The Anesthesia Consultant

JANUARY 1, 2024

Anesthesiologists are likely to have: A preference for being in an operating room rather than in a clinic. This may occur via a telephone call one day prior to surgery, or in the preanesthetic room on the day of surgery. Most of the time an anesthesiologist works in the operating room.

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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 patient enters the operating room at 0730 hours. The patient consents.

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The Anesthesia Consultant

JULY 12, 2021

Picture this: your job requires you to spend the majority of your day in a windowless room with four other people. You cannot leave the room, and if you make a serious error in your work, someone can die. Major adverse events seldom occur during the middle of a general anesthetic of long duration on a healthy patient.

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The Anesthesia Consultant

FEBRUARY 16, 2021

You take the elevator to the third floor and proceed to the locker room. The scrubs are enclosed in a device not dissimilar to a soda machine, and you need your ID to operate it. Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room.

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The Anesthesia Consultant

JULY 28, 2022

Digital access to all this written expertise can be at your fingertips anywhere, including in the operating room suite. The Anesthesia Consultant’s 2022 List of the Top Anesthesia Books includes: Miller’s Anesthesia , 9th edition, 2019, Editor-in-Chief Michael Gropper.

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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

OCTOBER 28, 2018

The parents/guardians and the anesthesia team need to be actively involved with forming the preoperative plan for uncooperative patients. Patients with autism commonly need to be sedated for routine procedures that a normal child or adult would cooperate with. The mother was adamant that the procedure needed to be performed.

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The Anesthesia Consultant

FEBRUARY 11, 2018

In the late 1970’s I was a third-year medical student at a prominent Midwestern medical school, where an unspoken rank system existed in the operating room. The ICU attendings had respectful peer relationships with all the surgeons, including the private-practice cardiac surgeons whose post-operative patients were housed in the ICU.

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The Anesthesia Consultant

MAY 13, 2020

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. An important question for many Americans is, “Is it safe for me to have surgery during this COVID pandemic?” It depends. Everyone in the healthcare facility will be wearing masks.

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The Anesthesia Consultant

NOVEMBER 28, 2017

You’ve graduated from a residency program in which you learned the nuances of preoperative, intraoperative, and postoperative anesthesia practice. You believe the patient is high risk in terms of his airway, his breathing, his cardiac status, and his potential for post-operative complications. You’re a board-certified anesthesiologist.

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The Anesthesia Consultant

NOVEMBER 15, 2023

The capacity to deliver this much oxygen to a non-intubated patient is a marked advance in anesthesia care. Dr. Patel has been a pioneer in bringing HFNO/THRIVE from the ICU into the operating room. At the 2023 American Society of Anesthesiologists meeting in San Francisco, I walked by a booth advertising High Flow Nasal Oxygen.

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The Anesthesia Consultant

MARCH 22, 2023

Because the spaceship is more than 200 days away from Earth, the physicians instruct the crew to proceed with surgery and anesthesia in outer space. How will astronauts conduct general anesthesia and surgery in outer space? Protocols regarding how to accomplish anesthesia in outer space exist in the medical literature.

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Platinum Meidcal Staffing

MARCH 10, 2023

Allow more procedures to be performed When surgery times are shortened, surgeons and other surgery providers are able to work with more patients per day. This means that more procedures are performed, and more patients are assisted overall. However, the number of surgeries performed depends on surgery length.

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The Anesthesia Consultant

NOVEMBER 23, 2016

In the anesthesia world that book is now available, and it’s called Practical Anesthetic Management—The Art of Anesthesiology, authored by C. Between them, Larson and Jaffe have taught hundreds of anesthesia residents the finer points of clinical care. Philip Larson and Richard Jaffe. He was my neuroanesthesia professor at Stanford.

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The Anesthesia Consultant

AUGUST 15, 2024

A recent 2024 publication in JAMA looked at 8429 surgical procedures from March 2021 to December 2022 in a single institution. The anesthesiologist could indirectly visualize the patient’s vocal cords, which enabled the placement of the endotracheal tube into the windpipe. I utilize VL for difficult airway cases or emergency cases.

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The Anesthesia Consultant

MARCH 24, 2022

In July 2020 the Food and Drug Administration (FDA) approved the intravenous benzodiazepine remimazolam (Byfavo, Acacia Pharma) for use in sedation for procedures of 30 minutes or less. remimazolam propofol For use in procedural sedation, remimazolam will not replace Versed, but rather will aim to replace propofol.

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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. In many health care systems there are no anesthesia clinics, and primary care doctors (internal medicine specialists, family practitioners, or pediatricians) do the preoperative assessments.

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Gomer: Anesthesiology

MAY 25, 2020

Shortly after, the spinal anesthetic wore off and the patient was quickly placed under general anesthesia. The procedure was completed uneventfully after the surgeon, Dr. Annuloplasty, unscrubbed to sucker punch Dr. Millerstein. Dr. Annuloplasty remains in a ketamine-induced haze in the corner of the operating room.

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The Anesthesia Consultant

JULY 17, 2015

You’ve found The Anesthesia Consultant website, so you have some interest in anesthesia. The truth is: a career in anesthesia involves unique demands that most people would not seek, tolerate, or ever grow accustomed to. An operating room emergency is not a time for screaming, temper tantrums, or freezing.

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The Anesthesia Consultant

SEPTEMBER 1, 2017

The safety of anesthesia on ASA I and II patients has been compared to the safety record of commercial aviation. A total of 266 cases of brain damage or death during anesthesia care in the operating room under the care of a solo anesthesiologist occurred. But planes do crash, and so do anesthetized patients.

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The Anesthesia Consultant

AUGUST 29, 2022

The blood loss from the procedure left the queen dead from hemorrhagic shock. It’s a fact that cutting a child out from his mother’s womb was a death sentence for the mother in an era prior to the discovery of anesthesia and prior to the discovery of surgical techniques to control bleeding and infection. ” (Act IV.

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The Anesthesia Consultant

APRIL 2, 2016

I work in a private practice setting in Palo Alto, California, and liposuction is one of the most common plastic surgery procedures performed. Early in my career, in the late 1980’s, liposuction was a bloody procedure. Preanesthetic assessment and patient selection are key for safe large-volume liposuction procedures.

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The Anesthesia Consultant

AUGUST 28, 2023

Patients assigned to continuous finger-cuff monitoring received more than twice as much norepinephrine both within 15 minutes after starting induction of anesthesia and during the entire surgery, when compared with patients assigned to intermittent oscillometric monitoring.

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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. Note that the anesthesia transport team member was only an anesthesia fellow or a resident.

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The Anesthesia Consultant

DECEMBER 19, 2016

Control of the airway is the most important clinical priority in anesthesia care. The INTUBATION AFTER INDUCTION OF GENERAL ANESTHESIA section of the Difficult Airway Algorithm is bifurcated into two pathways. The most critical technical skill for an anesthesiologist is. facemask ventilation.

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The Anesthesia Consultant

MAY 12, 2015

In the operating room, you induce anesthesia with your standard recipe of 2 mg of midazolam, 100 mcg of fentanyl, 200 mg of propofol, and 40 mg of rocuronium, and intubate the trachea. Let’s look at the anesthesia literature to learn what has been described about this problem. Her blood pressure is 150/90 on admission.

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The Anesthesia Consultant

NOVEMBER 13, 2019

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. Assistant surgeon(s) and techs stand at the patient’s side, watch the surgery on video screens, and assist during the operation.

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The Anesthesia Consultant

JANUARY 2, 2016

Rather than physician anesthesiologists personally performing anesthesia, expect to see CRNAs supervised by physician anesthesiologists in an anesthesia care team, or in some states, CRNAs working alone. There will be a paucity of new drugs to change the practice of operating room anesthesia.

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The Anesthesia Consultant

MARCH 5, 2018

Surgery and anesthesia are never 100% safe, no matter where procedures are done. There are four key questions regarding safe patient care at surgery centers: Is the scheduled procedure appropriate for an outpatient surgery center? Is the patient healthy enough to tolerate the scheduled procedure as an outpatient?

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The Anesthesia Consultant

SEPTEMBER 6, 2019

I don’t tout myself as an expert in AI technology, but I am an expert in taking care of patients, which I’ve done in clinics, operating rooms, intensive care units, and emergency rooms at Stanford and in Silicon Valley for over 30 years. AI is already prevalent in our daily life. AI is already prevalent in our daily life.

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The Anesthesia Consultant

JANUARY 19, 2017

I’ve met and worked alongside hundreds of anesthesia colleagues from all corners of the globe. Some were academic professors, some were trainees at a university, and some were community anesthesiologists either in my group or in other anesthesia companies. Learn to perform medical procedures at the highest level.

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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% 300 mg of morphine, and a light general anesthetic using 1-1.5% What do you do?

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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 a later scene, Clint returns to the same room and kills Maggie. As this scene ends, Frankie walks out of the room leaving Maggie to die behind him. Her coach and trainer, Frankie Dunn (Clint Eastwood) visits her.

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The Anesthesia Consultant

AUGUST 17, 2020

My experience in Quality assurance/Quality improvement programs includes: Stanford University Hospital QA Committee (Care Review Committee), 1997 – 2009 Stanford University Anesthesia QA Committee, 2002 – 2009, and Waverley Surgery Center QI Committee (Chairman), 2002 – present. Mistakes happen in medicine.

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The Anesthesia Consultant

JULY 11, 2019

When a patient decompensates emergently at a freestanding ambulatory surgery center or in an operating room at a doctor’s office, the facility will call for an ambulance staffed with EMT personnel. The surgery was done in a small community hospital where there was no ICU, blood bank, or emergency room.

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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

OCTOBER 19, 2018

Let’s discuss an elephant in the room of operating room anesthesia–the association between peripheral nerve blocks and nerve injury. The use of peripheral nerve blocks has crescendoed in anesthesia practice, stimulated by the use of ultrasound-guided visualization of nerves. Liu SS, et al. Why is this?

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