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CODE BLUE – WHEN AN ANESTHESIOLOGIST PREMATURELY DEPARTS A FREESTANDING SURGERY CENTER

The Anesthesia Consultant

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. The surgery concludes at 1630 hours.

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AUTISM AND ANESTHESIA

The Anesthesia Consultant

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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ANESTHESIA PATIENT QUESTION: HOW DOES MY SLEEP APNEA AFFECT MY RISKS FOR SURGERY?

The Anesthesia Consultant

The video provides answers to individuals who have obstructive sleep apnea and are contemplating surgery and anesthesia. Patients with OSA frequently present for surgery, and all anesthesia professionals must be aware of the risks involved with anesthetizing OSA patient. The link to this video is HERE. And disclosure of meds?

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PATIENTS: IS IT SAFE FOR YOU TO HAVE SURGERY DURING THE COVID PANDEMIC AS OF MAY 2020?

The Anesthesia Consultant

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. Is testing for the virus that causes COVID-19 available in your area?

Surgery 52
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WHEN SURGEONS, OR PATIENTS, TRY TO TELL THE ANESTHESIOLOGIST WHAT TO DO — 14 EXAMPLES

The Anesthesia Consultant

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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HIGH FLOW NASAL OXYGEN: AN ANESTHESIA GAME-CHANGER

The Anesthesia Consultant

The capacity to deliver this much oxygen to a non-intubated patient is a marked advance in anesthesia care. We extended the apnea times of 25 patients with difficult airways who were undergoing general anesthesia for hypopharyngeal or laryngotracheal surgery. The product was called Optiflow.

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DO DOCTORS EVER RIDE IN AMBULANCES?

The Anesthesia Consultant

Her breathing tube had been removed, but she developed upper airway obstruction in the Post Anesthesia Care Unit (PACU) and needed urgent reintubation. Do doctors ever ride in ambulances? In the process of doing 30,000 anesthetics, I’ve taken several rides in the back of an ambulance with my patients.