The Anesthesia Consultant

FEBRUARY 16, 2021

Your station in the operating room consists of an anesthesia machine; a bevy of vital signs monitors; a computerized pharmacy cart; a cart full of syringes and equipment; and the computer which handles the hospital’s electronic medical record (EMR). You may have nausea after general anesthesia.

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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. 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.

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The Anesthesia Consultant

FEBRUARY 3, 2022

Anesthetized patients have no muscle movement and are unable to generate any body heat in the cold water. No one monitored the vital signs of the boys during their 3-hour underwater general anesthetics. Luckily the ketamine anesthesia as administered must have kept all the vital signs within acceptable limits.

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

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The Anesthesia Consultant

FEBRUARY 6, 2019

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. Let me cite some examples of anesthesia free-soloing: The new graduate is on duty at 2 a.m., What Are the Common Anesthesia Medications?

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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

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

AUGUST 16, 2018

The topic of anoxic encephalopathy as related to anesthesia disasters and brain death—a issue that can ruin both a patient’s life and an anesthesiologist’s career—is not specifically covered in Miller’s Anesthesia. Anesthesiologists are human, and human error is known to seep into anesthesia care. He was otherwise healthy.

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The Anesthesia Consultant

OCTOBER 14, 2022

When you arrive at the PACU, a nurse reattaches your patient to the vital sign monitors, and discovers that the patient’s oxygen saturation has dropped from 100% in the OR to a severely low value of 80% in the PACU. It’s common for zero monitoring equipment to be attached to the patient. We need pulse oximetry monitoring.

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The Anesthesia Consultant

MARCH 4, 2022

The Glidescope, sugammadex, ultrasound-guided blocks, and the time-consuming Electronic Medical Record arrived, but we typically administer the same medications, use the same airway tubes, and watch the same vital signs monitors as we did in the 1990s. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

DECEMBER 30, 2022

All of the following studies were done in China: Phase 1 trials (small groups of subjects are given a single dose of the drug, and are observed and tested for a period of time to confirm safety): Teng et al. The safety and tolerability of both drugs were comparable. mg/kg induced equivalent sedation/anesthesia to propofol 2.0

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The Anesthesia Consultant

FEBRUARY 23, 2018

The oxygen saturation became recognized as “the fifth vital sign,” joining heart rate, blood pressure, respiratory rate, and temperature. In its landmark 1999 publication To Err is Human, the Institute of Medicine cited anesthesiology as the specialty that had made the most significant advances in patient safety.

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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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Anaesthesia News

MARCH 6, 2024

Second-generation SADs SADs that have been designed for safety and which have design features to reduce the risk of aspiration. Efficacy for ventilation is often a by-product of design for safety. Pharyngeal airway express (PAXpress) The PA Xpress TM (Vital Signs Inc., A clinical evaluation. Brimacombe J.

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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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