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). It’s also not uncommon for the patient to be breathing room air during transport.

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The Anesthesia Consultant

MARCH 28, 2024

What sort of operating room setup would be required for brain transplantation? The transplant would require two fully-staffed neurosurgical operating rooms. The entire undertaking would require the resources of a major medical center, not a stripped down version of an operating room table in someone’s house.

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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

MARCH 31, 2015

An anesthesia emergency occurs without warning. Your patient’s vital signs are dropping. You need the ultimate anesthesia emergency guidebook. That ultimate guidebook is the S tanford Emergency Manual of Cognitive Aids for Perioperative Critical Events S , written by the Stanford Anesthesia Cognitive Aid Group.

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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. At this point my work began. We’d climb in and ride at top speed back to Stanford.

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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

MAY 3, 2017

Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. The physical exam includes the height, weight, vital signs, and documentation of any abnormal findings on exam of the entire body. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JUNE 27, 2017

Then he injects her IV with a syringe of adrenaline, and leaves the vital signs monitor on. The vital signs monitor shows her heart rate suddenly change to zero as she dies. As this scene ends, Frankie walks out of the room leaving Maggie to die behind him. You can relax.

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The Anesthesia Consultant

OCTOBER 11, 2020

An anesthesia machine, with the vital signs monitor screen on the left, and the electronic medical records computer screen on the right. His vital signs are heart rate = 100, BP = 150/80, respiratory rate = 20 breaths/minute, oxygen saturation 95% on room air, and temperature 100.2 The BP is 100/50.

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The Anesthesia Consultant

FEBRUARY 6, 2019

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). In many hospital operating rooms, a solitary physician anesthesiologist attends to his or her patient alone.

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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.

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The Anesthesia Consultant

JUNE 26, 2018

How can it be that general anesthesia has ceased to evolve? What about monitors of vital signs? The standard monitoring devices of pulse oximetry, end-tidal CO2 monitoring, and other essential anesthesia vital sign monitors were developed and in use by the 1990s.

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The Anesthesia Consultant

FEBRUARY 23, 2018

The remaining operating rooms would proceed without oximetry. The situation was better at Stanford University Hospital, where each operating room included a pulse oximeter—but there were no oximeters in the PACUs, preoperative units, or intensive care units. Why Did Take Me So Long To Wake From General Anesthesia?

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

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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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The Anesthesia Consultant

AUGUST 14, 2015

My career has bridged clinics, operating rooms, intensive care units, emergency rooms, and helicopter trauma medicine. In the 21 st century operating room practice of anesthesiology, we typically have ten minutes to talk to a patient prior to rendering them unconscious. What Are the Common Anesthesia Medications?

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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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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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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. Be extra wary when attending to obese patients.

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The Anesthesia Consultant

APRIL 4, 2021

His vital signs are normal, and his oxygen saturation is 96% on room air.You are six months out of anesthesia training and new to this hospital. The surgeon—a 60-year-old male with the brash confidence of General Patton—is an iconic and respected figure at this medical center.

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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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The Anesthesia Consultant

JANUARY 30, 2024

The surgeon is not “the captain of the ship” in the operating room. When you want to accelerate the heart rate in the operating room or the post anesthesia care unit, use the first drug recommended in the ACLS and American Heart Association bradycardia algorithms—and that drug is atropine. You are both co-captains.

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The Anesthesia Consultant

JUNE 12, 2023

INTRAOPERATIVE DECISION A 60-year-old man with a history of hypertension is having a knee arthroscopy surgery under general anesthesia. The surgical team will be assembled, and the child will be transferred to the operating room for further assessment and management. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

AUGUST 16, 2018

His preoperative vital signs were normal with an oxygen saturation of 98%. Anesthesia was induced with propofol 250 mg, fentanyl 100 micrograms, and rocuronium 50 mg IV. His preoperative vital signs were normal. Why Did Take Me So Long To Wake From General Anesthesia? He was otherwise healthy.

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The Anesthesia Consultant

MAY 29, 2015

In addition to monitoring the patient’s EEG level of consciousness (via a BIS monitor device called NeuroSENSE), this new device monitors traditional vital signs such as blood oxygen levels, heart rate, respiratory rate, and blood pressure, to determine how much anesthesia to deliver. What Are the Common Anesthesia Medications?

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Radius Anesthesia

MAY 17, 2023

For cancer patients undergoing surgery, regional anesthesia and general anesthesia with propofol should be favored, while volatile agents should not be used in order to prevent cancer patients from perioperative immunosuppression that can increase the risk of cancer recurrence. Anesthesia and radiotherapy suite.

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The Anesthesia Consultant

JUNE 15, 2022

William Morton (below) discovered ether anesthesia first. THE FIRST PUBLIC DEMONSTRATION OF ETHER AS A GENERAL ANESTHETIC. Dr. Morton performed the first public demonstration of general anesthesia at Harvard’s Massachusetts General Hospital on October 16, 1846. Dr. William Morton, Boston, USA. Dr. Charles Suckling.

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Anaesthesia News

FEBRUARY 29, 2024

Sympathetic stimulation occurs secondary to surgical stress, general anesthesia, hypoxia, hypotension, pain, severe bleeding, and strenuous exercise. Blood volume status may be estimated by comparing body weight before and after hemodialysis and measuring vital signs with particular attention to orthostatic hypotension or tachycardia.

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The Anesthesia Consultant

FEBRUARY 3, 2022

. * * Here’s the Anesthesia Consultant analysis of the medical circumstances in The Rescue : In an operating room, anesthesia is typically delivered as a gas (e.g. Neither gas anesthesia nor intravenous anesthesia is possible in an underwater cave rescue. Will I Have a Breathing Tube During Anesthesia?

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