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. Your hospital contains multiple operating rooms, and today you are in room #10.

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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.

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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% 300 mg of morphine, and a light general anesthetic using 1-1.5% The patient does well, and is discharged from the Post Anesthesia Care Unit in excellent condition.

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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. The goal is improved patient care with decreased costs.

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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. 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

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

MARCH 2, 2018

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. Listen to them and adjust your care. Hangover after general anesthesia (HAGA) describes a patient who has a safe general anesthetic, but who then feels hungover, sedated, and wasted for a time period exceeding two hours afterwards.

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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. This is every anesthesia provider’s nightmare. Four liters/min of oxygen are administered intranasally.

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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

MAY 2, 2023

The Barnes Jewish Hospital, Washington University, St. Louis Imagine this: You’re an anesthesiologist in the operating room at a busy hospital. Anesthesiologists at Barnes Jewish Hospital at Washington University in St. Louis, Missouri are studying a novel system they call the Anesthesia Control Tower (ACT).

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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

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. I believe many smaller hospitals and outpatient facilities such as ambulatory surgery centers do not own the required equipment.

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The Anesthesia Consultant

NOVEMBER 8, 2022

The audit trail is NOT part of the EMR printout, and it’s not visible on the EMR patient care screen that we healthcare providers see. Lawyers can subpoena the audit trail in malpractice legislation, and the hospital must provide the audit trail if the court decides that the audit trail is relevant. for an ectopic pregnancy.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

OCTOBER 11, 2020

A is satisfied that the patient is stable, and the staff prepares to transfer the patient to the post anesthesia care unit (PACU). A hospital bed is stationed to the side of the operating room table, and the monitors are disconnected from the patient. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

AUGUST 17, 2020

In 1999 the Institute of Medicine published the landmark “To Err is Human” report , which described that adverse events occurred in 3 – 4% of all hospital admissions, and that over 50% of the adverse events were due to preventable medical errors. This hampers care improvement. Mistakes happen in medicine.

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The Anesthesia Consultant

NOVEMBER 15, 2018

The FDA approved the drug to be used in hospital settings only, for the treatment of moderate-to-severe acute pain, where a narcotic is needed and rapid onset is desired, but the route of administration does not require intravenous access. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

MAY 4, 2016

The surgery and anesthesia proceed uneventfully. The patient is awakened from general anesthesia and taken to the Post Anesthesia Care Unit. Abdominal surgery and general anesthesia in this patient population are not without risk, even with optimal anesthetic care.

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The Anesthesia Consultant

APRIL 8, 2025

The notion of C-A-B, short for Chest Compressions-Airway-Breathingin that orderis pertinent for Basic Life Support responders in out of hospital cardiac arrest, but has no place in the operating room. They can watch you for a short period of time while you supervise the safe landing of the anesthesia plane.

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The Anesthesia Consultant

NOVEMBER 25, 2024

A recent study, “Hormonal basis of sex differences in anesthetic sensitivity,” published in 2024 in the journal Neuroscience , presented data that females recover from general anesthesia faster than males. Wasilczuk from the Department of Anesthesiology and Critical Care at the University of Pennsylvania led the study.

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