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You Are Not “Asleep” Under Anesthesia

Ed Mariano

Just before the start of anesthesia, a patient may hear the operating room nurse saying, “Think of a nice dream as you go off to sleep.” While these statements are intended to soothe patients during a stressful time, they gloss over this critical fact: Anesthesia is not like normal sleep at all.

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DYING UNDER GENERAL ANESTHESIA

The Anesthesia Consultant

Will you enable dying under general anesthesia? A recent article from the United Kingdom discussed this topic of end of life anesthesia , otherwise known as “terminal anesthesia.” They request to have a general anesthetic so they are unconscious throughout the process of dying under general anesthesia.

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DOES GENERAL ANESTHESIA CAUSE DEMENTIA?

The Anesthesia Consultant

Does exposure to general anesthesia cause dementia? Association of Mild Cognitive Impairment With Exposure to General Anesthesia for Surgical and Nonsurgical Procedures: A Population-Based Study. All of their anesthesia records for surgeries after the age of 40 were reviewed. In a word, “No.” Anesthesiology.

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SMOOTH EMERGENCE FROM GENERAL ANESTHESIA

The Anesthesia Consultant

An anesthesia colleague wrote to me several months ago, asking for my recommendations for achieving smooth emergence. I’ve performed countless general anesthetics for surgeries requiring smooth emergence, specifically carotid endarterectomies, rhinoplasties, facelifts, craniotomies, thyroidectomies, and other head and neck procedures.

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WHO WILL BE PROVIDING ANESTHESIA CARE 10 YEARS FROM NOW?

The Anesthesia Consultant

This will require an operating room staffed with a surgeon, a nurse, a scrub technician, and an anesthesia professional. If the current trend of inadequate numbers of anesthesia clinicians in the United States is not reversed, this insufficient supply will be a major problem. of the population).

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DENTAL ANESTHESIA DEATHS. GENERAL ANESTHESIA FOR PEDIATRIC PATIENTS IN DENTAL OFFICES

The Anesthesia Consultant

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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NURSE ANESTHESIOLOGY?

The Anesthesia Consultant

Will it be a nurse or will it be a physician? At times, physician anesthesiologists employ certified registered nurse anesthetists (CRNAs) to assist them in what is called the anesthesia care team (ACT) model. Who is responsible for your safety before, during, and after your surgery? This is an important question.

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