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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General Anesthesia Anesthesia Anesthesiologist Post-Anesthesia 52

DFW Anesthesia Professionals

APRIL 28, 2024

Awareness during anesthesia is a rare but profoundly distressing condition that can occur when a patient becomes conscious during surgery and has recall of their surroundings or events related to the operation. After surgery, a protocol should be in place to identify and support patients who report experiences of awareness.

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Anesthesia Surgery Post-Anesthesia Communication 52

The Anesthesia Consultant

JULY 25, 2022

JAMA Surgery published the study “ Association of Anesthesiologist Staffing Ratio With Surgical Patient Morbidity and Mortality ” on July 22, 2022. From a very large initial data set of 3,624,399 operations, the University of Michigan authors calculated the staffing ratio of physician anesthesiologist: CRNA for each operation.

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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 97

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. including pediatric open heart surgery, and pediatric surgery involving major blood loss). 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. and Maheswari et al. ) Closed-loop anesthesia computer controllers for AI titration of anesthesia level Two editorials accompany these publications.

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SpecialtyCare

JUNE 15, 2024

Table of Contents Introduction Understanding PLIF Surgery The Procedure Recovery and Rehabilitation 10 Benefits of PLIF Surgery Why Choose SpecialtyCare for Your Surgery? What conditions can PLIF surgery treat? How long does the surgery take? What is the success rate of PLIF surgery? Why Choose PLIF Surgery?

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Anaesthesia News

OCTOBER 6, 2024

There are multiple accounts in medieval manuscripts around the world of the use of herbal drinks which could be given to create a state where surgery could be practiced without the patient experiencing pain. 400 BCE – Assyrians use carotid compression to produce brief unconsciousness before circumcision or cataract surgery.

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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. Perioperative medicine has three phases: prior to surgery, during surgery, and after surgery. This may occur via a telephone call one day prior to surgery, or in the preanesthetic room on the day of surgery.

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The Anesthesia Consultant

NOVEMBER 4, 2021

You’re the anesthesiologist assigned to a freestanding ambulatory surgery center (ASC). Are you and the facility prepared for an emergency at a surgery center? Let’s examine this case study: You meet your first patient of the morning, a 75-year-old female scheduled for lateral epicondylitis release surgery on her right elbow.

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Surgery Vital Signs Anesthesiologist Post-Anesthesia 52

The Anesthesia Consultant

APRIL 30, 2024

IN ROUGHLY CHRONOLOGIC ORDER: • THE HEART-LUNG MACHINE AND OPEN HEART SURGERY. The heart-lung machine made coronary artery bypass surgery and open heart surgery possible. Prior to the machine, it was impossible to successfully operate on the heart while it was still beating. Inventor: Dr. John Gibbon (1950s).

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General Anesthesia Post-Anesthesia Anesthesia In-Procedure 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

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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Anesthesiologist Operating Room Surgery General Anesthesia 52

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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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

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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Operating Room Post-Anesthesia Anesthesiologist Anesthesia 52

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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Surgery Incision Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

NOVEMBER 5, 2020

This week I filmed a 26-minute question and answer video for the American Sleep Apnea Association regarding the topic of sleep apnea and surgery. The video provides answers to individuals who have obstructive sleep apnea and are contemplating surgery and anesthesia. Risks of anesthesia and the OSA patient?

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Anesthesia Surgery Post-Anesthesia General Anesthesia 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

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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Surgical Assistant Surgical Assisting General Anesthesia Post-Anesthesia 52

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

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. I was excited.

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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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General Anesthesia Post-Anesthesia Anesthesia Operating Room 52

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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Surgery Post-Anesthesia General Anesthesia Anesthesia 52

SpecialtyCare

AUGUST 16, 2024

This article will delve into what PLIF entails, its benefits, the surgical procedure, and post-operative care, providing you with a comprehensive understanding of this critical spinal surgery. Improved Mobility: Patients often experience improved function and mobility after surgery, allowing them to return to their daily activities.

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Incision In-Procedure Post-Anesthesia Procedure 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. Why Did Take Me So Long To Wake From General Anesthesia?

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

MAY 28, 2024

While 43% worked in an academic medical center, 35% worked in a community hospital, 11% worked in a city/county hospital, and 6% worked solely in an ambulatory surgery center. ” Private practices didn’t rush to adopt the preoperative anesthesia clinic model, mainly because of the costs involved. They get paid to do this.

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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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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. A lot can go wrong.

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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

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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General Anesthesia Post-Anesthesia Suture Suturing 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.

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Operating Room General Anesthesia 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). 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

FEBRUARY 20, 2018

You’re a 55-year-old man with hypertension, scheduled for surgery for a right colon removal for colon cancer. How likely is your death within 30 days after surgery? Your 30-day morality following this inpatient surgery is 1.2%. What can we do to improve myocardial injury after noncardiac surgery?

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Surgery Post-Anesthesia General Anesthesia Anesthesia 52

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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Anesthesia Anesthesiologist Operating Room General Anesthesia 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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Anesthesia Post-Anesthesia General Anesthesia In-Procedure 52

The Anesthesia Consultant

NOVEMBER 8, 2022

An audit trail can be defined as a “record that shows who has accessed a computer system, when it was accessed, and what operations were performed.” The patient suffers an acute cardiac arrest fifteen minutes after the induction of general anesthesia. A 36-year-old woman is scheduled for emergency surgery at 3 a.m.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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). 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.

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Anesthesiologist Vital Signs Operating Room Post-Anesthesia 52

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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