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

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The Anesthesia Consultant

MARCH 2, 2024

I contacted the group via telephone, mailed them my resume, and they invited me to travel to their hospital for an interview. When I arrived at their hospital, I donned scrubs and was ushered from operating room to operating room to meet 15 or 20 attending anesthesiologists while they worked. I was excited.

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The Anesthesia Consultant

NOVEMBER 15, 2023

One day after attending the ASA meeting in San Francisco, I heard an in-person lecture in Palo Alto, California by Professor Anil Patel from the Royal National Throat, Nose and Ear Hospital in London. Dr. Patel has been a pioneer in bringing HFNO/THRIVE from the ICU into the operating room.

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The Anesthesia Consultant

NOVEMBER 18, 2017

America’s hospitals are in fiscal chaos. Anesthesiologists work in hospitals, and when a hospital closes, anesthesiologists lose their jobs. Hospitals are losing money, particularly when it comes to the treatment of Medicaid/Medicare patients. 2 An anesthesia group’s success is closely tied to the fate of their hospital.

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The Anesthesia Consultant

FEBRUARY 16, 2021

To aid you in visualizing yourself in the hospital, I’m substituting the pronoun “you” instead of “I” in the narrative below. You complete your morning bathroom and breakfast routines, and leave your residence at 0630 hours for the hospital. You take the elevator to the third floor and proceed to the locker room.

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Anesthesiologist Vital Signs Operating Room Post-Anesthesia 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 patient enters the operating room at 0730 hours. The patient consents.

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Platinum Meidcal Staffing

MARCH 10, 2023

If you’re wondering how your hospital or surgery center could benefit from the integration of these professionals, here are three ways that they improve patient outcomes. Shorten surgery times According to the Canadian Journal of Surgery, operations involving skilled surgical assistants are completed 30 percent faster.

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The Anesthesia Consultant

MAY 23, 2023

Fentanyl was introduced in the 1960s when it was first patented under the brand name Sublimaze , and fentanyl quickly became the most commonly administered narcotic by anesthesia providers. In operating room anesthesia, the narcotic fentanyl is a clear liquid usually marketed in vials of two milliliters or five milliliters.

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The Anesthesia Consultant

MAY 13, 2020

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? 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.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

Anesthesiologists typically spend 90+% of their working hours in the operating room. A busy surgeon will spend 50% of their time in the operating room, and the other 50% in preoperative clinic, postoperative clinic, or rounding on patients in the hospital. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JANUARY 30, 2024

Imagine you’re two months out of anesthesia training, working at a community hospital, and at 2 a.m. you need to induce emergency anesthesia for a 300-pound man who just ate a full meal of pizza and beer two hours earlier. You’re working alone without that anesthesia attending who stood next to you during residency training.

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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 hospital was Watertown Regional Medical Center, located in Watertown, Wisconsin , population 23,861, midway between Milwaukee and Madison. A doctor or a nurse?

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The Anesthesia Consultant

OCTOBER 28, 2018

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. The most common anesthesia induction technique in children and toddlers is an inhalation induction with sevoflurane.

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The Anesthesia Consultant

FEBRUARY 6, 2019

“Free-soloing” describes the most anxiety–producing event in every anesthesiologist’s life: the transition from anesthesia training when your faculty member is backing up your every move and every mistake, to the real world of anesthesia when you have to do scary cases alone without assistance. at a community hospital.

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The Anesthesia Consultant

JANUARY 24, 2023

In 2016 there were more than 224,000 operating rooms in the United States , so tens of thousands of devices could be needed. Several large hospital systems, including the University of Arizona, Duke, University of North Carolina, and the Medical College of Wisconsin have purchased the devices for their operating rooms.

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The Anesthesia Consultant

AUGUST 29, 2022

Prior to the discovery of general anesthesia, sedation for surgery usually included oral alcohol drinks, or opiates derived from poppies. General anesthesia was discovered in October 1846, when Dr. William Morton gave a public demonstration of inhaled ether use at the Massachusetts General Hospital in Boston.

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The Anesthesia Consultant

JUNE 12, 2023

INTRAOPERATIVE DECISION A 60-year-old man with a history of hypertension is having a knee arthroscopy surgery under general anesthesia. The surgical team will be assembled, and the child will be transferred to the operating room for further assessment and management. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

MARCH 2, 2020

With influenza illness may range from mild to severe and even death, but hospitalization and death occur mainly among high risk groups such as elderly patients or those with preexisting chronic illnesses. That is the real scare of the coronavirus issue—the fear that our hospitals could not handle the volume of severe infections.

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The Anesthesia Consultant

APRIL 26, 2018

Norman Shumway MD PhD, a Stanford surgical professor and legend, invented the heart transplantation procedure and performed the first heart transplant in the USA on January 6, 1968 in operating room 13 of Stanford University Hospital. Upon arrival at the airport in the donor city, an ambulance transported us to the hospital.

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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 15, 2022

The first public demonstration of anesthesia, at the Ether Dome in Massachusetts General Hospital Important advances in the history of anesthesia changed medicine forever. Humans have inhabited the Earth for 200,000 years, yet the discovery of surgical anesthesia was a relatively recent development in the mid-1800s.

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The Anesthesia Consultant

NOVEMBER 13, 2019

Or is it an expensive gadget for hospitals and surgeons to market and attract potential patients? The da Vinci surgeon sits at a console in the corner of the operating room, with his back to the patient and his face in a 3-D viewer, which gives a high-definition, magnified view of the surgical site.

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The Anesthesia Consultant

NOVEMBER 28, 2017

Tell the surgeon that the patient needs to have cardiac clearance prior to any general anesthetic, and that the case needs to be done in a hospital setting rather than at a freestanding surgery center. Just do MAC (Monitored Anesthesia Care) anesthesia for this case, but make sure he’s asleep.

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The Anesthesia Consultant

JANUARY 9, 2023

Hamlin received CPR (CardioPulmonary Resuscitation) on the field, and his heartbeat was restored before he was taken to a Cincinnati hospital. Yes, either an anesthesiologist or an emergency room doctor who was an airway expert was involved in Damar’s successful resuscitation. That portends the best recovery.

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The Anesthesia Consultant

JANUARY 29, 2018

Anesthesiologists still work in hospital operating rooms, but their expertise is also needed in other places, including invasive radiology, gastrointestinal endoscopy, electrophysiology and more. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

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The Anesthesia Consultant

JULY 1, 2020

At that age you’ll have a negative net worth, and you’ll be financially years behind your friends who went to work immediately out of college You’ll work long hours, including sleeping overnight in hospitals during your training. Answering phone calls or being summoned into the hospital at 3 a.m. 80-hour work weeks are common.

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The Anesthesia Consultant

MAY 3, 2017

Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. Plan: cleared for general anesthesia providing ECG and labs are normal. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

MARCH 31, 2015

You’re a Medical Director or medical educator, and you’re scheduled to deliver a lecture on the management of two or three common operating room emergencies. You’re an expert witness or a member of your hospital’s Quality Improvement committee, charged with reviewing the unfortunate outcome of an operating room medical complication.

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The Anesthesia Consultant

FEBRUARY 3, 2022

All four reach the surface, alive and anesthetized, and are transported to a nearby hospital. Neither gas anesthesia nor intravenous anesthesia is possible in an underwater cave rescue. Ketamine is the only general anesthetic drug which can be injected. in an operating room by an anesthesiologist) or into a muscle (e.g.

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The Anesthesia Consultant

APRIL 4, 2021

His hospital chart shows no past anesthetics, and he has no medical problems except hypertension which is treated with lisinopril. His vital signs are normal, and his oxygen saturation is 96% on room air.You are six months out of anesthesia training and new to this hospital. What went wrong here?

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The Anesthesia Consultant

JANUARY 19, 2017

Some were academic professors, some were trainees at a university, and some were community anesthesiologists either in my group or in other anesthesia companies. We’re entering an era of metrics for physicians, in which the government and hospital systems will collect data to monitor quality and performance. Stick up for yourself.

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The Anesthesia Consultant

FEBRUARY 22, 2018

Baker is doing in panel 4, but the anesthesiologist’s rapid heart rate and the adrenaline rush in high pressure operating room situations accompany the growth of every anesthesiologist from inexperience trainee to seasoned professional. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

OCTOBER 11, 2020

A then records all pertinent preoperative information into the electronic medical record (EMR) via a computer keyboard and screen located just to the right of his anesthesia machine. IN THE OPERATING ROOM: Mr. Doe will be asleep for the surgery, and Dr. A will be present the entire time. The MAP decreases to 80 once again.

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The Anesthesia Consultant

DECEMBER 19, 2016

The INTUBATION AFTER INDUCTION OF GENERAL ANESTHESIA section of the Difficult Airway Algorithm is bifurcated into two pathways. After I induce general anesthesia and paralyze the patient, I find their larynx is anterior and difficult to visualize by direct laryngoscopy. Should anesthesiologists avoid these activities?

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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

JUNE 27, 2017

Maggie is paralyzed from the neck down— a ventilator-dependent quadriplegic—and is hospitalized in a private room. In 8 scenes of in-hospital cardiac arrest, 7 of the 8, or 88% of the patients survived, compared to survival rates of 23.9% Her coach and trainer, Frankie Dunn (Clint Eastwood) visits her. Remarkable! Coma (1978).

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The Anesthesia Consultant

AUGUST 26, 2015

This network of patients will serve to keep their clinics and hospitals full and profitable. In the operating rooms, the patients are brought in by the surgeons. Anesthesia providers, be they physician anesthesiologists or nurse anesthetists, are tasked with providing safe and quality anesthesia care.

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