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.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

AUGUST 15, 2024

It’s easier to train non-anesthesiologists (emergency room MDs, critical care internal medicine MDs, EMTs and helicopter trauma RNs) to use VL versus DL. For non-anesthesiologists, who will not undergo three years of anesthesia residency training to become DL experts, learning video laryngoscopy instead of direct laryngoscopy makes sense.

Operating Room 52

Operating Room Post-Anesthesia Anesthesiologist Anesthesia 52

The Anesthesia Consultant

JUNE 4, 2024

Ability can also be evidenced the quality of the anesthesia residency/fellowship training program you’ve completed, as well as the medical school you’ve graduated from. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room? Why Did Take Me So Long To Wake From General Anesthesia?

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 23, 2016

GENERAL ANESTHESIA FOR DENTAL OFFICES CASE PRESENTATION: A 5-year-old developmentally delayed autistic boy has multiple dental cavities. The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. Options for anesthesia induction include: Intramuscular sedation.

General Anesthesia 52

General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 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. Both were published in the journal Anesthesia and Analgesia.

Operating Room 52

Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

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.

General Anesthesia 52

General Anesthesia Anesthesia Anesthesiologist Post-Anesthesia 52

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.

Operating Room 52

Operating Room General Anesthesia Vital Signs Post-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.

Anesthesia 52

Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

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.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

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.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

AUGUST 28, 2023

The first was the amount of hypotension during the 15 minutes following the induction of anesthesia, and the second was the time-weighted average MAP less than 65 mmHg during the entire surgery. These parameters provide additional information which, if validated, can expand the information an anesthesia provider can monitor routinely.

General Anesthesia 52

General Anesthesia Post-Anesthesia 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). This is a reasonable policy, but what if anesthesia patient transport to the PACU lasts 4 minutes and 59 seconds (i.e.

Anesthesia 52

Anesthesia Vital Signs General Anesthesia Post-Anesthesia 52

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.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

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.

Vital Signs 52

Vital Signs Suture Suturing Post-Anesthesia 52

The Anesthesia Consultant

JULY 28, 2022

There are hundreds of anesthesia textbooks, but which current books are the gold standards for anesthesia knowledge? Digital access to all this written expertise can be at your fingertips anywhere, including in the operating room suite. ebook $165.29, hardcover $126.17) The Stanford Emergency Manual.

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia In-Procedure 52

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.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist Operating Room Surgery General Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist Vital Signs Operating Room Post-Anesthesia 52

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.

Surgical Assistant 52

Surgical Assistant Surgical Assisting General Anesthesia Post-Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

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.

General Anesthesia 52

General Anesthesia Post-Anesthesia Suture Suturing 52

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.

Anesthesia 52

Anesthesia Anesthesiologist Operating Room General Anesthesia 52

The Anesthesia Consultant

JANUARY 29, 2020

The February 2020 edition of Anesthesiology , our specialty’s preeminent journal, published an article on robotic anesthesia. 1 The accompanying editorial by Dr. Thomas Hemmerling was titled “Robots Will Perform Anesthesia in the Near Future. ” robotic) anesthesia is at least as good as the best human anesthesia.

Anesthesia 52

Anesthesia Post-Anesthesia Operating Room General Anesthesia 52

The Anesthesia Consultant

MAY 16, 2023

This was consistent with a 2011 study of difficult airways from the British Journal of Anesthesia which stated, “Obesity markedly increases risk of airway complications. the first-pass success rate of intubation in the operating room ranges from only 63% to 85%. and up to 93% of difficult intubations are unanticipated.”

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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.

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 52

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?

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

DECEMBER 6, 2023

Outwardly I maintained a calm countenance, but inwardly I felt fear and confrontation unlike anything I’d felt in an operating room. Norm: Sam’s downfall from the mainstream anesthesia field to administering ketamine in dental offices is an important moment in the story. Rick: Back to the operating room every week.

Post-Anesthesia 52

Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

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.

Post-Anesthesia 52

Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

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.

Anesthesiologist 52

Anesthesiologist Nurse Anesthetist Supervision CRNA 52

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.

Surgery 52

Surgery Post-Anesthesia General Anesthesia Intraoperative Care 52

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.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

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.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia General Anesthesia 52

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?

Nurse 52

Nurse Nurse Anesthetist Supervision CRNA 52

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.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Operating Room 52

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.

Post-Anesthesia 52

Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

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.

Operating Room 52

Operating Room Anesthesiologist Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

AUGUST 17, 2020

My experience in Quality assurance/Quality improvement programs includes: Stanford University Hospital QA Committee (Care Review Committee), 1997 – 2009 Stanford University Anesthesia QA Committee, 2002 – 2009, and Waverley Surgery Center QI Committee (Chairman), 2002 – present. The patient had an immediate cardiac arrest.

Anesthesia 52

Anesthesia Post-Anesthesia Operating Room General Anesthesia 52