The Anesthesia Consultant

FEBRUARY 6, 2019

There are multiple different models of anesthesia care. 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). There was no evidence for the specific cause of the decreased mortality.

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The Anesthesia Consultant

OCTOBER 14, 2022

When you arrive at the PACU, a nurse reattaches your patient to the vital sign monitors, and discovers that the patient’s oxygen saturation has dropped from 100% in the OR to a severely low value of 80% in the PACU. The anesthesiologist may be supervising the transfusion of blood, platelets, or plasma.

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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.

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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

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

FEBRUARY 16, 2021

The patient will probably already have an IV in their arm, placed by a registered nurse. (To 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. I’ll remove the tube when you wake up.

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The Anesthesia Consultant

AUGUST 28, 2016

If you work in a practice which utilizes an anesthesia care team, where one physician anesthesiologist may supervise, for example, 4 Certified Registered Nurse Anesthetists (CRNAs), then a physician’s income is increased because he or she is billing for and supervising care for multiple concurrent surgeries.

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The Anesthesia Consultant

OCTOBER 21, 2015

Risk factors for cardiac arrest were children under one year of age, emergency surgery, ASA physical status 3-5, and general anesthesia. There were 11 cardiac arrests related to anesthesia care. 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

MAY 2, 2023

We may someday see anesthesia managed by less highly trained persons in the OR, with an ACTor backing them up by watching from on high. Anesthesiologists who supervise Certified Registered Nurse Anesthetists (CRNAs) or Anesthesia Assistants (AAs) in an anesthesia care team model often have to provide care for multiple patients simultaneously.

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The Anesthesia Consultant

AUGUST 7, 2017

Such a robot would not replace a human anesthesiologist, but could serve as an autopilot analogue during the maintenance or middle phase of long anesthetics, freeing up the anesthesia professional so that he or she need not be physically present. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

SEPTEMBER 25, 2015

Anesthesia education today has improved since the 1980’s when I was a first-year resident, but the same themes persist. A supervising attending must teach them, mentor them, and lecture them—case by case—until each resident learns the basic skills. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

AUGUST 16, 2018

Have the Stanford Emergency Manual 5 in your operating room suite, and ask a registered nurse to recite the Cognitive Aid Checklist for HYPOXEMIA to you, to make sure you haven’t missed something. If an anesthesia care team is attending to you, how many rooms is each physician anesthesiologist supervising?

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