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 anesthesiologist meets the patient prior to the surgery, reviews the chart, and examines the patient.

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

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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 first surgery today is a procedure devised to treat obstructive sleep apnea, a procedure called a maxillary-mandibular osteotomy. The surgery will take approximately three hours. I’ll remove the tube when you wake up.

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Anesthesiologist Vital Signs Operating Room Post-Anesthesia 52

The Anesthesia Consultant

MARCH 18, 2021

You’re a patient scheduled for elective surgery tomorrow. You’re nervous and you’d like to drink a glass of wine (or two) at dinner the night before the surgery. What’s the relationship between alcohol and anesthesia? Surgery is common in the United States—there were more than 17 million surgeries performed in America in 2014.

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The Anesthesia Consultant

AUGUST 13, 2021

A 12-year-old boy and his mother walk into a surgery center. 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. The child is scheduled for a tonsillectomy, and is otherwise healthy.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JULY 12, 2021

Vigilance regarding a sleeping patient’s vital signs was always paramount, but the constant effort to be vigilant could be mind-numbing. Many anesthesia providers carry a laptop or a tablet in their briefcases. These devices enable an anesthesiologist to remain connected to the outside world during surgery.

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Operating Room General Anesthesia Vital Signs Post-Anesthesia 52

Radius Anesthesia

MAY 17, 2023

Cancer treatment, including surgery , chemotherapy, and radiotherapy, results in major physiological and health changes. In particular, there are unique considerations for patients undergoing cancer treatment, especially radiation therapy, who need anesthesia. Some cancer patients require surgery as part of treatment.

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The Anesthesia Consultant

JUNE 15, 2022

Dr. Long performed multiple surgeries using this technique, but did not publish his findings until seven years later in 1849 in The Southern Medical and Surgical Journal. As a result, there is a dispute whether Dr. William Morton (below) discovered ether anesthesia first. He performed the first surgery under spinal anesthesia in 1899.

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The Anesthesia Consultant

OCTOBER 11, 2020

Anesthesiologists are responsible for your medical care before, during, and after surgeries. Today I’ll walk you through an example anesthetic which shows how an anesthesiologist approaches the challenges of a difficult surgical problem: emergency non-cardiac surgery in a patient with heart disease. A will be present the entire time.

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The Anesthesia Consultant

MAY 23, 2023

” Despite this, during surgery your anesthesiologist injected fentanyl into your IV as part of your anesthetic. In operating room anesthesia, the narcotic fentanyl is a clear liquid usually marketed in vials of two milliliters or five milliliters. Your general practitioner or primary care doctor will never prescribe fentanyl.

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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. A press article describing the ACT states: “Surgery is a big insult to the human body. A lot can go wrong.

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The Anesthesia Consultant

JANUARY 30, 2024

Inexperienced anesthesiologists may only contemplate a recipe of anesthesia drugs, instead of seeing his or her role as the management of the patient’s medical problems prior to, during, and after surgery. in the context of what the surgery and the anesthetic medications do to these diseases. It’s a symbiotic relationship.

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The Anesthesia Consultant

JUNE 12, 2023

What sort of preoperative tests or therapies should this patient have before surgery? CHATGPT: For an 80-year-old woman with congestive heart failure (CHF) who needs to undergo gallbladder removal surgery, it is essential to conduct a thorough preoperative evaluation to assess her overall health status and identify any potential risks.

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The Anesthesia Consultant

MAY 3, 2017

Many patients require preoperative clearance prior to surgery, especially patients with significant medical problems or at extremes of age. Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. Let’s choose an illustrative example.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 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.

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The Anesthesia Consultant

MARCH 2, 2020

What you would need is an intensive care bed with a ventilator, equipment to support your vital signs, and doctors and nurses to care for you 24 hours around the clock. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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General Anesthesia Post-Anesthesia Anesthesia Operating Room 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. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

APRIL 26, 2018

Even though the patient was brain dead, it was imperative to maintain his or her vital signs and oxygenation at optimal levels to preserve the cardiac function for the eventual recipient. We’d arrive in the operating room—a room we’d never seen or worked in before—and prepare the patient for surgery. At this point my work began.

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The Anesthesia Consultant

NOVEMBER 28, 2017

You’re wrong to cancel his surgery.” Tell the surgeon that the patient needs to have cardiac clearance prior to any general anesthetic, and that the case needs to be done in a hospital setting rather than at a freestanding surgery center. The surgeon told the patient to expect “a twilight sleep during the surgery.”

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The Anesthesia Consultant

MAY 29, 2015

In addition to monitoring the patient’s EEG level of consciousness (via a BIS monitor device called NeuroSENSE), this new device monitors traditional vital signs such as blood oxygen levels, heart rate, respiratory rate, and blood pressure, to determine how much anesthesia to deliver. What Are the Common Anesthesia Medications?

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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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Post-Anesthesia Anesthesia Operating Room Vital Signs 52

The Anesthesia Consultant

AUGUST 24, 2020

His vital signs are normal, and his abdominal exam is negative for tenderness. He is scheduled for general anesthesia for the endoscopy procedure. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

FEBRUARY 6, 2019

For healthy patients undergoing elective surgery the anesthetic risks are minimal, and are similar to the risks of driving on a freeway in an automobile. Because of manpower necessities, there will never be a law mandating a second anesthesiologist for every surgery as there is in commercial aviation. The degree of risk is variable.

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The Anesthesia Consultant

SEPTEMBER 6, 2019

This device monitors the patient’s EEG level of consciousness via a BIS monitor device as well as traditional vital signs. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia? What Are the Common Anesthesia Medications? IBM Watson AI Robot 2.

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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. A 40-year-old male presented for outpatient septoplasty surgery. His preoperative vital signs were normal.

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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

JUNE 23, 2016

GENERAL ANESTHESIA FOR DENTAL OFFICES CASE PRESENTATION: A 5-year-old developmentally delayed autistic boy has multiple dental cavities. The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. The dentist begins the surgery. What do you do?

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The Anesthesia Consultant

AUGUST 7, 2017

Operating rooms The best current example of robot technology in the operating room is the da Vinci operating robot, used primarily in urology and gynecologic surgery. 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

AUGUST 14, 2015

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. 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

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?

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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.

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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). 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

How soon will we see robotic anesthesia in our hospitals and surgery centers? We’ve seen advances in noninvasive surgery, fiberoptic scopes, transplantation science, cancer therapeutics, and mega healthcare delivery companies. But what’s new in anesthesia the last 30 years? Relatively little.

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The Anesthesia Consultant

JUNE 26, 2018

How can it be that general anesthesia has ceased to evolve? When a patient needs an epidural for surgery, the recipe of bupivicaine or lidocaine +/- narcotic is unchanged from the 1990s. What about monitors of vital signs? Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

DECEMBER 30, 2022

2022) compared ciprofol and propofol in 120 women for the induction of anesthesia in gynecologic surgery. Neither ciprofol nor propofol caused statistically significant differences in vital signs. mg/kg for the induction of general anesthesia. Chen et al. Intravenous midazolam (0.03 Chen et al. Wang et al.

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The Anesthesia Consultant

SEPTEMBER 1, 2017

Projection errors also included procedures taking place in inappropriate environments, such as very sick patients having surgery in an office or an outpatient surgery center. Be wary when administering general anesthesia to any patient who cannot walk up two flights of stairs.

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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. William New MD PhD 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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