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. Both were published in the journal Anesthesia and Analgesia.

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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). If the patient has an ET tube, it is usually removed.

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The Anesthesia Consultant

NOVEMBER 15, 2023

The capacity to deliver this much oxygen to a non-intubated patient is a marked advance in anesthesia care. Patel has been a pioneer in bringing HFNO/THRIVE from the ICU into the operating room. Widespread adoption of HFNO as routine therapy in the operating room is still lacking. I was—in a word—flabbergasted.

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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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The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. 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

MARCH 2, 2024

If you wonder how much the anesthesia scene has changed significantly over the past four decades, check out this narrative: In 1986 I was in my second and final year of anesthesia residency training at Stanford, and I was looking for a job. I heard about an opening with a busy private practice anesthesia group in Southern California.

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Radius Anesthesia

MAY 17, 2023

In particular, there are unique considerations for patients undergoing cancer treatment, especially radiation therapy, who need anesthesia. A fraction of patients may need to undergo intraoperative radiation therapy, which carries a whole additional set of unique anesthesia and other clinical considerations. Room Anesth.

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The Anesthesia Consultant

MARCH 22, 2023

Because the spaceship is more than 200 days away from Earth, the physicians instruct the crew to proceed with surgery and anesthesia in outer space. How will astronauts conduct general anesthesia and surgery in outer space? Protocols regarding how to accomplish anesthesia in outer space exist in the medical literature.

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The Anesthesia Consultant

MARCH 28, 2024

The patient is expected to emerge from post-transplant-induced anesthesia with cranial nerve function already present or rapidly recovering. ANESTHETIC CONSIDERATIONS FOR BRAIN TRANSPLANTATION: There are no published data to refer to regarding anesthesia for brain transplantation. Similarly to vascular reconnection in 2.

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The Anesthesia Consultant

JANUARY 30, 2024

Is your doctor an experienced anesthesia provider or a newbie? The list below chronicles the crescendo of growth of as I’ve witnessed it from a newly-trained anesthesia doctor to an expert practitioner. In my view, inexperienced anesthesia providers are more likely to: Be nervous/anxious. This observation is no surprise.

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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 assessment is ASA II, and the plan is general endotracheal anesthesia.

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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). 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.

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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. As a doctor, it’s your job to monitor your patient’s time under anesthesia and look for ways to minimize this when possible.

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The Anesthesia Consultant

MAY 23, 2023

Fentanyl was introduced in the 1960s when it was first patented under the brand name Sublimaze , and fentanyl quickly became the most commonly administered narcotic by anesthesia providers. In operating room anesthesia, the narcotic fentanyl is a clear liquid usually marketed in vials of two milliliters or five milliliters.

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The Anesthesia Consultant

AUGUST 29, 2022

It’s a fact that cutting a child out from his mother’s womb was a death sentence for the mother in an era prior to the discovery of anesthesia and prior to the discovery of surgical techniques to control bleeding and infection. In emergency circumstances, general anesthesia may be required for Cesarean section.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

There are Two Laws of Anesthesia, according to surgeon lore. Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. Anesthesiologists typically spend 90+% of their working hours in the operating room.

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The Anesthesia Consultant

MARCH 24, 2022

The only way to end the sedative effects of propofol is for an anesthesia professional to support the airway, breathing, and circulation of the patient until the drug effects of propofol wear off in time. I’ve never administered a dose of flumazenil in my entire career, nor have most of my anesthesia colleagues.

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The Anesthesia Consultant

JUNE 12, 2023

I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. INTRAOPERATIVE DECISION A 60-year-old man with a history of hypertension is having a knee arthroscopy surgery under general anesthesia. Is CHATGPT as good as an MD?

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The Anesthesia Consultant

JANUARY 24, 2023

Very few anesthesia professionals have access to a quantitative NM monitoring device at present. Currently a large number of anesthesia practitioners don’t monitor neuromuscular blockade level at all. In 2016 there were more than 224,000 operating rooms in the United States , so tens of thousands of devices could be needed.

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The Anesthesia Consultant

APRIL 25, 2021

On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ The medical center previously had an anesthesia staff that included both MDs and CRNAs (Certified Registered Nurse Anesthetists). (He In a word, no. No, they are not.

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The Anesthesia Consultant

JUNE 15, 2022

The first public demonstration of anesthesia, at the Ether Dome in Massachusetts General Hospital Important advances in the history of anesthesia changed medicine forever. Humans have inhabited the Earth for 200,000 years, yet the discovery of surgical anesthesia was a relatively recent development in the mid-1800s.

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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. You will wear a mask in the preoperative room, and that mask will remain on your face until just prior to the induction of anesthesia.

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The Anesthesia Consultant

OCTOBER 28, 2018

The combination of autism and anesthesia requires careful planning. The parents/guardians and the anesthesia team need to be actively involved with forming the preoperative plan for uncooperative patients. It’s not infrequent that autistic patients need surgery and anesthesia. Anesthetizing uncooperative patients is difficult.

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The Anesthesia Consultant

FEBRUARY 6, 2019

Every anesthesia provider must learn to free-solo anesthesia early in his or her career. A typical hospital will have dozens of other anesthesia providers working in the same building. Commercial aviation is sometimes compared to anesthesia practice. In anesthesia there is no guaranteed second anesthesiologist.

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The Anesthesia Consultant

SEPTEMBER 3, 2021

Very few patients die in the operating room, but significant numbers die in the weeks that follow. At times, physician anesthesiologists employ certified registered nurse anesthetists (CRNAs) to assist them in what is called the anesthesia care team (ACT) model. Mortality” means a patient death. Why do patients die?

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The Anesthesia Consultant

JULY 12, 2022

The conclusion of the Weigel study boldly states, “ Anesthesia providers are solely responsible for properly rescuing patients from the states of paralyses they initiate. This would be a marked change because, to my observation, almost no anesthesia providers routinely use QUANTITATIVE neuromuscular monitoring at this time.

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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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The Anesthesia Consultant

FEBRUARY 11, 2018

He writes, “Our specialty, anesthesia, has suffered an identity crisis for decades. 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. Hold your heads high.

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The Anesthesia Consultant

FEBRUARY 3, 2022

you’ll invest in it. * * Here’s the Anesthesia Consultant analysis of the medical circumstances in The Rescue : In an operating room, anesthesia is typically delivered as a gas (e.g. Neither gas anesthesia nor intravenous anesthesia is possible in an underwater cave rescue. sevoflurane), or intravenously.

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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. 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 4, 2021

His vital signs are normal, and his oxygen saturation is 96% on room air.You are six months out of anesthesia training and new to this hospital. The surgeon—a 60-year-old male with the brash confidence of General Patton—is an iconic and respected figure at this medical center. He wants to proceed at once.

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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. Good luck! * * * 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

NOVEMBER 28, 2017

You’ve graduated from a residency program in which you learned the nuances of preoperative, intraoperative, and postoperative anesthesia practice. You believe the patient is high risk in terms of his airway, his breathing, his cardiac status, and his potential for post-operative complications. You’re in charge of the anesthetic.

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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. In many health care systems there are no anesthesia clinics, and primary care doctors (internal medicine specialists, family practitioners, or pediatricians) do the preoperative assessments.

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The Anesthesia Consultant

NOVEMBER 27, 2022

It’s within the resources of every anesthesia residency program to provide Mock Oral Exams for their trainees. Faculty Member A) begins by asking 10 minutes of questions dealing with preoperative anesthesia issues, followed by 15 minutes of questions about intraoperative issues by the second examiner (e.g. Monitoring. Why or why not?

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The Anesthesia Consultant

APRIL 26, 2018

Learjet anesthesia? Yes, anesthesia can be a glamorous specialty. 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.

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The Anesthesia Consultant

FEBRUARY 22, 2018

THIS ORIGINAL ANESTHESIA CARTOON WAS PUBLISHED IN THE CALIFORNIA SOCIETY OF ANESTHESIOLOGISTS BULLETIN, VOLUME 52, NUMBER 2, APRIL-JUNE 2003. IS ANESTHESIA AN ART OR A SCIENCE? 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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