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.

Anesthesia 52

Anesthesia Vital Signs General Anesthesia Post-Anesthesia 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). Anesthesia Workstation You log into the EMR system, and then you log into your first patient’s chart. Anesthesia Workstation You log into the EMR system, and then you log into your first patient’s chart.

Anesthesiologist 52

Anesthesiologist Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. Vigilance regarding a sleeping patient’s vital signs was always paramount, but the constant effort to be vigilant could be mind-numbing. Since the development of the internet, anesthesia practice has changed forever. You’re allowed to bring along a briefcase or a backpack.

Operating Room 52

Operating Room General Anesthesia Post-Anesthesia Vital Signs 52

The Anesthesia Consultant

MARCH 18, 2021

What’s the relationship between alcohol and anesthesia? Miller’s Anesthesia , 9 th edition, Chapter 31, Preoperative Evaluation) All adults and adolescents should be questioned regarding their history of alcohol use prior to anesthesia. Why Did Take Me So Long To Wake From General Anesthesia? Is this OK?

Anesthesia 52

Anesthesia Vital Signs General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

JUNE 26, 2018

Point/Counterpoint: How new is modern anesthesia? Are modern anesthesia techniques radically different from the methods of twenty years ago? Twenty-first century general anesthetics are nearly identical to the anesthetic techniques of the late 1990s. How can it be that general anesthesia has ceased to evolve?

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Vital Signs 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? Protocols regarding how to accomplish anesthesia in outer space exist in the medical literature.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

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. All vital signs were normal. In 1994 the Anesthesia Patient Safety Foundation (APSF) published a sentinel article about the risks of succinylcholine in pediatric anesthesia.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MAY 3, 2017

Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. In many health care systems there are no anesthesia clinics, and primary care doctors (internal medicine specialists, family practitioners, or pediatricians) do the preoperative assessments.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

SEPTEMBER 28, 2023

When a Code Blue or a dire change in vital signs occurs in an operating room, the Manual directs the resuscitation team to the correct order of action at a time when minds are racing, thoughts have become jumbled, and near-perfect intervention is required. Both were published in the journal Anesthesia and Analgesia.

Operating Room 52

Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

NOVEMBER 4, 2021

On physical exam, her vital signs are normal, her lungs are clear, and her heart exam is positive for the clicking sound of a mechanical valve and a 2/6 systolic murmur. Vital signs remain normal with BP=110/70, P=80, and oxygen saturation=99%. She is obese, weighing 200 pounds, with a BMI=35. She is on no medications.

Surgery 52

Surgery Vital Signs Anesthesiologist Post-Anesthesia 52

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. The vital signs monitor continues to emit a soft high-pitched tone, but there’s no one else around to hear it.

Vital Signs 52

Vital Signs General Anesthesia Anesthesia Post-Anesthesia 52

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

Anesthesiologist 52

Anesthesiologist Vital Signs Post-Anesthesia Anesthesia 52

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? Will I Have a Breathing Tube During Anesthesia?

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Operating Room 52

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.

Anesthesia 52

Anesthesia Operating Room Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

APRIL 26, 2018

Learjet anesthesia? Yes, anesthesia can be a glamorous specialty. Note that the anesthesia transport team member was only an anesthesia fellow or a resident. The eligible residents were second-year residents (anesthesia residency training was only two years in duration during the 1980’s).

Anesthesia 52

Anesthesia Operating Room Vital Signs Post-Anesthesia 52

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.

Post-Anesthesia 52

Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

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.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

AUGUST 24, 2020

According to The Washington Post , in 2017 more than half of American adults had tried marijuana at least once in their lives, and a total of 55 million Americans currently used the drug. His vital signs are normal, and his abdominal exam is negative for tenderness. Why Did Take Me So Long To Wake From General Anesthesia?

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MAY 2, 2023

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. Louis, Missouri are studying a novel system they call the Anesthesia Control Tower (ACT). What do you do?

Anesthesia 52

Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 6, 2019

Every anesthesia provider must learn to free-solo anesthesia early in his or her career. A typical hospital will have dozens of other anesthesia providers working in the same building. Commercial aviation is sometimes compared to anesthesia practice. In anesthesia there is no guaranteed second anesthesiologist.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia General Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

AUGUST 14, 2015

Is the practice of anesthesia an art or a science? The practice of anesthesiology becomes very much like a physiology experiment with the twin goals for the patient of a) guaranteeing sleep, while b) striving to maintain perfect vital signs. Why Did Take Me So Long To Wake From General Anesthesia? Where is the art?

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

The Anesthesia Consultant

SEPTEMBER 6, 2019

The Amazon Echo brings us Alexa, an AI-powered personal assistant who follows verbal commands in our homes.Artificial intelligence in medicine (AIM) will grow in importance in the decades to come and will change anesthesia practice, surgical practice, perioperative medicine in clinics, and the interpretation of imaging.

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesia Operating Room 52

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.

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

The Anesthesia Consultant

JUNE 12, 2023

I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. INTRAOPERATIVE DECISION A 60-year-old man with a history of hypertension is having a knee arthroscopy surgery under general anesthesia. Is CHATGPT as good as an MD?

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JANUARY 30, 2024

Is your doctor an experienced anesthesia provider or a newbie? The list below chronicles the crescendo of growth of as I’ve witnessed it from a newly-trained anesthesia doctor to an expert practitioner. As a patient, the only signs you’re likely to recognize are #1 and #2 below, but each of these differences are real.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

FEBRUARY 19, 2016

The procedure does not require a breathing tube, so we’ll administer the sedation and be vigilant regarding what happens to the patient’s vital signs. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

Blood Oxygenation Levels 52

Blood Oxygenation Levels Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

AUGUST 7, 2017

See Robot Anesthesia and Robot Anesthesia II ) AI already influences our daily life. In my previous essays Robot Anesthesia and Robot Anesthesia II , I described models of robots designed to perform intravenous sedation or intubation of the trachea, products which are futuristic but currently have no market share.

Post-Anesthesia 52

Post-Anesthesia Anesthesia Operating Room Nurse Practitioner 52

The Anesthesia Consultant

AUGUST 16, 2018

If something dire goes wrong during anesthesia and surgery and the flow of oxygen to the brain is cut off, an anesthesia practitioner has about five minutes to diagnose the cause of the problem and treat it. The good news is that catastrophic events causing sudden drops in oxygen levels are very rare during anesthesia.

Post-Anesthesia 52

Post-Anesthesia Anesthesia Anesthesiologist Vital Signs 52

The Anesthesia Consultant

DECEMBER 30, 2022

Ciprofol is a new intravenous (IV) anesthetic agent which is undergoing early clinical trials in China, and may become a significant tool in our anesthesia armamentarium if and when the drug is approved by the Food and Drug Administration (FDA) in the United States. mg/kg induced equivalent sedation/anesthesia to propofol 2.0

General Anesthesia 40

General Anesthesia Post-Anesthesia Anesthesia In-Procedure 40

The Anesthesia Consultant

MARCH 2, 2018

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. Hangover after general anesthesia (HAGA) describes a patient who has a safe general anesthetic, but who then feels hungover, sedated, and wasted for a time period exceeding two hours afterwards. The patient is always right.

General Anesthesia 52

General Anesthesia Anesthesia Incision Post-Anesthesia 52

The Anesthesia Consultant

MAY 29, 2015

The new device being discussed is the iControl-RP anesthesia robot. THE iCONTROL-RP ANESTHESIA ROBOT On May 15, 2015, the Washington Post published a story titled, “We Are Convinced the Machine Can Do Better Than Human Anesthesiologists.” A score of 40 – 60 is considered an optimal amount of anesthesia depth.

Anesthesia 52

Anesthesia Post-Anesthesia Anesthesiologist Vital Signs 52

The Anesthesia Consultant

JUNE 15, 2022

The first public demonstration of anesthesia, at the Ether Dome in Massachusetts General Hospital Important advances in the history of anesthesia changed medicine forever. Humans have inhabited the Earth for 200,000 years, yet the discovery of surgical anesthesia was a relatively recent development in the mid-1800s.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MARCH 4, 2022

How soon will we see robotic anesthesia in our hospitals and surgery centers? But what’s new in anesthesia the last 30 years? Ten years ago, when I asked him what new anesthesia drugs were in the pipeline, he answered, “None, and there probably will be very few new ones. Is the same true for anesthesia devices?

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Vital Signs 52

Radius Anesthesia

MAY 17, 2023

In particular, there are unique considerations for patients undergoing cancer treatment, especially radiation therapy, who need anesthesia. A fraction of patients may need to undergo intraoperative radiation therapy, which carries a whole additional set of unique anesthesia and other clinical considerations. & Tollinche, L.

Anesthesia 52

Anesthesia Operating Room Post-Anesthesia Vital Signs 52

Anaesthesia News

FEBRUARY 29, 2024

Post-infrarenal clamping has an incidence of AKI of 5% versus 13% for post-suprarenal clamping. For example, anesthesia may decrease RBF by dropping CO or MAP. Sympathetic stimulation occurs secondary to surgical stress, general anesthesia, hypoxia, hypotension, pain, severe bleeding, and strenuous exercise.

Anesthesia 130

Anesthesia Surgery In-Procedure Post-Anesthesia 130