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 surgery concluded 2 hours later and the anesthetics were discontinued.

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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

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. In a way, it is.

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The Anesthesia Consultant

NOVEMBER 13, 2019

Almost every anesthesiologist in America has experience with surgery using the da Vinci robot system. Is robot surgery a miraculous futuristic device that advances surgery to a higher plain? Until the 1990s most abdominal surgery was done through an open incision. To answer these questions let’s first review some history.

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The Anesthesia Consultant

MAY 13, 2020

An important question for many Americans is, “Is it safe for me to have surgery during this COVID pandemic?” The main questions as to whether a hospital or an ambulatory surgery center can resume elective surgery as of May 2020 are: What is the incidence of COVID-19 in your geographic area? It depends.

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The Anesthesia Consultant

NOVEMBER 4, 2021

You’re the anesthesiologist assigned to a freestanding ambulatory surgery center (ASC). Are you and the facility prepared for an emergency at a surgery center? Let’s examine this case study: You meet your first patient of the morning, a 75-year-old female scheduled for lateral epicondylitis release surgery on her right elbow.

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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

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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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. They assist in exposure, closure, hemostasis, and other intraoperative technical functions that ultimately ensure the surgery is successful.

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The Anesthesia Consultant

SEPTEMBER 28, 2023

This example illustrates the utility of the Stanford Emergency Manual: An anesthesiologist is working at a freestanding outpatient surgery center, and is scheduled to anesthetize a patient for an arthroscopic rotator cuff repair. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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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

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

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

MARCH 12, 2015

TOP 10 MOST STRESSFUL SITUATIONS IN AN ANESTHESIOLOGIST’S JOB Emergency general anesthesia in a morbidly obese patient. Picture a 350-pound man with a bellyful of beer and pizza, who needs an emergency general anesthetic. An emergency Cesarean section under general anesthesia in the wee hours of the morning.

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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). Anesthetists, nurses, and medical students accurately identified only 25, 23, and 21 of the 154 patients as being hypoxemic, respectively.

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The Anesthesia Consultant

JULY 11, 2019

Sixty-six percent of surgeries in the United States take place as an outpatient , and many of these surgeries are performed at freestanding facilities distant from hospitals. Her breathing tube had been removed, but she developed upper airway obstruction in the Post Anesthesia Care Unit (PACU) and needed urgent reintubation.

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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

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

MARCH 18, 2021

You’re a patient scheduled for elective surgery tomorrow. You’re nervous and you’d like to drink a glass of wine (or two) at dinner the night before the surgery. What’s the relationship between alcohol and anesthesia? Surgery is common in the United States—there were more than 17 million surgeries performed in America in 2014.

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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

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

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.

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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. To gain a better anesthesia job, get the three A’s of ability/affability/availability aligned per the suggestions above.

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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

JANUARY 9, 2020

BEFORE SURGERY In every cannabis using patient, the anesthesia preoperative evaluation should include assessment of the psychologic, cardiac, and pulmonary systems in order to minimize any risk of a perioperative complication. In Jamaica, a prospective randomized study was carried out on 73 patients who underwent elective surgery.

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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

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

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

JULY 17, 2015

During surgery, much of our job is to observe. 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. You watch monitor screens, talk to the surgeon and the nurses, and listen to music.” But not all anesthesiologists are equal.

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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.,

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The Anesthesia Consultant

MAY 6, 2019

International Plastic Surgery Imagine. This model for plastic and reconstructive surgery was born at Stanford University Medical Center in the 1960s in an organization named Interplast. Interplast was founded by Donald Laub MD, who was the Chief of the Division of Plastic and Reconstructive Surgery at Stanford from 1968-1980.

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The Anesthesia Consultant

FEBRUARY 11, 2018

Are we physicians or are we glorified advanced practice nurses?” The surgical attendings were the kings, the students were the peasants, the nurses and techs were serfs, and the anesthesiologists were the whipping boys for the surgeons. It’s true that surgeons bring the patients to the operating room for surgery.

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The Anesthesia Consultant

APRIL 26, 2018

One registered nurse had a fulltime job locating appropriate brain dead heart donors within a 60-90 minute Learjet trip from Stanford. A separate team of physicians and nurses was responsible for assembling a waitlist of prospective heart transplant recipients, and for arranging housing for them within the San Francisco Bay Area.

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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

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 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 personnel will be in great demand.

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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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