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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The Anesthesia Consultant

MAY 28, 2024

While 43% worked in an academic medical center, 35% worked in a community hospital, 11% worked in a city/county hospital, and 6% worked solely in an ambulatory surgery center. The establishment of a successful preoperative evaluation clinic requires commitment, collaboration, and support from several hospital disciplines.”

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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

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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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. Don’t worry,” they said.

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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? Or is it an expensive gadget for hospitals and surgeons to market and attract potential patients?

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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

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. Risks of anesthesia and the OSA patient?

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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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Radius Anesthesia

NOVEMBER 13, 2023

According to an American Hospital Association (AHA) survey of community hospitals, nearly 50% of responding hospitals reported at least 21 drug shortages within the first 6 months of 2011, and more than 99% of hospitals reported at least 1 drug shortage within the same time period. min for ciprofol and 0.80

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The Anesthesia Consultant

JUNE 4, 2024

Most anesthesia vacancies are in less desirable locations with a poorer payor mix. If there is a hospital or a town you desire to work in, contact employers and find out if there are any job openings. Top anesthesia groups rarely advertise that they have openings, rather they seek out available new hires via their alumni networks.

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SpecialtyCare

AUGUST 16, 2024

This article will delve into what PLIF entails, its benefits, the surgical procedure, and post-operative care, providing you with a comprehensive understanding of this critical spinal surgery. Improved Mobility: Patients often experience improved function and mobility after surgery, allowing them to return to their daily activities.

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Platinum Meidcal Staffing

MARCH 10, 2023

3 Ways Surgical Providers Improve Patient Outcomes Surgical providers—surgical assistants, nurses, and surgical technologists—provide aid during surgery to doctors. They assist in exposure, closure, hemostasis, and other intraoperative technical functions that ultimately ensure the surgery is successful.

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The Anesthesia Consultant

SEPTEMBER 28, 2023

The Stanford Emergency Manual has been used in all Stanford Hospital anesthetizing locations since 2012, and Stanford has printed and shipped thousands of Manuals to institutions around the United States and the world. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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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. 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

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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The Anesthesia Consultant

SEPTEMBER 6, 2022

In a ranking of the most competitive medical specialties, dermatology ranked second, trailing only plastic surgery. But one large subset of anesthesia work closely mimics the lifestyle of dermatology practice. Most anesthetics in the United States are for ambulatory surgeries.

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SpecialtyCare

JULY 13, 2024

By fusing the affected vertebrae, the surgery aims to reduce pain, improve stability, and prevent further spinal deformities. The Surgical Procedure Posterior cervical fusion involves several steps to ensure successful outcomes: Anesthesia : The patient is placed under general anesthesia to ensure comfort throughout the procedure.

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The Anesthesia Consultant

AUGUST 29, 2022

Ignaz Semmelweis, a Hungarian physician, noted in 1847 that fewer women died from post-surgery fever if surgeons washed their hands. Dr. Lister’s principles of antiseptic care led the way to asepsis, which was the complete elimination of bacteria during surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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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

NOVEMBER 8, 2022

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. The patient suffers an acute cardiac arrest fifteen minutes after the induction of general anesthesia. The EMR shows standard of care anesthetic management.

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The Anesthesia Consultant

OCTOBER 21, 2015

How common are cardiac arrests during surgery? The incidence of cardiac arrest totally attributable to anesthesia mismanagement was low (0.47 per 10,000 anesthetics), and anesthesia mismanagement was responsible for only 1.5% There were 11 cardiac arrests related to anesthesia care. of deaths. (1) per 10,000 cases.

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The Anesthesia Consultant

MAY 23, 2023

” Despite this, during surgery your anesthesiologist injected fentanyl into your IV as part of your anesthetic. In operating room anesthesia, the narcotic fentanyl is a clear liquid usually marketed in vials of two milliliters or five milliliters. Your general practitioner or primary care doctor will never prescribe fentanyl.

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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?

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The Anesthesia Consultant

MARCH 18, 2021

You’re a patient scheduled for elective surgery tomorrow. You’re nervous and you’d like to drink a glass of wine (or two) at dinner the night before the surgery. What’s the relationship between alcohol and anesthesia? Surgery is common in the United States—there were more than 17 million surgeries performed in America in 2014.

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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

OCTOBER 1, 2015

“Why do I have to stop eating and drinking prior to surgery?” This is a common question I hear from my patients—they’re puzzled by the connection between going to sleep and stopping eating prior to surgery. It’s vital that your stomach is empty prior to elective surgery and anesthesia.

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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

JULY 12, 2021

Since the development of the internet, anesthesia practice has changed forever. Every hospital operating room is equipped with a computer connected to the internet. Every anesthesia provider carries a smartphone connected to the internet. Many anesthesia providers carry a laptop or a tablet in their briefcases.

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OR Manager

JUNE 23, 2024

million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery More » The post Ambulatory endoscopy management strategies keep patients, finances healthy appeared first on OR Manager. Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1

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The Anesthesia Consultant

JANUARY 24, 2023

the thumb must be entirely free to move, which precludes monitoring the hand that has been tucked at the patient’s side during surgery. 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

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

JUNE 12, 2023

What sort of preoperative tests or therapies should this patient have before surgery? CHATGPT: For an 80-year-old woman with congestive heart failure (CHF) who needs to undergo gallbladder removal surgery, it is essential to conduct a thorough preoperative evaluation to assess her overall health status and identify any potential risks.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

The patient must wake up (when the surgery is over). Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. The patient must wake up (when the surgery is over).

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The Anesthesia Consultant

OCTOBER 18, 2018

Richard Novak, the author of About The Anesthesia Consultant. The Anesthesia Consultant exists to increase your knowledge about anesthesia and the practice of medicine before, during, and after surgery. I began my writing career in 2001, when I was the Deputy Chief of Anesthesia at Stanford University 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. Anesthesia is not the career for you if you like to sleep late—surgery always begins at 0730 hours). Your hospital contains multiple operating rooms, and today you are in room #10.

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The Anesthesia Consultant

JULY 4, 2020

McClain went into cardiac arrest on the way to the hospital, and was taken off life support on August 30. Regarding the indications to use ketamine in the pre-hospital setting, the paper stated: “Violent and agitated patients pose a serious challenge for emergency medical services (EMS) personnel. Miller’s Anesthesia, 7th ed.

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