The Anesthesia Consultant

MARCH 4, 2022

How soon will we see robotic anesthesia in our hospitals and surgery centers? But what’s new in anesthesia the last 30 years? Ten years ago, when I asked him what new anesthesia drugs were in the pipeline, he answered, “None, and there probably will be very few new ones. Relatively little. Why have there been no new anesthetics?

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The Anesthesia Consultant

AUGUST 24, 2020

His vital signs are normal, and his abdominal exam is negative for tenderness. He is scheduled for general anesthesia for the endoscopy procedure. Twenty minutes before his procedure, the anesthesiologist asks the patient if he takes any medicine or drugs. Cannabis use is common. Each year 2.6

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The Anesthesia Consultant

DECEMBER 30, 2022

Ciprofol is a new intravenous (IV) anesthetic agent which is undergoing early clinical trials in China, and may become a significant tool in our anesthesia armamentarium if and when the drug is approved by the Food and Drug Administration (FDA) in the United States. Generic propofol is inexpensive, averaging about $2.27 mg/kg group.

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The Anesthesia Consultant

JUNE 18, 2019

Data exists that intravenous caffeine may be effective in assisting the awakening of patients following general anesthesia. Will a shot of IV espresso be the stimulus for you to return to consciousness after your general anesthetic? I tried it on several of my patients who had prolonged awakening after general anesthesia.

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The Anesthesia Consultant

OCTOBER 8, 2019

preparing to remove an endotracheal tube from a patient Every general anesthetic has risk. The conclusion of most general anesthetics requires the removal of a breathing tube. The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. In the immortal words of Forrest Gump, “Sh*t happens.”

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The Anesthesia Consultant

JUNE 23, 2016

GENERAL ANESTHESIA FOR DENTAL OFFICES CASE PRESENTATION: A 5-year-old developmentally delayed autistic boy has multiple dental cavities. The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. Options for anesthesia induction include: Intramuscular sedation.

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The Anesthesia Consultant

JULY 12, 2021

Vigilance regarding a sleeping patient’s vital signs was always paramount, but the constant effort to be vigilant could be mind-numbing. Major adverse events seldom occur during the middle of a general anesthetic of long duration on a healthy patient. Many anesthesia providers carry a laptop or a tablet in their briefcases.

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The Anesthesia Consultant

MARCH 28, 2024

The patient is expected to emerge from post-transplant-induced anesthesia with cranial nerve function already present or rapidly recovering. Emma Stone in Poor Things Daniel Kaluuya in Get Out The movie Poor Things was nominated for the 2024 Academy Award for Best Picture. How feasible is brain transplantation?

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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 trachea is intubated, and anesthesia is maintained with 1-1.5% The surgery concludes at 1630 hours.

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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. Just do MAC (Monitored Anesthesia Care) anesthesia for this case, but make sure he’s asleep. You’re a board-certified anesthesiologist. You’re wrong to cancel his surgery.”

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The Anesthesia Consultant

AUGUST 7, 2017

See Robot Anesthesia and Robot Anesthesia II ) AI already influences our daily life. I’m fascinated by the topic of artificial intelligence in medicine. This is the third column in a series regarding robots in medicine. Smartphones verbally direct us to our destination through mazes of highways and traffic.

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The Anesthesia Consultant

SEPTEMBER 6, 2019

The Amazon Echo brings us Alexa, an AI-powered personal assistant who follows verbal commands in our homes.Artificial intelligence in medicine (AIM) will grow in importance in the decades to come and will change anesthesia practice, surgical practice, perioperative medicine in clinics, and the interpretation of imaging.

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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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Anaesthesia News

FEBRUARY 29, 2024

Acute kidney injury (AKI) occurs in about 1% of patients undergoing general surgery procedures. ACUTE KIDNEY INJURY 1. What are the significant risk factors of perioperative renal failure? mg/dL or more (≥26.4 μmol/L) or A percentage increase in serum creatinine of 50% or more (1.5-fold

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The Anesthesia Consultant

MAY 2, 2023

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. Louis, Missouri are studying a novel system they call the Anesthesia Control Tower (ACT). What do you do?

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The Anesthesia Consultant

JUNE 12, 2023

I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. Medications may need to be adjusted or temporarily stopped to minimize potential risks during the procedure. This could indicate a cardiac event or a complication related to the anesthesia.

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The Anesthesia Consultant

NOVEMBER 4, 2021

On physical exam, her vital signs are normal, her lungs are clear, and her heart exam is positive for the clicking sound of a mechanical valve and a 2/6 systolic murmur. Vital signs remain normal with BP=110/70, P=80, and oxygen saturation=99%. She is obese, weighing 200 pounds, with a BMI=35. She is on no medications.

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The Anesthesia Consultant

APRIL 4, 2021

The attending general surgeon wants to do an upper GI endoscopy to extract the piece of meat from the patient’s esophagus or push it through into the stomach. 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. You are panicked.

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Radius Anesthesia

MAY 17, 2023

In particular, there are unique considerations for patients undergoing cancer treatment, especially radiation therapy, who need anesthesia. In particular, there are unique considerations for patients undergoing cancer treatment, especially radiation therapy, who need anesthesia. Impacts on other areas are also important.

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The Anesthesia Consultant

JUNE 27, 2017

Million Dollar Baby won the Academy Award for Best Picture in 2004, yet the concluding scenes vital to the movie’s plot are both medically impossible and unrealistic. Million Dollar Baby won the Academy Award for Best Picture in 2004, yet the concluding scenes vital to the movie’s plot are both medically impossible and unrealistic.

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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

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

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 16, 2018

If something dire goes wrong during anesthesia and surgery and the flow of oxygen to the brain is cut off, an anesthesia practitioner has about five minutes to diagnose the cause of the problem and treat it. The good news is that catastrophic events causing sudden drops in oxygen levels are very rare during anesthesia.

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The Anesthesia Consultant

FEBRUARY 19, 2016

We’re going to sedate this patient for a medical procedure. The procedure does not require a breathing tube, so we’ll administer the sedation and be vigilant regarding what happens to the patient’s vital signs. Let’s discuss a hypothetical male patient. He is 79 years old, overweight, and has a thick neck.

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The Anesthesia Consultant

APRIL 8, 2025

anesthesia, I see commandments as guidelines for how to be a safe and excellent anesthesiologist. Based on forty years of clinical practice and administration in both community and academic anesthesiology, here are Ten Commandments of Anesthesia as I see them: Be a doctor, not a propofol technician.

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