The Anesthesia Consultant

SEPTEMBER 3, 2021

Who is responsible for your safety before, during, and after your surgery? Will it be a nurse or will it be a physician? The word “perioperative” means “around the time of surgery.” It’s officially defined as the 30-day time period following surgery. Note this data was for inpatient surgeries.

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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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The Anesthesia Consultant

JANUARY 29, 2018

The job of a certified nurse anesthetist was listed as #11 on the Best Paying Jobs list. The median salary of nurse anesthetists was listed as $160,270, and the unemployment rate as 2.7%. Careers in anesthesia are intellectually stimulating, emotionally gratifying, and have high median salaries and ultra-low unemployment.

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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

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. A press article describing the ACT states: “Surgery is a big insult to the human body. A lot can go wrong.

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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

JULY 12, 2021

Every anesthesia provider carries a smartphone connected to the internet. Many anesthesia providers carry a laptop or a tablet in their briefcases. These devices enable an anesthesiologist to remain connected to the outside world during surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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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

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

OCTOBER 4, 2021

including pediatric open heart surgery, and pediatric surgery involving major blood loss). In 2021 a nurse anesthetist publication looked at the use of Google Glass by seven nurse anesthetists for display of the vital signs monitor , but there were no quantitative data to examine the significance of the technology.

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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

MARCH 24, 2022

Propofol administration requires an experienced clinician, e.g. either an anesthesiologist, a certified registered nurse anesthetist (CRNA), or an emergency medicine physician. Since midazolam (Versed) was approved in 1982, a standard anesthesia practice has included a 2 mg dose of Versed prior to surgery to calm a patient’s anxiety.

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The Anesthesia Consultant

FEBRUARY 22, 2018

I’ve heard surgeons say, “The patient is moving, dammit,” but the frequency of this sort of angry retort is less now than it was in the 1980s when I began my anesthesia career. Do anesthesiologists have surgeries which last 10 hours? Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JULY 25, 2022

JAMA Surgery published the study “ Association of Anesthesiologist Staffing Ratio With Surgical Patient Morbidity and Mortality ” on July 22, 2022. There were approximately 21 million surgeries per year in the United States in 2014. Anesthesiologists do not routinely read JAMA Surgery and may be quick to dismiss the findings.

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The Anesthesia Consultant

FEBRUARY 13, 2018

The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

SEPTEMBER 19, 2018

. * * * * LEARN MORE ABOUT RICK NOVAK’S FICTION WRITING AT RICK NOVAK.COM BY CLICKING ON THE PICTURE BELOW: The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

MAY 6, 2017

A private practice anesthesia group needn’t be a physician-only group. In many private practice anesthesia groups, physician anesthesiologists supervise multiple nurse anesthetists in multiple operating rooms. These groups are still single specialty anesthesia groups. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

JULY 2, 2018

What should you do if your 2-year-old son or daughter requires surgery and anesthesia? Consistent with animal studies, recent human studies suggest that a single, relatively short exposure to general anesthetic and sedation drugs in infants or toddlers is unlikely to have negative effects on behavior or learning.

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The Anesthesia Consultant

JUNE 20, 2017

In anesthesiology residency training we learn to perform every kind of anesthetic—cardiac, trauma, brain surgery, transplant surgery, abdominal surgery, chest surgery—on every type of patient—newborns, one-hundred-year-olds, or pregnant women. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JUNE 26, 2018

How can it be that general anesthesia has ceased to evolve? What about regional anesthesia? When a patient needs an epidural for surgery, the recipe of bupivicaine or lidocaine +/- narcotic is unchanged from the 1990s. Ultrasound-guided regional anesthesia was developed in 1994, but became popular in the past ten years.

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The Anesthesia Consultant

FEBRUARY 16, 2021

Anesthesia is not the career for you if you like to sleep late—surgery always begins at 0730 hours). The first surgery today is a procedure devised to treat obstructive sleep apnea, a procedure called a maxillary-mandibular osteotomy. The surgery will take approximately three hours. I’ll remove the tube when you wake up.

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The Anesthesia Consultant

MAY 29, 2018

The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

FEBRUARY 6, 2019

For healthy patients undergoing elective surgery the anesthetic risks are minimal, and are similar to the risks of driving on a freeway in an automobile. There are multiple different models of anesthesia care. Let me cite some examples of anesthesia free-soloing: The new graduate is on duty at 2 a.m., Sound scary?

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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. Prior to surgery healthy outpatients donated their own autologous blood, which they received intraoperatively to treat the expected hemorrhage which accompanied liposuction. in 2016 showed a 0.9%

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The Anesthesia Consultant

DECEMBER 23, 2015

Regional anesthesia is a growing frontier in modern clinical anesthesia, in part because of the availability of ultrasonic imaging to help us direct needle placement. The subspecialty of regional anesthesia has blossomed. following general anesthesia in contrast to a peripheral nerve injury rate of 1.7%

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The Anesthesia Consultant

JANUARY 2, 2016

More care team anesthesia and more Certified Nurse Anesthetists (CRNAs). 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. Anesthesia has never been safer.

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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

FEBRUARY 11, 2018

It’s true that surgeons bring the patients to the operating room for surgery. I was an internal medicine doctor who lacked these skills and then acquired them during anesthesia residency. Maybe you’re worried that nurse anesthetists will take your job away. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

MAY 10, 2016

It’s not clear the idea has widespread traction as of yet, and the concept will always be at odds with the individual aspirations of internal medicine doctors, hospitalists, intensivists, surgeons, and certified nurse anesthetists, all who want to make their own management decisions, and all who desire to be paid for owning those decisions.

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The Anesthesia Consultant

DECEMBER 14, 2016

During surgery, anesthesiologists measure the carbon dioxide concentration of every breath you inhale and exhale. Stop the surgery as soon as possible. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Administer dantrolene.

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The Anesthesia Consultant

OCTOBER 26, 2016

General anesthesia is the sum of hypnosis (sleep), amnesia, analgesia (pain relief), and the lack of any motion response to pain. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

DECEMBER 19, 2016

In his judgment delaying the surgery would increase the patient’s risk of loss of vision. At the conclusion of surgery, because of the full stomach, the patient is extubated awake. For tips on a smooth emergence, see my column on Smooth Emergence from Anesthesia. 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

MAY 4, 2016

If a patient suffers a bad outcome after anesthesia, did the anesthesiologist commit malpractice? If there was an anesthesia error, was it anesthesia malpractice? There are risks to every anesthetic and every surgery, and if a patient sustains a complication, it may or may not be secondary to substandard anesthesia care.

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The Anesthesia Consultant

FEBRUARY 4, 2018

What if your patients, especially elderly patients, could enter their personal data and symptoms into an iPad app, and what if that information could help you determine if their risk for anesthesia was too great to risk having surgery? I have both an interest and expertise in the evaluation and management of geriatric surgery patients.

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The Anesthesia Consultant

NOVEMBER 16, 2015

The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia? What Are the Common Anesthesia Medications?

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