The Anesthesia Consultant

OCTOBER 17, 2024

Complete Spiro unit with the fiberoptic laryngoscope threaded through an endotracheal tube, which is fitted into a grove on the Spiro device The sleeve disposable contains a joystick and the control buttons, which the operator moves with his/her left thumb. Depressing the joystick moves the FOL distally, out of the tip of the ETT.

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Post-Anesthesia Anesthesia General Anesthesia Operating Room 98

The Anesthesia Consultant

OCTOBER 4, 2021

In the smart glasses group, the ultrasound machine was located behind the operator, and the smart glasses were paired with the ultrasound machine. Would the addition of smart glasses for routine monitoring be an overdose of technology in the operating room cockpit? Why Did Take Me So Long To Wake From General Anesthesia?

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Operating Room Vital Signs Operation Post-Anesthesia 52

The Anesthesia Consultant

JULY 23, 2021

This month’s issue of Anesthesiology , our specialty’s leading journal, contains two studies on further incremental Artificial Intelligence in Medicine advances in the operating room. Thus, we might ask, ‘What happens to the operator/clinician involved?’ Why Did Take Me So Long To Wake From General Anesthesia?

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Operating Room Operation General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

JULY 25, 2022

This was a landmark paper on the topic of anesthesiologist:CRNA staffing ratios, which documented that having physician anesthesiologists direct three or four operating rooms simultaneously for major noncardiac inpatient surgical procedures increased the 30-day risks of patient morbidity and mortality.

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Anaesthesia News

OCTOBER 6, 2024

July, 1800 – Humphry Davy (1778–1829)—In his Researches…, Davy observes “As nitrous oxide in its extensive operation appears capable of destroying physical pain, it may probably be used with advantage during surgical operations in which no great effusion of blood takes place.” Source: Wood Library Museum.

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Anesthesia Anesthesiologist Surgery General Anesthesia 189

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. From1985 to 1989, 7.1%

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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

DFW Anesthesia Professionals

APRIL 24, 2024

The choice of anesthesia for a cesarean section is influenced by several factors, including the urgency of the procedure, the mother’s health, previous anesthesia experiences, and individual preferences. The three main types of anesthesia used in cesarean sections are general anesthesia, spinal anesthesia, and epidural 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

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. A busy anesthesiologist will be in the operating room five or more days per week.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

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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The Anesthesia Consultant

MARCH 12, 2015

But most surgeons spend the majority of their work time in clinics and on hospital wards attending to pre-operative and post-operative patients. On the 1 – 3 days a week most surgeons spend operating, they are joined in the operating room by anesthesiologists who attend to surgical patients’ lives every day.

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General Anesthesia Post-Anesthesia Anesthesiologist Anesthesia 52

The Anesthesia Consultant

APRIL 2, 2016

This technique induced vasoconstriction and resulted in decreased blood loss, and made transfusion and post-operative anemia rare. Our facility, the Plastic Surgery Center in Palo Alto, has two operating rooms. A protocol for large-volume liposuction at our facility is as follows: General anesthesia is induced.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

NOVEMBER 28, 2017

You believe the patient is high risk in terms of his airway, his breathing, his cardiac status, and his potential for post-operative complications. Propofol infusions are typically used to make our patients sleep, and most propofol infusions cross the American Society of Anesthesiologists line into general anesthesia.

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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 15, 2020

Anesthesiologists typically spend 90+% of their working hours in the operating room. A busy surgeon will spend 50% of their time in the operating room, and the other 50% in preoperative clinic, postoperative clinic, or rounding on patients in the hospital. Anesthesiologists win the tally for most operating room hours per week.

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

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Anesthesia Post-Anesthesia General Anesthesia Incision 52

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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Operating Room General Anesthesia 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). The following five studies document that unmonitored patients frequently have low oxygen levels following transport to the recovery room.

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The Anesthesia Consultant

APRIL 30, 2024

Prior to the machine, it was impossible to successfully operate on the heart while it was still beating. In 1953 he performed the first successful operation on a human using the heart-lung machine. Prior to the arthroscope, this surgery required the surgeon to open the joint to operate directly on the meniscus.

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Platinum Meidcal Staffing

MARCH 10, 2023

Shorten surgery times According to the Canadian Journal of Surgery, operations involving skilled surgical assistants are completed 30 percent faster. Prolonged operative durations can be associated with complications. Shortening your surgery time is critical when considering patient outcomes.

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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. 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

AUGUST 29, 2022

Prior to the discovery of general anesthesia, sedation for surgery usually included oral alcohol drinks, or opiates derived from poppies. General anesthesia was discovered in October 1846, when Dr. William Morton gave a public demonstration of inhaled ether use at the Massachusetts General Hospital in Boston.

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The Anesthesia Consultant

FEBRUARY 16, 2021

The scrubs are enclosed in a device not dissimilar to a soda machine, and you need your ID to operate it. Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room. Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room.

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Anesthesiologist Vital Signs Operating Room 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. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 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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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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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. But how about a surgical specialist, such as a general surgeon, a cardiac-thoracic surgeon, an orthopedic surgeon, or an anesthesiologist?

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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

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. I’d read a lot from my anesthesia textbooks at that point, and I passed their exam. We’ll be in the operating room with you.” I was excited.

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The Anesthesia Consultant

JANUARY 29, 2018

Anesthesiologists still work in hospital operating rooms, but their expertise is also needed in other places, including invasive radiology, gastrointestinal endoscopy, electrophysiology and more. 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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The Anesthesia Consultant

JANUARY 29, 2020

One of the changes our profession has gone through is an ever-increasing demand to multitask, be it by running more than one operating room, or by simultaneously performing administrative or teaching tasks. How will we do anesthesia in the future? Can I get a propofol, remifentanil-based anesthesia?

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The Anesthesia Consultant

NOVEMBER 3, 2015

For example, patients with dementia, delirium, congenital developmental delay, or any organic brain syndrome may experience increased post-operative sedation due to exaggerated effects of the anesthetic medications on their brains. I refer you to a related column, HOW LONG WILL IT TAKE ME TO WAKE UP FROM GENERAL ANESTHESIA?

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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. Widespread adoption of HFNO as routine therapy in the operating room is still lacking.

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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 a university hospital, a faculty member may supervise two operating rooms each with a resident anesthesiologist-in-training in attendance.

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The Anesthesia Consultant

AUGUST 15, 2024

Of course none of the anesthesiologists or operating room personnel are dishonest, but preventing theft of these small valuable devices would be difficult. The KISS (Keep It Simple Stupid) Principle is a valuable concept in aviation as well as anesthesia. Why Did Take Me So Long To Wake From General Anesthesia?

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Operating Room Post-Anesthesia Anesthesiologist 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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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. Why Did Take Me So Long To Wake From General Anesthesia?

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General Anesthesia Post-Anesthesia 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. Will I Have a Breathing Tube During Anesthesia?

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