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. “ Is this a watershed moment for the profession of physician anesthesiologists? Are CRNAs going to replace MD anesthesiologists all over America, changing the profession forever?

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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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Picis

APRIL 8, 2024

Surgery scheduling can often feel like navigating a complex maze. The key is finding the balance between optimizing operating room utilization and maintaining staff well-being. Understanding the Challenges One primary challenge in surgery scheduling is the unpredictable nature of surgical demands.

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DFW Anesthesia Professionals

APRIL 28, 2024

Awareness during anesthesia is a rare but profoundly distressing condition that can occur when a patient becomes conscious during surgery and has recall of their surroundings or events related to the operation. Consequently, the prevention of awareness is a primary concern for anesthesiologists.

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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). The scrubs are enclosed in a device not dissimilar to a soda machine, and you need your ID to operate it.

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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

JUNE 26, 2022

What’s the difference between a physician anesthesiologist and a nurse anesthetist? There is no fork in the career path that makes a busy Certified Registered Nurse Anesthetist (CRNA) automatically inferior to a medical doctor anesthesiologist in hands-on skills. The answer: internal medicine. What is Perioperative Medicine?

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Ed Mariano

SEPTEMBER 23, 2021

“You will be asleep for your surgery,” anesthesiologists often reassure their patients. Just before the start of anesthesia, a patient may hear the operating room nurse saying, “Think of a nice dream as you go off to sleep.” Anesthesiology is a medical specialty just like cardiology, surgery, or pediatrics.

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The Anesthesia Consultant

OCTOBER 4, 2021

In the control group of this study, each anesthesiologist would use a traditional ultrasound screen to visualize the artery. The anesthesiologist must look up to see the ultrasound machine, while he is working on the patient’s wrist. including pediatric open heart surgery, and pediatric surgery involving major blood loss).

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Sullivan Healthcare Consulting

JANUARY 25, 2024

Finally, anesthesiologists are critical for ASCs, but finding anesthesiologists has grown increasingly difficult. is expected to be short as many as 12,000 anesthesiologists by 2034. Finally, anesthesiologists are absolutely pivotal to the success of your ASC. To learn more, talk to an expert today.

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Anaesthesia News

OCTOBER 6, 2024

There are multiple accounts in medieval manuscripts around the world of the use of herbal drinks which could be given to create a state where surgery could be practiced without the patient experiencing pain. 400 BCE – Assyrians use carotid compression to produce brief unconsciousness before circumcision or cataract surgery.

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The Anesthesia Consultant

APRIL 12, 2020

In the United States as a whole, surgery has ground to a halt. Surgeons, anesthesiologists, certified nurse anesthetists, and operating room nurses are barely working at all now, for the fourth consecutive week. According to CMS, what kind of surgery can be done during this pandemic?

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The Anesthesia Consultant

NOVEMBER 4, 2021

You’re the anesthesiologist assigned to a freestanding ambulatory surgery center (ASC). Are you and the facility prepared for an emergency at a surgery center? Let’s examine this case study: You meet your first patient of the morning, a 75-year-old female scheduled for lateral epicondylitis release surgery on her right elbow.

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DFW Anesthesia Professionals

SEPTEMBER 11, 2024

Anesthesiology residents play an important role in the operating room (OR), assisting with patient care while also undergoing rigorous training to become skilled anesthesiologists. This portion of the resident’s role is crucial as it ensures the patient is well prepared for a safe surgery. Role of the Anesthesiologist.”.

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The Anesthesia Consultant

OCTOBER 17, 2024

Complete Spiro unit with the fiberoptic laryngoscope threaded through an endotracheal tube, which is fitted into a grove on the Spiro device The sleeve disposable contains a joystick and the control buttons, which the operator moves with his/her left thumb. Depressing the joystick moves the FOL distally, out of the tip of the ETT.

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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

MAY 28, 2024

Primary Consultant Anesthesiologist The “Preoperative Evaluation” chapter in our Bible, Miller’s Anesthesia , is 80 pages long—one of the longest chapters in the book. As a double-boarded anesthesiologist and internal medicine doctor, preoperative evaluation has been my area of interest and expertise for decades.

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The Anesthesia Consultant

JULY 1, 2019

A French anesthesiologist was accused of poisoning patients to trigger cardiac arrests during surgery. Dr. Frédéric Péchier is apparently suspected of injecting lethal doses of potassium chloride or anesthetics into intravenous bags either prior to or during simple surgeries. Nine patients died.

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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

NOVEMBER 18, 2017

Anesthesiologists work in hospitals, and when a hospital closes, anesthesiologists lose their jobs. The exodus of once-profitable services to outpatient venues, including the movement of surgery to physician-owned ambulatory surgery centers (ASCs). What about anesthesiologists in the current healthcare systems?

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The Anesthesia Consultant

JULY 17, 2015

What are the personal characteristics of a successful anesthesiologist? Perhaps you’ve heard that anesthesiologists earn a comfortable living. Department of Labor, the lowest 10% of anesthesiologists earn under $135,110 per year, whereas the top 10% earn up to $408,000 per year. During surgery, much of our job is to observe.

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Clemson

MAY 30, 2022

The Realizing Improved Patient Care through Human-Centered Design in the Operating Room (RIPCHD.OR) learning lab uses a socio-technical approach incorporating human factors engineering and evidence-based design principles to create an optimal ergonomically sound operating room that results in improved patient and staff safety.

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Nashville Anesthesia Professionals

MARCH 4, 2024

For patients with restless leg syndrome undergoing anesthesia, the involuntary leg movements and discomfort can pose challenges for anesthesiologists, requiring specialized techniques and considerations to ensure safe and effective anesthesia administration.

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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

NOVEMBER 13, 2019

Almost every anesthesiologist in America has experience with surgery using the da Vinci robot system. Is robot surgery a miraculous futuristic device that advances surgery to a higher plain? Until the 1990s most abdominal surgery was done through an open incision. A gall bladder incision might be five inches long.

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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. Almost certainly. This can be a lethal complication.

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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. A printable version of the Stanford Emergency Manual is available online for free.

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The Anesthesia Consultant

MAY 13, 2020

An important question for many Americans is, “Is it safe for me to have surgery during this COVID pandemic?” The main questions as to whether a hospital or an ambulatory surgery center can resume elective surgery as of May 2020 are: What is the incidence of COVID-19 in your geographic area? It depends.

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SpecialtyCare

NOVEMBER 20, 2024

The Heart of Cardiovascular Care SpecialtyCare’s Cardiovascular Services serve as a cornerstone for hospital surgical departments, focusing on improving patient outcomes and operational efficiency. Intraoperative Neuromonitoring (IONM) Protecting a patient’s neurological functions during cardiac surgeries is a top priority.

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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. The original Nellcor N100 pulse oximeter William New was a Stanford anesthesiologist and electrical engineer. The original Nellcor N100 pulse oximeter William New was a Stanford anesthesiologist and electrical engineer.

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The Anesthesia Consultant

JULY 6, 2018

Dr. Gawande is a Professor of Surgery at Harvard/ Brigham and Women’s Hospital, and is the bestselling author of multiple nonfiction books directed at healthcare topics. Will Gawande change the future for anesthesiologists? I’ve read Dr. Gawande’s books and I’ve heard him speak at Stanford. Creating a checklist.

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The Anesthesia Consultant

NOVEMBER 5, 2020

This week I filmed a 26-minute question and answer video for the American Sleep Apnea Association regarding the topic of sleep apnea and surgery. The video provides answers to individuals who have obstructive sleep apnea and are contemplating surgery and anesthesia. Preoperative sleep study results matter to the anesthesiologist.

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The Anesthesia Consultant

NOVEMBER 28, 2017

You’re a board-certified anesthesiologist. Individuals would never board a Boeing 787 aircraft and tell the pilot what to do, but individuals will try to influence their anesthesiologist. 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

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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Amanda Xi

SEPTEMBER 30, 2024

Additionally, academic anesthesiology is unique because we often schedule a pre-operative phone call [usually the day before surgery when we get our assignments] with the residents in order to discuss the anesthetic plan and direct educational topics for the day [see below].

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The Anesthesia Consultant

MARCH 5, 2018

Are surgery centers safe? This column is in response the Kaiser Health News story “How a push to cut costs and boost profits at surgery centers led to a trail of deaths” published on USAToday.com this week. The article set off a firestorm of controversy in the surgery center industry. Yes, they are safe. There are always risks.

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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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