The Anesthesia Consultant

MARCH 31, 2015

You’re a Medical Director or medical educator, and you’re scheduled to deliver a lecture on the management of two or three common operating room emergencies. You’re an expert witness or a member of your hospital’s Quality Improvement committee, charged with reviewing the unfortunate outcome of an operating room medical complication.

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The Anesthesia Consultant

OCTOBER 28, 2018

The two hospital guards and the mother donned white operating room coveralls. At the mother’s consent, the guards laid the patient down on the hospital gurney, held him there, and the surgical team and the guards pushed the gurney down the hallway to the operating room (a significant distance of approximately 100 yards).

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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). All were transported to the PACU on room air without oxygen supplementation.

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The Anesthesia Consultant

JANUARY 29, 2020

One of the changes our profession has gone through is an ever-increasing demand to multitask, be it by running more than one operating room, or by simultaneously performing administrative or teaching tasks. How will we do anesthesia in the future? Can I get a propofol, remifentanil-based anesthesia?

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The Anesthesia Consultant

SEPTEMBER 15, 2020

Anesthesiologists typically spend 90+% of their working hours in the operating room. A busy surgeon will spend 50% of their time in the operating room, and the other 50% in preoperative clinic, postoperative clinic, or rounding on patients in the hospital. Why Did Take Me So Long To Wake From General Anesthesia?

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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

MAY 3, 2017

Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. Plan: cleared for general anesthesia providing ECG and labs are normal. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

MARCH 22, 2023

How will astronauts conduct general anesthesia and surgery in outer space? If an astronaut requires general anesthesia, one must assume the patient has a full stomach and is at risk for aspiration. GENERAL ANESTHESIA General anesthesia has the advantages of a quick and reliable onset.

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The Anesthesia Consultant

MAY 12, 2015

In the operating room, you induce anesthesia with your standard recipe of 2 mg of midazolam, 100 mcg of fentanyl, 200 mg of propofol, and 40 mg of rocuronium, and intubate the trachea. Predictors of hypotension after induction of general anesthesia Anesth Analg. Will I Have a Breathing Tube During Anesthesia?

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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 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

JULY 28, 2022

Digital access to all this written expertise can be at your fingertips anywhere, including in the operating room suite. The Anesthesia Consultant’s 2022 List of the Top Anesthesia Books includes: Miller’s Anesthesia , 9th edition, 2019, Editor-in-Chief Michael Gropper.

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The Anesthesia Consultant

MAY 13, 2020

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. If the procedure was an outpatient surgery, you will leave the facility and return home after you’ve recovered from anesthesia. (The Will I Have a Breathing Tube During Anesthesia?

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Platinum Meidcal Staffing

MARCH 10, 2023

Operating rooms must be cleaned in between surgeries, which means any delay in moving patients in and out of surgery as well as performing pre-op and post-op care can delay other surgeries on the books. Though general anesthesia is safe, it does carry risks of side effects, especially when used for a prolonged period during surgery.

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The Anesthesia Consultant

MARCH 2, 2024

When I arrived at their hospital, I donned scrubs and was ushered from operating room to operating room to meet 15 or 20 attending anesthesiologists while they worked. I’d read a lot from my anesthesia textbooks at that point, and I passed their exam. We’ll be in the operating room with you.”

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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

JANUARY 19, 2017

Some surgeons are bullies, and are condescending in their remarks and attitudes toward the anesthesia provider they’re working with. The most important value in the operating room is to care for the patient, but this value is never best served with a surgeon intimidating the operating room staff.

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Gomer: Anesthesiology

MAY 25, 2020

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. The procedure was completed uneventfully after the surgeon, Dr. Annuloplasty, unscrubbed to sucker punch Dr. Millerstein.

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The Anesthesia Consultant

NOVEMBER 23, 2016

Between them, Larson and Jaffe have taught hundreds of anesthesia residents the finer points of clinical care. Now, because of this book, readers can find on the printed page what the authors taught in the preoperative forum, in the operating room, and in the post-anesthesia recovery room.

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The Anesthesia Consultant

MARCH 24, 2022

For a long operating room anesthesia case (e.g. 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. Our chairman lectured to us, “Do you know many patients are nervous prior to their anesthesia and surgery?

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The Anesthesia Consultant

APRIL 25, 2021

Physician anesthesiologists frequently employ CRNAs to assist them in the anesthesia care team model. In this model, an MD anesthesiologist supervises up to four CRNAs who work in up to four different operating rooms simultaneously. The column said, “ the anesthesia care team model will be the end of physician anesthesiologists.

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The Anesthesia Consultant

AUGUST 14, 2015

My career has bridged clinics, operating rooms, intensive care units, emergency rooms, and helicopter trauma medicine. In the 21 st century operating room practice of anesthesiology, we typically have ten minutes to talk to a patient prior to rendering them unconscious. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

NOVEMBER 7, 2018

Dr. Bradley explained that in one approach in Britain, a two-person team traveled from operating room to operating room to teach the SBT method. 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

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

NOVEMBER 13, 2019

The da Vinci surgeon sits at a console in the corner of the operating room, with his back to the patient and his face in a 3-D viewer, which gives a high-definition, magnified view of the surgical site. Assistant surgeon(s) and techs stand at the patient’s side, watch the surgery on video screens, and assist during the operation.

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The Anesthesia Consultant

NOVEMBER 16, 2015

In an operating room, the circulating nurse’s job is analogous to that of a court reporter/stenographer. 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

JANUARY 2, 2016

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. There will be a paucity of new drugs to change the practice of operating room anesthesia.

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The Anesthesia Consultant

JULY 1, 2020

Search your heart and you’ll know whether you’d rather spend decades in an operating room/clinic setting, or whether you’d rather spend decades staring at a computer. 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

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. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

JANUARY 24, 2023

In 2016 there were more than 224,000 operating rooms in the United States , so tens of thousands of devices could be needed. Several large hospital systems, including the University of Arizona, Duke, University of North Carolina, and the Medical College of Wisconsin have purchased the devices for their operating rooms.

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The Anesthesia Consultant

DECEMBER 19, 2016

Unless the hospital is very large, it’s uncommon to have anesthesiologists of multiple specialties on call each day, e.g. one for pediatrics, one for cardiac cases, one for trauma, one for obstetrics, and one for the general operating rooms. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

OCTOBER 19, 2018

Let’s discuss an elephant in the room of operating room anesthesia–the association between peripheral nerve blocks and nerve injury. The use of peripheral nerve blocks has crescendoed in anesthesia practice, stimulated by the use of ultrasound-guided visualization of nerves.

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The Anesthesia Consultant

JANUARY 30, 2024

The surgeon is not “the captain of the ship” in the operating room. When you want to accelerate the heart rate in the operating room or the post anesthesia care unit, use the first drug recommended in the ACLS and American Heart Association bradycardia algorithms—and that drug is atropine. You are both co-captains.

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The Anesthesia Consultant

JULY 6, 2018

From the exam room to the operating room, doctors today follow a clear set of protocols that Dr. Gawande helped establish. 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

MAY 29, 2015

iControl-RP is connected to the NeuroSENSE EEG monitor, the two infusion pumps for separately controlled propofol and remifentanil administration, and the operating room patient vital signs monitor. 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

MARCH 22, 2019

I have worked as both an internal medicine doctor and an anesthesiologist, and I can attest that it is almost impossible to harm a patient in an internal medicine clinic, while it is possible to lose a patient to anoxic brain damage in five minutes in an operating room as an anesthesiologist if you err.

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The Anesthesia Consultant

DECEMBER 3, 2019

As an anesthesiologist in the operating room, you will have your own EPIC computer next to the anesthesia machine. EPIC anesthesia screen A cumbersome EMR like EPIC interferes with the doctor-patient relationship by placing a keyboard and a computer screen between the doctor and the patient.

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