The Anesthesia Consultant

OCTOBER 17, 2024

I’m writing this review to inform anesthesia providers and laypersons regarding developments in the field of anesthesiology. Vladimir Nekhendzy, Clinical Professor of Anesthesiology and Otolaryngology, Stanford University School of Medicine, and Past President of the Society for Head and Neck Anesthesia, is the inventor of the Spiro device.

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Cardiac and General Anesthesiology

APRIL 8, 2023

Despite its negative associations, recent research has shown promising potential for the drug in the treatment of mental health conditions such as depression and post-traumatic stress disorder (PTSD). For general anesthesia, the usual dose of ketamine is 1-2 mg/kg of body weight.

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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? Protocols regarding how to accomplish anesthesia in outer space exist in the medical literature.

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The Anesthesia Consultant

AUGUST 13, 2021

The anesthesiologist induces general anesthesia, and ten minutes later the patient has ventricular arrhythmias which descend into a cardiac arrest. No parent wants their neonate, infant, child, or adolescent to have a risk of sudden cardiac arrest under general anesthesia for a common elective surgery.

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Salem Anesthesia

MARCH 5, 2024

Anesthesia is a critical component of medical procedures, ensuring that patients undergo surgeries and interventions with minimal pain and discomfort. However, several myths surround the use of anesthesia, leading to misconceptions and concerns among individuals. Myth: Anesthesia always leads to unconsciousness.

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The Anesthesia Consultant

JULY 6, 2023

This column will help you find the top 10 anesthesia journals. There are multiple fine journals in our specialty, but in my opinion the top 10 periodical anesthesia publications for clinical information follow below. Note that 2 of the top 4 publications did not even exist when I began my anesthesia training in 1984.

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The Anesthesia Consultant

AUGUST 29, 2022

It’s a fact that cutting a child out from his mother’s womb was a death sentence for the mother in an era prior to the discovery of anesthesia and prior to the discovery of surgical techniques to control bleeding and infection. In emergency circumstances, general anesthesia may be required for Cesarean section.

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The Anesthesia Consultant

JULY 11, 2019

Her breathing tube had been removed, but she developed upper airway obstruction in the Post Anesthesia Care Unit (PACU) and needed urgent reintubation. Pulmonary edema fluid filled her lungs and filled the hoses of the anesthesia machine. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JANUARY 26, 2024

During general anesthetics, anesthesiologists commonly administer a concentration of 50% oxygen to assure a margin of safety if there is difficulty with a patient’s airway, breathing, or circulation. The extra margin of oxygen is a safety net. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. Anesthesia is said to be “99% boredom and 15 panic,” because 99% of the time patients are stable, yet 1% of the time, especially at the beginning and the end of anesthetics, urgent or emergency circumstances could threaten the life of the patient. Love it or hate it, the EMR is here to stay.

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The Anesthesia Consultant

MAY 13, 2020

The joint statement also said that “facilities should use available testing to protect staff and patient safety whenever possible and should implement a policy addressing requirements and frequency for patient and staff testing.” Which surgeries are commonly done as of May 13 th , 2020? What do you, the patient, do with all this information?

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Radius Anesthesia

NOVEMBER 13, 2023

Propofol is an agonist of the gamma-aminobutyric acid (GABA) receptor, and exerts sedative and general anesthetic effects by reducing excitability and enhancing the central inhibitory effects of the GABA neurotransmitter (2). Additionally, the mean times for successful induction of general anesthesia and loss of eyelash reflexes were 0.91

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The Anesthesia Consultant

JULY 4, 2020

Rapid control of these patients is paramount to successful prehospital evaluation and also for the safety of both the patient and crew. An intramuscular injection of ketamine into the deltoid muscle of the shoulder or the quadraceps muscle of the thigh will bring on the onset of anesthesia in 3 to 5 minutes. Intravenous anesthetics.

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The Anesthesia Consultant

SEPTEMBER 28, 2023

The Stanford group published the academic article “Emergency Manual Uses During Actual Critical Events and Changes in Safety Culture From the Perspective of Anesthesia Residents: A Pilot Study” in 2016, and “Clinical Uses and Impacts of Emergency Manuals During Perioperative Crises” in 2020. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

JANUARY 29, 2020

The February 2020 edition of Anesthesiology , our specialty’s preeminent journal, published an article on robotic anesthesia. 1 The accompanying editorial by Dr. Thomas Hemmerling was titled “Robots Will Perform Anesthesia in the Near Future. ” robotic) anesthesia is at least as good as the best human anesthesia.

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The Anesthesia Consultant

OCTOBER 18, 2017

You utilize the current multimodal strategies for operating room anesthesia and postoperative pain reduction, including an ultrasound-guided adductor canal block with 0.5% 300 mg of morphine, and a light general anesthetic using 1-1.5% 300 mg of morphine, and a light general anesthetic using 1-1.5% He’s right. What happened?

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The Anesthesia Consultant

JULY 2, 2018

What should you do if your 2-year-old son or daughter requires surgery and anesthesia? Anesthesia for infants and children is most frequently initiated with an inhalation induction of sevoflurane vapor, because most infants and children do not have an IV line prior to induction. Should you consent to proceed?

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The Anesthesia Consultant

APRIL 12, 2021

The anesthesiologist needs to know what other drugs, if any, were present in the patient’s system at the time of the crash, because this fact could influence anesthesia management. In 2013 the Food and Drug Administration released the following Safety Communication regarding zolpidem (Ambien) : The U.S.

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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). This is a reasonable policy, but what if anesthesia patient transport to the PACU lasts 4 minutes and 59 seconds (i.e.

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The Anesthesia Consultant

JANUARY 2, 2016

More care team anesthesia and more Certified Nurse Anesthetists (CRNAs). 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. Anesthesia personnel will be in great demand.

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The Anesthesia Consultant

NOVEMBER 28, 2017

You’ve graduated from a residency program in which you learned the nuances of preoperative, intraoperative, and postoperative anesthesia practice. You believe the patient is high risk in terms of his airway, his breathing, his cardiac status, and his potential for post-operative complications. You’re a board-certified anesthesiologist.

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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. One of the most effective methods for preventing awareness is the careful monitoring of depth of anesthesia.

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The Anesthesia Consultant

OCTOBER 10, 2018

Richard Novak, an Adjunct Clinical Professor of Anesthesiology at Stanford University Medical Center, is available for anesthesia expert witness consultation. 2020 Invited presentation via Zoom to the American Sleep Apnea Association, Sleep Apnea and Anesthesia , November 3, 2020. Yearly lecture.

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The Anesthesia Consultant

MARCH 31, 2015

An anesthesia emergency occurs without warning. 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. Your patient’s vital signs are dropping.

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The Anesthesia Consultant

JANUARY 14, 2021

Sugammadex is not cheap (a cost of $100 per 200 mg vial), but since the availability of sugammadex, no anesthesia practitioner should ever have an awake and still-paralyzed patient at the conclusion of an anesthetic. The medical literature supports the fact that COVID patients have increased complications after anesthesia and surgery.

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The Anesthesia Consultant

APRIL 30, 2024

Prior to the TAVR procedure, replacement of a heart valve required general anesthesia, a heart-lung bypass machine and open heart surgery, to enable a surgeon to directly sew a new valve prosthesis into place. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

SEPTEMBER 3, 2021

Who is responsible for your safety before, during, and after your surgery? At times, physician anesthesiologists employ certified registered nurse anesthetists (CRNAs) to assist them in what is called the anesthesia care team (ACT) model. Will it be a nurse or will it be a physician? This is an important question. No, they are not.

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The Anesthesia Consultant

SEPTEMBER 1, 2017

One goal of theanesthesiaconsultant.com is to make the practice of anesthesia safer. The practice of anesthesia on healthy patients is quite safe, but we want to do everything we can to avoid preventable errors. The safety of anesthesia on ASA I and II patients has been compared to the safety record of commercial aviation.

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The Anesthesia Consultant

FEBRUARY 6, 2019

Every anesthesia provider must learn to free-solo anesthesia early in his or her career. The 2018 movie Free Solo showcases Alex Honnold as he became the first person to free solo climb the 3000-feet high El Capitan wall of granite in Yosemite National Park without ropes or safety gear. Working alone may be less safe.

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The Anesthesia Consultant

OCTOBER 4, 2021

Any step which enhances safety can be seen as a valuable change. AEROGLASS in aviation A recent review states , “The AEROGLASS turnkey smart glass solution provides general aviation pilots a true 3D, 360° view of navigation and safety features. Smart glasses are being studied in aviation.

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The Anesthesia Consultant

JANUARY 12, 2022

Dr. Gaba developed the anesthesia crisis simulator , and his group developed the Stanford Anesthesia Emergency Manual. Both are landmark contributions toward reducing medical errors by anesthesia providers and improving patient outcomes. Dr. Eisenach is a Professor of Anesthesia at Wake Forest University.

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The Anesthesia Consultant

AUGUST 17, 2020

The report recommended that instead of blaming individuals, to instead prevent future errors by designing safety into the system. Some reports reveal only minor issues such as prolonged post-operative nausea and vomiting, or a prolonged Post Anesthesia Care Unit stay. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

FEBRUARY 23, 2018

Many of you have never heard of Dr. New, and don’t know what he was famous for, but in my opinion he was the Most Valuable Player of the anesthesia ranks in the last one hundred years. Nellcor’s successful production, marketing, and sales efforts of their pulse oximeter changed not just anesthesia practice, but medical practice, forever.

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The Anesthesia Consultant

MAY 28, 2024

Primary Consultant Anesthesiologist The “Preoperative Evaluation” chapter in our Bible, Miller’s Anesthesia , is 80 pages long—one of the longest chapters in the book. It’s almost June, and hundreds of anesthesia residents are about to graduate from residency programs. Read on and I’ll explain why. His clinic resulted in 87.9%

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The Anesthesia Consultant

MARCH 5, 2018

Surgery and anesthesia are never 100% safe, no matter where procedures are done. Large university hospitals staff preoperative anesthesia clinics for their patients, and patients are required to physically visit the clinic to be examined and assessed prior to inpatient surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

OCTOBER 28, 2020

This study examined the issue of autism and epidural anesthesia for childbirth. The article showed a 37% increased incidence of autistic spectrum disorder (ASD) in children whose mothers received epidural anesthesia during labor. Epidural anesthesia is very popular and has been shown to be safe for both the mother and for the infant.

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DFW Anesthesia Professionals

DECEMBER 15, 2023

Inhaled anesthetics are a class of drugs used in surgery to induce and maintain general anesthesia. Isoflurane, known for its strong potency and muscle relaxation properties, is often used in surgeries requiring deep anesthesia. One of the major advantages of inhaled anesthetics is the ease of controlling anesthesia depth.

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