The Anesthesia Consultant

OCTOBER 4, 2021

Placing a catheter into the tiny radial artery in a child’s wrist is one of the most difficult procedures in our specialty. Wearing smart glasses improved the anesthesiologist’s first-attempt success rate, and reduced the procedure time and complication rates. The average internal diameter of the radial artery is 1.2 ± 0.3

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The Anesthesia Consultant

MARCH 22, 2019

This likely would lead to an increased role for certified nurse anesthetists (CRNAs), and an eventual increase in the number of schools training CRNAs, but in the short term there would be no way to staff adequate numbers of anesthesia professionals. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

DECEMBER 19, 2016

At times urgent procedures are delayed until the patient has been fasting for 6 hours, and has an appropriate NPO status. It’s common for general anesthesia practitioners to cover many or all specialties when they’re on call. Why Did Take Me So Long To Wake From General Anesthesia? True ophthalmic emergencies (e.g.

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The Anesthesia Consultant

JULY 25, 2022

This was a landmark paper on the topic of anesthesiologist:CRNA staffing ratios, which documented that having physician anesthesiologists direct three or four operating rooms simultaneously for major noncardiac inpatient surgical procedures increased the 30-day risks of patient morbidity and mortality. Yes, it does. Perhaps, but probably not.

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The Anesthesia Consultant

FEBRUARY 16, 2021

The first surgery today is a procedure devised to treat obstructive sleep apnea, a procedure called a maxillary-mandibular osteotomy. You may have nausea after general anesthesia. You’ll wake up reasonably comfortable, but as the general anesthesia wears off you’ll likely experience the onset of pain.

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The Anesthesia Consultant

JANUARY 19, 2017

Surgeons, nurses, and other anesthesiologists notice this, and the reputation of a practitioner who can’t wake a patient on time is no secret within a surgical suite. Learn to perform medical procedures at the highest level. Why Did Take Me So Long To Wake From General Anesthesia? Anesthesiologists are hands-on doctors.

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The Anesthesia Consultant

AUGUST 26, 2015

But nothing is perfect, and anesthesia has one threat which could in time undermine the entire specialty. No, it’s not the nurse anesthetists, nor the stress of covering surgeries in the middle of the night, nor the stress of saving patients who are trying to die in front of our eyes during acute care emergencies.

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The Anesthesia Consultant

OCTOBER 8, 2019

The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. At the onset of general anesthesia anesthesiologists place an ET tube through the mouth, past the larynx (voice box), and into the trachea (windpipe). The procedure lasted only 15 minutes. Extubation is risky business.

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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

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. What do you do? The dentist and an anesthesiologist were both present.

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The Anesthesia Consultant

JULY 2, 2018

Food and Drug Administration (FDA) is warning that repeated or lengthy use of general anesthetic and sedation drugs during surgeries or procedures in children younger than 3 years or in pregnant women during their third trimester may affect the development of children’s brains. Let’s look at recommendations as they exist in 2018.

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The Anesthesia Consultant

JULY 12, 2021

In anesthesia care team models, in which a Certified Nurse Anesthetist (CRNA) is physically present in the operating room while being supervised by an attending physician anesthesiologist, the MD anesthesiologist can be summoned to return to the operating room in seconds if a problem arises.

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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. of the 1175 anesthesia-related malpractice claims in the United States were attributed to PACU events.

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The Anesthesia Consultant

DECEMBER 19, 2016

The INTUBATION AFTER INDUCTION OF GENERAL ANESTHESIA section of the Difficult Airway Algorithm is bifurcated into two pathways. After I induce general anesthesia and paralyze the patient, I find their larynx is anterior and difficult to visualize by direct laryngoscopy. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

OCTOBER 1, 2015

These fasting guidelines do not apply to surgical procedures under local anesthesia, or to those with no anesthesia. The guidelines do apply for colonoscopies or upper gastrointestinal endoscopy procedures. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

MAY 2, 2023

An estimated 10 to 20 percent of patients who undergo major inpatient surgery experience major complications such as heart attacks, unremitting pain, infections, and blood clots in the weeks to months following their procedures; about two percent are dead within 30 days of surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JUNE 12, 2023

Medications may need to be adjusted or temporarily stopped to minimize potential risks during the procedure. INTRAOPERATIVE DECISION A 60-year-old man with a history of hypertension is having a knee arthroscopy surgery under general anesthesia. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

DECEMBER 29, 2015

How do you feel when you meet your anesthesia provider prior to a surgical procedure? Older anesthesiologists were: More likely to perform anesthetics under monitored anesthesia care, and less likely to perform regional, spinal, or epidural anesthesia. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

AUGUST 7, 2017

This robot is not intended to have an independent existence, but rather enables the surgeon to see inside the body in three dimensions and to perform fine motor procedures at a higher level. 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

FEBRUARY 11, 2018

One day I was scrubbed in as a retractor-holding medical student on a 12-hour esophagectomy, and at the conclusion of the procedure the attending surgeon removed his gloves and gown and left the room to talk to the family. I was an internal medicine doctor who lacked these skills and then acquired them during anesthesia residency.

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The Anesthesia Consultant

SEPTEMBER 3, 2021

A 2013 study in Anesthesiology states, “Despite the fact that a surgical procedure may have been performed for the appropriate indication and in a technically perfect manner, patients are threatened by perioperative organ injury. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

OCTOBER 4, 2016

The procedure was to be done in the prone position, and required endotracheal intubation. The patient was turned prone, and the procedure commenced. After only 15 minutes of operating time, the gastroenterologist announced that the procedure was over. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

SEPTEMBER 1, 2017

All the anesthesiologists were single practitioners, that is, they were not part of an anesthesia care team with a nurse anesthetist. Projection errors also included procedures taking place in inappropriate environments, such as very sick patients having surgery in an office or an outpatient surgery center.

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The Anesthesia Consultant

OCTOBER 17, 2019

In an editorial in the same issue of Anesthesiology , authors Takashi and Hillman wrote, “Decision to provide a surgical airway was frequently delayed by repeated attempts at tracheal intubation, anesthesia care providers being hesitant to initiate surgical procedures, or surgeons being reluctant to perform tracheostomy or simply not available.”

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The Anesthesia Consultant

SEPTEMBER 25, 2015

When I left the hospital I had some rudimentary knowledge of how an anesthetic was done, but I’d failed to successfully place a breathing tube into any patient’s windpipe myself—a faculty member had to do every procedure for me. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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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. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JUNE 27, 2017

The premise of Coma was that healthy young patients were developing brain death after general anesthesia, for no apparent reason. Ketamine is an injectable general anesthetic which is effective in inducing general anesthesia within 30-120 seconds after an intramuscular injection. One out of 700 remain awake.”

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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. 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

AUGUST 16, 2018

The expected risk of serious complication for each procedure was low. In Case #1, a case study based on a closed claim malpractice settlement, the delays in anesthesia care led to prolonged low oxygen levels, and these prolonged low oxygen levels caused anoxic brain damage. Why Did Take Me So Long To Wake From General Anesthesia?

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