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. Potent inhalation anesthesia (sevoflurane). What do you do?

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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). The surgery concluded 2 hours later and the anesthetics were discontinued.

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The Anesthesia Consultant

AUGUST 15, 2024

Open abdominal surgeries became laparoscopies, with the surgeon focused on a two-dimensional video screen while he or she manipulated instruments inside the abdomen. McGrath Video Laryngoscope Limitations of video laryngoscopy include: The price of purchasing one GlideScope for our multispecialty ambulatory surgery center was $14,000.

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

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The Anesthesia Consultant

OCTOBER 17, 2024

In a video featuring Spiro CEO Dimitri Sokolov , he quotes the number of expected and unexpected difficult intubations as 6 million per year in American operating rooms, emergency rooms, and intensive care units. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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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

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

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

When I arrived at their hospital, I donned scrubs and was ushered from operating room to operating room to meet 15 or 20 attending anesthesiologists while they worked. How will you anesthetize him for his eye surgery?” I’d read a lot from my anesthesia textbooks at that point, and I passed their exam.

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The Anesthesia Consultant

AUGUST 28, 2023

EDWARDS CLEARSIGHT FINGER-CUFF BLOOD PRESSURE MONITOR Picture this: prior to surgery you place a blood pressure cuff around the middle phalanx of your patient’s right middle finger, instead of a standard cuff on the upper arm, to measure blood pressure. Is this the future?

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

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The Anesthesia Consultant

MAY 13, 2020

An important question for many Americans is, “Is it safe for me to have surgery during this COVID pandemic?” The main questions as to whether a hospital or an ambulatory surgery center can resume elective surgery as of May 2020 are: What is the incidence of COVID-19 in your geographic area? It depends.

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The Anesthesia Consultant

JUNE 4, 2024

No one wants a partner who repeatedly creates conflict in the workplace, who initiates conflict with a surgeon in the operating room, a nurse in the post anesthesia care unit, or an administrator. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room?

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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? GENERAL ANESTHESIA General anesthesia has the advantages of a quick and reliable onset.

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The Anesthesia Consultant

NOVEMBER 13, 2019

Almost every anesthesiologist in America has experience with surgery using the da Vinci robot system. Is robot surgery a miraculous futuristic device that advances surgery to a higher plain? Until the 1990s most abdominal surgery was done through an open incision. To answer these questions let’s first review some history.

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Platinum Meidcal Staffing

MARCH 10, 2023

3 Ways Surgical Providers Improve Patient Outcomes Surgical providers—surgical assistants, nurses, and surgical technologists—provide aid during surgery to doctors. They assist in exposure, closure, hemostasis, and other intraoperative technical functions that ultimately ensure the surgery is successful.

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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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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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The Anesthesia Consultant

SEPTEMBER 15, 2020

The patient must wake up (when the surgery is over). 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 5, 2018

Are surgery centers safe? This column is in response the Kaiser Health News story “How a push to cut costs and boost profits at surgery centers led to a trail of deaths” published on USAToday.com this week. The article set off a firestorm of controversy in the surgery center industry. Yes, they are safe. There are always risks.

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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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The Anesthesia Consultant

MAY 23, 2023

” Despite this, during surgery your anesthesiologist injected fentanyl into your IV as part of your anesthetic. 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. Is that safe?

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The Anesthesia Consultant

AUGUST 29, 2022

Ignaz Semmelweis, a Hungarian physician, noted in 1847 that fewer women died from post-surgery fever if surgeons washed their hands. Dr. Lister’s principles of antiseptic care led the way to asepsis, which was the complete elimination of bacteria during surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JANUARY 30, 2024

Inexperienced anesthesiologists may only contemplate a recipe of anesthesia drugs, instead of seeing his or her role as the management of the patient’s medical problems prior to, during, and after surgery. in the context of what the surgery and the anesthetic medications do to these diseases. It’s a symbiotic relationship.

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The Anesthesia Consultant

JANUARY 29, 2020

The primary study by Joosten 1 looked at the performance of multiple closed-loop systems for administration of anesthesia in 90 patients undergoing major noncardiac surgery in a single center in Belgium. A BIS monitor The depth of anesthesia was measured using a BIS (bispectral index) monitor. l · min –1 · m –2 ?

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The Anesthesia Consultant

MARCH 28, 2024

In 2022 he published an article in Surgery Neurology International entitled “Whole Brain Transplantation in Man: Technically Feasible.” What sort of operating room setup would be required for brain transplantation? The transplant would require two fully-staffed neurosurgical operating rooms.

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The Anesthesia Consultant

OCTOBER 21, 2015

How common are cardiac arrests during surgery? The incidence of cardiac arrest totally attributable to anesthesia mismanagement was low (0.47 per 10,000 anesthetics), and anesthesia mismanagement was responsible for only 1.5% There were 11 cardiac arrests related to anesthesia care. of deaths. (1) per 10,000 cases.

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The Anesthesia Consultant

OCTOBER 28, 2018

It’s not infrequent that autistic patients need surgery and anesthesia. Dental cases are common, and are frequently referred to a hospital because the typical care systems at an outpatient surgery center or a dental office are inadequate to complete a successful anesthetic. What do you do? mg/kg midazolam, and.02

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The Anesthesia Consultant

MARCH 24, 2022

For a long operating room anesthesia case (e.g. Since midazolam (Versed) was approved in 1982, a standard anesthesia practice has included a 2 mg dose of Versed prior to surgery to calm a patient’s anxiety. Our chairman lectured to us, “Do you know many patients are nervous prior to their anesthesia and surgery?

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The Anesthesia Consultant

FEBRUARY 6, 2019

For healthy patients undergoing elective surgery the anesthetic risks are minimal, and are similar to the risks of driving on a freeway in an automobile. In an anesthesia care team, a physician anesthesiologist supervises up to four operating rooms and each operating room is staffed with a certified registered nurse anesthetist (CRNA).

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The Anesthesia Consultant

APRIL 25, 2021

When you enter a hospital or surgery center for a surgery and an anesthesia professional approaches you prior to your surgery, that professional could be a physician anesthesiologist, a Certified Registered Nurse Anesthetist, or an Anesthesia Assistant (AA). Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JUNE 12, 2023

What sort of preoperative tests or therapies should this patient have before surgery? CHATGPT: For an 80-year-old woman with congestive heart failure (CHF) who needs to undergo gallbladder removal surgery, it is essential to conduct a thorough preoperative evaluation to assess her overall health status and identify any potential risks.

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The Anesthesia Consultant

JANUARY 24, 2023

In 2016 there were more than 224,000 operating rooms in the United States , so tens of thousands of devices could be needed. the thumb must be entirely free to move, which precludes monitoring the hand that has been tucked at the patient’s side during surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

SEPTEMBER 3, 2021

Who is responsible for your safety before, during, and after your surgery? The word “perioperative” means “around the time of surgery.” It’s officially defined as the 30-day time period following surgery. Very few patients die in the operating room, but significant numbers die in the weeks that follow.

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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. Read my column on bullying in the operating room. It’s true that surgeons bring the patients to the operating room for surgery.

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The Anesthesia Consultant

NOVEMBER 28, 2017

You’re wrong to cancel his surgery.” You believe the patient is high risk in terms of his airway, his breathing, his cardiac status, and his potential for post-operative complications. Just do MAC (Monitored Anesthesia Care) anesthesia for this case, but make sure he’s asleep. Trust your training and your intuition.

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The Anesthesia Consultant

MAY 3, 2017

Many patients require preoperative clearance prior to surgery, especially patients with significant medical problems or at extremes of age. Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. Let’s choose an illustrative example.

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