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

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Nurse Nurse Anesthetist Supervision CRNA 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 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

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

JULY 12, 2017

This is what the anesthesia experience is like for most patients: You show up for surgery, and some anesthesia professional you’ve never met or talked to appears 10 minutes before you are to be wheeled into the operating room. The anesthesia professional might be an MD, a CRNA, or both a MD and a CRNA might be involved.

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Anesthesiologist Post-Anesthesia Anesthesia Supervision 52

The Anesthesia Consultant

NOVEMBER 23, 2016

Between them, Larson and Jaffe have supervised tens of thousands of anesthetics in a university practice. Between them, Larson and Jaffe have taught hundreds of anesthesia residents the finer points of clinical care. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MAY 6, 2017

A private practice anesthesia group needn’t be a physician-only group. In many private practice anesthesia groups, physician anesthesiologists supervise multiple nurse anesthetists in multiple operating rooms. These groups are still single specialty anesthesia groups.

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Anesthesia Anesthesiologist Post-Anesthesia Nurse Anesthetist 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 Anesthesiologist General Anesthesia Anesthesia 52

The Anesthesia Consultant

OCTOBER 21, 2015

Risk factors for cardiac arrest were children under one year of age, emergency surgery, ASA physical status 3-5, and general anesthesia. There were 11 cardiac arrests related to anesthesia care. 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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Anesthesia Surgery Anesthesiologist General Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 25, 2015

Instead of writing histories, examining patients, making diagnoses, and prescribing medications as interns and internal medicine doctors do, anesthesia residents are rendering their patients unconscious, applying acute pharmacology, and inserting tubes and needles into patients in operating rooms at all hours of the day and night.

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Operating Room Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 26, 2015

In the operating rooms, the patients are brought in by the surgeons. Anesthesia providers, be they physician anesthesiologists or nurse anesthetists, are tasked with providing safe and quality anesthesia care. Pain specialists can generate their own patients from their clinics on which to do pain-relieving procedures.

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Nurse Anesthetist Anesthesiologist Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

AUGUST 7, 2017

Anesthesiologists work in operating rooms and intensive care units—acute care settings which demand vigilance, steady hands, and quick thinking. These arenas will be: 1) diagnosis of images, 2) clinics, and 3) operating rooms/intensive care units. Why Did Take Me So Long To Wake From General Anesthesia?

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Post-Anesthesia Anesthesia Operating Room Nurse Practitioner 52

The Anesthesia Consultant

AUGUST 28, 2016

An operating room anesthesia practice is somewhat akin to being a taxi cab driver. You can expect to see a higher penetration of the anesthesia care team, where one physician anesthesiologist may supervise, for example, 4 CRNAs, and a decrease in practices where an MD anesthesiologist stays with each patient 100% of the time.

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Anesthesiologist Post-Anesthesia Anesthesia Supervision 52

The Anesthesia Consultant

AUGUST 16, 2018

Have the Stanford Emergency Manual 5 in your operating room suite, and ask a registered nurse to recite the Cognitive Aid Checklist for HYPOXEMIA to you, to make sure you haven’t missed something. If an anesthesia care team is attending to you, how many rooms is each physician anesthesiologist supervising?

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