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). Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

OCTOBER 17, 2024

In a video featuring Spiro CEO Dimitri Sokolov , he quotes the number of expected and unexpected difficult intubations as 6 million per year in American operating rooms, emergency rooms, and intensive care units. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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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 patient enters the operating room at 0730 hours. The patient consents.

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Anesthesiologist Operating Room General Anesthesia Surgery 52

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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Operating Room General Anesthesia Post-Anesthesia Vital Signs 52

The Anesthesia Consultant

AUGUST 15, 2024

Of course none of the anesthesiologists or operating room personnel are dishonest, but preventing theft of these small valuable devices would be difficult. Mac 3 Direct Laryngoscope * * 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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Operating Room Post-Anesthesia Anesthesiologist Anesthesia 69

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. Operating room medicine requires action.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

FEBRUARY 16, 2021

Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room. Your hospital contains multiple operating rooms, and today you are in room #10. Then we’ll roll down the hallway into the operating room. You may have nausea after general anesthesia.

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Anesthesiologist Operating Room Vital Signs Post-Anesthesia 52

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. Why Did Take Me So Long To Wake From General Anesthesia?

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Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

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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Anesthesia Operating Room Post-Anesthesia General Anesthesia 52

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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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 11, 2018

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. It’s true that surgeons bring the patients to the operating room for surgery. Hold your heads high.

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Operating Room Anesthesiologist Post-Anesthesia General Anesthesia 52

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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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

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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Anesthesia Vital Signs General Anesthesia Post-Anesthesia 52

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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Anesthesia Post-Anesthesia Operating Room General Anesthesia 52

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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Anesthesia Anesthesiologist Operating Room General Anesthesia 52

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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Anesthesiologist Operating Room Post-Anesthesia General Anesthesia 52

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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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

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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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

NOVEMBER 28, 2017

Propofol infusions are typically used to make our patients sleep, and most propofol infusions cross the American Society of Anesthesiologists line into general anesthesia. You may make the surgeon happy, and you may continue to have a safe airway under general anesthesia in the absence of the endotracheal tube, but what if you don’t?

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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

NOVEMBER 15, 2023

Dr. Patel has been a pioneer in bringing HFNO/THRIVE from the ICU into the operating room. We extended the apnea times of 25 patients with difficult airways who were undergoing general anesthesia for hypopharyngeal or laryngotracheal surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

MARCH 12, 2015

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. TOP 10 MOST STRESSFUL SITUATIONS IN AN ANESTHESIOLOGIST’S JOB Emergency general anesthesia in a morbidly obese patient. Picture a 3 a.m.

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General Anesthesia Anesthesiologist Post-Anesthesia Anesthesia 52

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

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 28, 2023

Daniel Sessler, one of the world’s most respected and prolific anesthesia researchers , is a co-author of the recent Anesthesiology study. To me this validates the notion that continuous finger-cuff technology may eventually gain widespread adoption in operating room monitoring. Will I Have a Breathing Tube During Anesthesia?

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General Anesthesia Post-Anesthesia Anesthesia Operating Room 52

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 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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Anesthesiologist Post-Anesthesia Operating Room Anesthesia 52

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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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. Why Did Take Me So Long To Wake From General Anesthesia? At this point I went home.

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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, 2020

Can an anesthesia machine in an operating room be used as an ICU ventilator? An operating room can be converted into an ICU room with the anesthesia machine ventilator keeping the patient alive. Why Did Take Me So Long To Wake From General Anesthesia? Read more about that topic here.

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General Anesthesia Post-Anesthesia Anesthesia Operating Room 52

The Anesthesia Consultant

FEBRUARY 23, 2018

The remaining operating rooms would proceed without oximetry. The situation was better at Stanford University Hospital, where each operating room included a pulse oximeter—but there were no oximeters in the PACUs, preoperative units, or intensive care units. Why Did Take Me So Long To Wake From General Anesthesia?

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

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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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

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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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 1, 2017

The study analyzed the United States Anesthesia Closed Claims Project database of 10,546 malpractice claims between 2001-2013. A total of 266 cases of brain damage or death during anesthesia care in the operating room under the care of a solo anesthesiologist occurred. Will I Have a Breathing Tube During Anesthesia?

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