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. How can an anesthesiologist make such an error?

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The Anesthesia Consultant

JULY 11, 2019

Sixty-six percent of surgeries in the United States take place as an outpatient , and many of these surgeries are performed at freestanding facilities distant from hospitals. If the patient is unstable, a physician, usually an anesthesiologist, will need to accompany the patient and the EMTs to the hospital emergency room.

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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

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 10, 2016

Sugammadex reversal can make the duration of a rocuronium motor block almost as short acting as a succinylcholine motor block, and sugammadex can also eliminate complications in the Post Anesthesia Care Unit due to residual postoperative muscle paralysis. Grade = C-.

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The Anesthesia Consultant

APRIL 12, 2021

Perhaps his anesthesiologist knows. Tiger Woods underwent surgery at Harbor-UCLA Medical Center just hours after his single car rollover vehicle crash. Prior to administering an anesthetic, it would be important for the anesthesiologist to know the toxicology screen results in any patient who just survived such an accident.

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Salem Anesthesia

JUNE 12, 2023

In this blog post, we’ll provide an insider’s perspective on a CRNA’s exciting and rewarding career by highlighting their daily responsibilities, how they overcome challenges, and their tremendous impact on patient care and the health field. CRNAs received specialized training that is critical in surgeries and healthcare.

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The Anesthesia Consultant

OCTOBER 28, 2018

It’s not infrequent that autistic patients need surgery and anesthesia. Dental cases are common, and are frequently referred to a hospital because the typical care systems at an outpatient surgery center or a dental office are inadequate to complete a successful anesthetic. What do you do? mg/kg midazolam, and.02

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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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Sullivan Healthcare Consulting

JUNE 4, 2024

Failing to collect, communicate, and distribute pre-surgical information impacts each team involved with a surgery, from surgeons and anesthesiologists to clinical support staff and administrators. Not only do ineffective testing processes waste staff time, but they also create risks that directly impact an organization’s bottom line.

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The Anesthesia Consultant

MAY 22, 2018

I stay with the child until the anesthetic depth has dissipated, the breathing tube is removed, and the child is awake and safe with the recovery room nurse in the Post Anesthesia Care Unit. Your reward for becoming a doctor will arrive years later, when you feel what I feel when I reunite parents with their child after surgery.

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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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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

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

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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The Anesthesia Consultant

NOVEMBER 8, 2022

The EMR shows standard of care anesthetic management. The audit trail documents that one hour after the unsuccessful Code Blue, the anesthesiologist reentered the EMR and deleted the administration of “succinylcholine 50 mg” as the administered muscle relaxant and substituted “rocuronium 20 mg.” for an ectopic pregnancy.

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The Anesthesia Consultant

MARCH 2, 2018

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. I’ve been a full time anesthesiologist for 34 years, and I’ve heard this monologue from patients countless times. Painful surgeries require more narcotics, which can lead to more nauseated patients.

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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. We extended the apnea times of 25 patients with difficult airways who were undergoing general anesthesia for hypopharyngeal or laryngotracheal surgery. The product was called Optiflow.

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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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The Anesthesia Consultant

AUGUST 17, 2020

As the surgery is ending, her blood pressure skyrockets to 220/160 and her pulse rate rises to 165 beats per minute. She is resuscitated and transferred to the Intensive Care Unit (ICU). This hampers care improvement. At a smaller facility such as a surgery center, Adverse Event Reports are filed on paper forms.

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The Anesthesia Consultant

NOVEMBER 15, 2018

He warned of the risks of diversion of sufentanil by anesthesiologists and other medical personnel. In the IV formulation, it has been a drug of abuse for health care providers.” Its original primary use was as an anesthetic for cardiac surgery. I practiced cardiac anesthesia from 1985 until 2000.

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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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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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