’s extremely high blood pressure and heart rate, and her unplanned admission to the ICU. Case #2020: The surgeon, operating room nurse, and the anesthesiologist are interviewed.

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Anesthesia Post-Anesthesia Operating Room General Anesthesia 52

The Anesthesia Consultant

MAY 4, 2016

If a patient suffers a bad outcome after anesthesia, did the anesthesiologist commit malpractice? If there was an anesthesia error, was it anesthesia 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.

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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

APRIL 8, 2025

anesthesia, I see commandments as guidelines for how to be a safe and excellent anesthesiologist. Based on forty years of clinical practice and administration in both community and academic anesthesiology, here are Ten Commandments of Anesthesia as I see them: Be a doctor, not a propofol technician.

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Anesthesia General Anesthesia Operating Room Post-Anesthesia 97

The Anesthesia Consultant

NOVEMBER 25, 2024

Females recover from anesthesia faster than males. Should anesthesiologists change their clinical care based on these studies? I. Should anesthesiologists change their clinical care based on these two important publications? Two recent papers document this.

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