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 Surgery General Anesthesia 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 Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

AUGUST 15, 2024

A recent 2024 publication in JAMA looked at 8429 surgical procedures from March 2021 to December 2022 in a single institution. Of course none of the anesthesiologists or operating room personnel are dishonest, but preventing theft of these small valuable devices would be difficult. Will I Have a Breathing Tube During 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

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

OCTOBER 28, 2018

It’s not infrequent that autistic patients need surgery and anesthesia. Patients with autism commonly need to be sedated for routine procedures that a normal child or adult would cooperate with. They told the mother she had the choice of going home without any surgical procedure or anesthesia at all. mg/kg midazolam, and.02

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 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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Anesthesia General Anesthesia Post-Anesthesia In-Procedure 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. The ICU attendings had respectful peer relationships with all the surgeons, including the private-practice cardiac surgeons whose post-operative patients were housed in the ICU.

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Operating Room Anesthesiologist Post-Anesthesia General Anesthesia 52

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. Together, Drs.

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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MARCH 24, 2022

In July 2020 the Food and Drug Administration (FDA) approved the intravenous benzodiazepine remimazolam (Byfavo, Acacia Pharma) for use in sedation for procedures of 30 minutes or less. remimazolam propofol For use in procedural sedation, remimazolam will not replace Versed, but rather will aim to replace propofol.

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Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 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. If the procedure was an outpatient surgery, you will leave the facility and return home after you’ve recovered from anesthesia.

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Surgery Post-Anesthesia General Anesthesia Intraoperative Care 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

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. His airway exam shows a thick neck (circumference 42 cm, or 16.5

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

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. Studies on Earth show that an average of 20 procedures are required to reach a learning curve plateau.

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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

Platinum Meidcal Staffing

MARCH 10, 2023

Allow more procedures to be performed When surgery times are shortened, surgeons and other surgery providers are able to work with more patients per day. This means that more procedures are performed, and more patients are assisted overall. Depending on the specialty, around 8 to 10 small surgeries are possible each day.

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Surgical Assistant Surgical Assisting General Anesthesia Post-Anesthesia 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. The primary care doctor should not estimate the percentage of survival or morbidity for the scheduled procedure.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

Gomer: Anesthesiology

MAY 25, 2020

Shortly after, the spinal anesthetic wore off and the patient was quickly placed under general anesthesia. The procedure was completed uneventfully after the surgeon, Dr. Annuloplasty, unscrubbed to sucker punch Dr. Millerstein. Dr. Annuloplasty remains in a ketamine-induced haze in the corner of the operating room.

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Anesthesiologist Hematoma General Anesthesia Incision 52

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

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. Resist these pressures.

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Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

The Anesthesia Consultant

AUGUST 29, 2022

The blood loss from the procedure left the queen dead from hemorrhagic shock. Julius Caesar himself was not born from the procedure, as his mother did not die during his childbirth—she lived until Caesar’s mid-40s. In emergency circumstances, general anesthesia may be required for Cesarean section.

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General Anesthesia Post-Anesthesia Suturing Suture 52

The Anesthesia Consultant

APRIL 2, 2016

I work in a private practice setting in Palo Alto, California, and liposuction is one of the most common plastic surgery procedures performed. Early in my career, in the late 1980’s, liposuction was a bloody procedure. Preanesthetic assessment and patient selection are key for safe large-volume liposuction procedures.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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

MARCH 5, 2018

Surgery and anesthesia are never 100% safe, no matter where procedures are done. There are four key questions regarding safe patient care at surgery centers: Is the scheduled procedure appropriate for an outpatient surgery center? Is the patient healthy enough to tolerate the scheduled procedure as an outpatient?

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Surgery Post-Anesthesia General Anesthesia Anesthesia 52

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. We’d climb in and ride at top speed back to Stanford. At this point I went home.

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Anesthesia Operating Room Vital Signs Post-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. Her blood pressure is 150/90 on admission.

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Anesthesia Post-Anesthesia General Anesthesia Incision 52

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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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

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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Surgery Incision Post-Anesthesia General Anesthesia 52

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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Post-Anesthesia General Anesthesia Anesthesiologist Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 6, 2019

I don’t tout myself as an expert in AI technology, but I am an expert in taking care of patients, which I’ve done in clinics, operating rooms, intensive care units, and emergency rooms at Stanford and in Silicon Valley for over 30 years. Why Did Take Me So Long To Wake From General Anesthesia?

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Post-Anesthesia General Anesthesia Anesthesia Operating Room 52

The Anesthesia Consultant

JANUARY 19, 2017

Learn to perform medical procedures at the highest level. Some surgeons are bullies, and are condescending in their remarks and attitudes toward the anesthesia provider they’re working with. The other medical professionals in the operating room will respect you for it. Anesthesiologists are hands-on doctors.

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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% You discuss the procedure of a blood patch and he says, “Yes, that’s what I need.

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Anesthesiologist Hematoma Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

JUNE 27, 2017

The premise of Coma was that healthy young patients were developing brain death after general anesthesia, for no apparent reason. As well, extra oxygen tanks are present in every operating room as a safety back up, in the rare instance that the piped-in wall oxygen source is stopped or is inadequate. You can relax.

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Vital Signs General Anesthesia 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 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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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 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. This includes avoiding procedures that cause major pain, bleeding, or disruption of physiology.

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General Anesthesia Post-Anesthesia Anesthesiologist Anesthesia 52

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. Liu SS, et al.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52