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

JULY 12, 2021

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. These devices enable an anesthesiologist to remain connected to the outside world during surgery.

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Operating Room General Anesthesia Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

OCTOBER 21, 2015

How common are cardiac arrests during surgery? In 2004 the Japanese Society of Anesthesiologists reported 2,443 cardiac arrests (6.34 1) The American College of Surgeons National Surgical Quality Improvement database from 2005 to 2007 documented the incidence of intraoperative cardiac arrest in non-cardiac surgery as 7.22

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The Anesthesia Consultant

FEBRUARY 6, 2019

During the dayshift, working alone is seldom an issue for any anesthesiologist. Within seconds or minutes, any anesthesiologist can be assisted or bailed out by a colleague. Unlike Alex Honnold, the anesthesiologist is not putting their own life at risk—rather it is their patient who is at risk. The degree of risk is variable.

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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. Anesthesiologists in our practice telephone their patients the night before to discuss the anesthesia care.

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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

OCTOBER 8, 2019

At the onset of general anesthesia anesthesiologists place an ET tube through the mouth, past the larynx (voice box), and into the trachea (windpipe). After a surgery is finished, anesthetic gases and intravenous anesthesia drugs are discontinued, and the patient wakes up within 5 to 15 minutes. Extubation is not a time to relax.

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The Anesthesia Consultant

OCTOBER 14, 2022

During surgery your patient monitors included: a pulse oximeter, an ECG, a blood pressure cuff, a temperature monitor, and a monitor of the oxygen, carbon dioxide, and anesthetic concentration of every breath inhaled and exhaled. Should we routinely monitor a patient’s oxygen saturation level during transport to the PACU?

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The Anesthesia Consultant

AUGUST 28, 2016

How much money does an anesthesiologist earn? What is a physician anesthesiologist’s salary in today’s marketplace? I recently received an email from a medical student who was considering anesthesia as a career specialty, but his concern was: is the bottom about to fall out for anesthesiologists’ salaries?

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The Anesthesia Consultant

MAY 6, 2017

Why should anesthesiologists be any different? In many private practice anesthesia groups, physician anesthesiologists supervise multiple nurse anesthetists in multiple operating rooms. Physician anesthesiologists pay their nurse anesthetists as employees as well as their other expenses, and then divide the profit.

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The Anesthesia Consultant

JANUARY 2, 2016

I’m writing this from the perspective of a busy clinician who has worked as an anesthesiologist in California in both private practice and at a major university hospital for over 30 years. An aging population, an increased volume of surgery, and an increased demand for anesthesia personnel. Anesthesia personnel will be in great demand.

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Post-Anesthesia General Anesthesia Anesthesiologist Anesthesia 52

The Anesthesia Consultant

AUGUST 16, 2018

These three words make any anesthesiologist cringe. If something dire goes wrong during anesthesia and surgery and the flow of oxygen to the brain is cut off, an anesthesia practitioner has about five minutes to diagnose the cause of the problem and treat it. A 40-year-old male presented for outpatient septoplasty surgery.

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The Anesthesia Consultant

NOVEMBER 23, 2016

Between them, Larson and Jaffe have supervised tens of thousands of anesthetics in a university practice. The textbook includes both the surgical and the anesthetic details for all common surgical procedures anesthesiologists will face. Dr. Larson also taught residents his hands-on method for awake intubation. Together, Drs.

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The Anesthesia Consultant

AUGUST 26, 2015

No, it’s not the nurse anesthetists, nor the stress of covering surgeries in the middle of the night, nor the stress of saving patients who are trying to die in front of our eyes during acute care emergencies. Note that anesthesiologists who specialize in pain medicine in a clinic setting can be exceptions to this discussion.

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The Anesthesia Consultant

JANUARY 29, 2020

The primary study by Joosten 1 looked at the performance of multiple closed-loop systems for administration of anesthesia in 90 patients undergoing major noncardiac surgery in a single center in Belgium. It is 2030 and I am scheduled to supervise anesthesia for a 40-yr-old patient undergoing laparoscopic cholecystectomy.

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The Anesthesia Consultant

SEPTEMBER 25, 2015

When it was time to begin the first anesthetic, the attending faculty anesthesiologist said to me, “I don’t think the operating room is a good place to learn in the beginning.” A supervising attending must teach them, mentor them, and lecture them—case by case—until each resident learns the basic skills.

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Operating Room Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 7, 2017

Anesthesiologists work in operating rooms and intensive care units—acute care settings which demand vigilance, steady hands, and quick thinking. Operating rooms The best current example of robot technology in the operating room is the da Vinci operating robot, used primarily in urology and gynecologic surgery.

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The Anesthesia Consultant

NOVEMBER 12, 2015

The faded turquoise tile on the walls had witnessed thousands of hernia surgeries. He was an anesthesiologist in California, but now he’s one of us, the slightly-better-than-average staff of Hibbing General. Why the ingratiating attitude toward me, a board-certified anesthesiologist physician? anesthesiologist in town.

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Nurse Anesthetist Operating Room Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

JULY 14, 2024

The testing includes a peer-conducted clinical skills assessment by three medical staff members, a comprehensive physical exam, and cognitive screening under supervision of the neuropsychiatry department, to address the applicant’s capacity to perform the clinical privileges requested.

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