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

JUNE 26, 2022

What’s the difference between a physician anesthesiologist and a nurse anesthetist? After the first 3 – 4 years in the workforce, either one can master the manual skills of anesthesia. So what really is the difference between a physician anesthesiologist and a nurse anesthetist? The answer: internal medicine.

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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.

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The Anesthesia Consultant

JULY 12, 2021

Anesthesiologists could chat with the surgeons and/or nurses, make an occasional phone call, and at times read materials they brought with them into the operating room. Major adverse events seldom occur during the middle of a general anesthetic of long duration on a healthy patient. Love it or hate it, the EMR is here to stay.

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The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. One can also order a laminated 8½ x 11½-inch version of the Manual to hang in each operating room. The manual lists diagnostic and therapeutic steps to follow in 26 different emergency scenarios.

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The Anesthesia Consultant

FEBRUARY 16, 2021

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. Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room.

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Platinum Meidcal Staffing

MARCH 10, 2023

3 Ways Surgical Providers Improve Patient Outcomes Surgical providers—surgical assistants, nurses, and surgical technologists—provide aid during surgery to doctors. Shorten surgery times According to the Canadian Journal of Surgery, operations involving skilled surgical assistants are completed 30 percent faster.

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The Anesthesia Consultant

JANUARY 29, 2018

Anesthesiologists still work in hospital operating rooms, but their expertise is also needed in other places, including invasive radiology, gastrointestinal endoscopy, electrophysiology and more. The job of a certified nurse anesthetist was listed as #11 on the Best Paying Jobs list. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

OCTOBER 14, 2022

Imagine this scenario: You’ve just finished anesthetizing a patient in a hospital setting, and the patient now requires transport from the operating room (OR) to the post-anesthesia care unit (PACU). It’s common for zero monitoring equipment to be attached to the patient.

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The Anesthesia Consultant

OCTOBER 28, 2018

He is verbal with his mother, but refuses to interact with the anesthesia or nursing personnel. The two hospital guards and the mother donned white operating room coveralls. Parents often ask about the risk of general anesthesia to the brain of their child. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

FEBRUARY 11, 2018

Are we physicians or are we glorified advanced practice nurses?” 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. Read my column on bullying in the operating room. Are we the ‘captain of the ship’ or is the surgeon?

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The Anesthesia Consultant

JUNE 4, 2024

No one wants a partner who repeatedly creates conflict in the workplace, who initiates conflict with a surgeon in the operating room, a nurse in the post anesthesia care unit, or an administrator. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room?

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The Anesthesia Consultant

APRIL 25, 2021

A doctor or a nurse? On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “

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The Anesthesia Consultant

MARCH 12, 2015

But most surgeons spend the majority of their work time in clinics and on hospital wards attending to pre-operative and post-operative patients. On the 1 – 3 days a week most surgeons spend operating, they are joined in the operating room by anesthesiologists who attend to surgical patients’ lives every day.

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The Anesthesia Consultant

MAY 13, 2020

When you enter the healthcare facility, a nurse will question you regarding virus symptoms, and will screen you by taking your temperature. 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.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

There are Two Laws of Anesthesia, according to surgeon lore. Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. Anesthesiologists typically spend 90+% of their working hours in the operating room.

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The Anesthesia Consultant

APRIL 2, 2016

This technique induced vasoconstriction and resulted in decreased blood loss, and made transfusion and post-operative anemia rare. Our facility, the Plastic Surgery Center in Palo Alto, has two operating rooms. A protocol for large-volume liposuction at our facility is as follows: General anesthesia is induced.

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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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Gomer: Anesthesiology

MAY 25, 2020

That’s why we have circulating nurses in the OR.” said Willing Accomplice, the room’s circulating nurse. Shortly after, the spinal anesthetic wore off and the patient was quickly placed under general anesthesia. Dr. Annuloplasty remains in a ketamine-induced haze in the corner of the operating room.

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The Anesthesia Consultant

JANUARY 1, 2024

Anesthesiologists are likely to have: A preference for being in an operating room rather than in a clinic. Most of the time an anesthesiologist works in the operating room. A busy surgeon may work in the operating room two or three days per week. A busy anesthesiologist will be in the operating room five or more days per week.

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The Anesthesia Consultant

FEBRUARY 6, 2019

In an anesthesia care team, a physician anesthesiologist supervises up to four operating rooms and each operating room is staffed with a certified registered nurse anesthetist (CRNA). In many hospital operating rooms, a solitary physician anesthesiologist attends to his or her patient alone.

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The Anesthesia Consultant

NOVEMBER 13, 2019

Video laparoscopy surgical equipment and the longer operating times were increased expenses, but the advantages of outpatient surgery and quicker recovery made the new technique the standard of care for many surgeries within the abdomen. Robot surgeries take up more of an operating room’s most precious resource—time.

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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. Should anesthesiologists avoid these activities?

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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. What is this threat?

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The Anesthesia Consultant

JULY 17, 2015

An operating room emergency is not a time for screaming, temper tantrums, or freezing. An operating room emergency is a time for calm, assertive action. One day I brought my 15-year-old son into the operating room with me to observe surgery, hoping he would respect the complex nature of my job.

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The Anesthesia Consultant

MARCH 2, 2020

Each bed would require a ventilator, a set of monitors, and around-the-clock nursing staffing. Can an anesthesia machine in an operating room be used as an ICU ventilator? Can an anesthesia machine in an operating room be used as an ICU ventilator? Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

FEBRUARY 22, 2018

Baker is doing in panel 4, but the anesthesiologist’s rapid heart rate and the adrenaline rush in high pressure operating room situations accompany the growth of every anesthesiologist from inexperience trainee to seasoned professional. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

NOVEMBER 16, 2015

Particularly in acute care, the computer keyboard and screen have no place between an anesthesiologist and his patient, an emergency room physician and his patient, an ICU doctor and his patient, or an ICU nurse and her patient. Nurses consistently have their backs to patients as they type, type, type data into computer terminals.

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The Anesthesia Consultant

JANUARY 19, 2017

You have to get along well with surgeons, the nursing staff, the scrub techs, administrators, and the patients. Their patients are obtunded on arrival to the Post Anesthesia Care Unit (PACU) after surgery, and they rely on the PACU nursing staff to complete the job of anesthesia wake up. Be friendly and personable.

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The Anesthesia Consultant

JUNE 27, 2017

These alarms would bring a fleet of nurses and/or doctors into the room to try to save the patient. The premise of Coma was that healthy young patients were developing brain death after general anesthesia, for no apparent reason. You can relax. Coma could not happen in this manner in the 21 st Split (2016).

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The Anesthesia Consultant

OCTOBER 18, 2018

Turn the page to the first weeks of an anesthesia career in a private or community practice, and the setting is different: The new graduate must work by themselves, without supervision, in a new and unfamiliar hospital, alongside surgeons and nurses they don’t know. I learned a lot in my first year(s) in private practice.

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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.

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The Anesthesia Consultant

MAY 6, 2019

rare unrepaired surgical cases in foreign lands, coupled with surgeons in America who rarely have the opportunity to operate on such cases. Dr. Robert Chase restored the boy’s appearance with three operations. We started intravenous lines after the induction of anesthesia, but we had very few medications to inject into those IVs.

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The Anesthesia Consultant

AUGUST 17, 2020

Ideally the involved MDs and nurses will fill out an Incident Report or an Adverse Event Report, which includes the details of what happened to their patient. Some reports reveal only minor issues such as prolonged post-operative nausea and vomiting, or a prolonged Post Anesthesia Care Unit stay.

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The Anesthesia Consultant

APRIL 20, 2019

Chapter 1 THE BRICKLAYER Alec Lucas’s first contact with FutureCare came in operating room #19 at the University of Silicon Valley Medical Center, where his patient Elizabeth Anderson blinked into the twin suns of the surgical lights hanging from the ceiling. Alec wondered why they were doing this operation on this lady.

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The Anesthesia Consultant

JUNE 26, 2018

How can it be that general anesthesia has ceased to evolve? Anesthesia in 2018 is markedly different from anesthesia in the 1990s. Most of the drugs in use haven’t changed, but current-day anesthesia providers practice in a cockpit surrounded by computers. Why Did Take Me So Long To Wake From General Anesthesia?

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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 patient had multiple low-normal blood pressure readings over the first 5 hours postoperatively, and was being observed by the nursing staff.

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