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

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

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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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

OCTOBER 11, 2020

A then records all pertinent preoperative information into the electronic medical record (EMR) via a computer keyboard and screen located just to the right of his anesthesia machine. IN THE OPERATING ROOM: Mr. Doe will be asleep for the surgery, and Dr. A will be present the entire time. The MAP decreases to 80 once again.

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Anesthesiologist Vital Signs Post-Anesthesia Incision 52

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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General Anesthesia Post-Anesthesia Anesthesiologist Anesthesia 52

The Anesthesia Consultant

JANUARY 19, 2017

Their patients are obtunded on arrival to the Post Anesthesia Care Unit (PACU) after surgery, and they rely on the PACU nursing staff to complete the job of anesthesia wake up. Some surgeons are bullies, and are condescending in their remarks and attitudes toward the anesthesia provider they’re working with.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

OCTOBER 18, 2017

You utilize the current multimodal strategies for operating room anesthesia and postoperative pain reduction, including an ultrasound-guided adductor canal block with 0.5% 300 mg of morphine, and a light general anesthetic using 1-1.5% 300 mg of morphine, and a light general anesthetic using 1-1.5%

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Hematoma Anesthesiologist Post-Anesthesia Anesthesia 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

AUGUST 17, 2020

Case study #2020: The attending surgeon and the operating room nurse each filed digital Adverse Event documents because of their patient’s extremely high blood pressure and heart rate, and her unplanned admission to the ICU. Case #2020: The surgeon, operating room nurse, and the anesthesiologist are interviewed.

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Anesthesia Post-Anesthesia Operating Room General Anesthesia 52

The Anesthesia Consultant

MAY 4, 2016

The surgery and anesthesia proceed uneventfully. The patient is awakened from general anesthesia and taken to the Post Anesthesia Care Unit. Abdominal surgery and general anesthesia in this patient population are not without risk, even with optimal anesthetic care.

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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52