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. I’ve personally performed over 7,000 general anesthetics in freestanding surgery centers and office operating rooms.

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Anesthesiologist Operating Room General Anesthesia Surgery 52

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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Anesthesiologist Operating Room Vital Signs Post-Anesthesia 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. Let’s look at the specific ways the internet has changed anesthesia practice: Electronic Medical Record anesthesia intraoperative vital signs record Electronic medical records (EMRs).

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Operating Room General Anesthesia Post-Anesthesia Vital Signs 52

The Anesthesia Consultant

MARCH 18, 2021

During surgery, anesthesiologists titrate medications to the desired effect by adding doses cautiously and following the effects on the patient’s vital signs of blood pressure and heart rate. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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Anesthesia Vital Signs General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

MARCH 22, 2023

How will astronauts conduct general anesthesia and surgery in outer space? If an astronaut requires general anesthesia, one must assume the patient has a full stomach and is at risk for aspiration. 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 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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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 26, 2018

How can it be that general anesthesia has ceased to evolve? What about monitors of vital signs? The standard monitoring devices of pulse oximetry, end-tidal CO2 monitoring, and other essential anesthesia vital sign monitors were developed and in use by the 1990s.

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Anesthesia General Anesthesia Post-Anesthesia Vital Signs 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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Vital Signs General Anesthesia Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

MAY 3, 2017

The physical exam includes the height, weight, vital signs, and documentation of any abnormal findings on exam of the entire body. Plan: cleared for general anesthesia providing ECG and labs are normal. 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 Anesthesiologist 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%. Why Did Take Me So Long To Wake From General Anesthesia?

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Surgery Vital Signs Anesthesiologist Post-Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 28, 2023

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? How Safe is Anesthesia in the 21st Century? Will I Be Nauseated After General Anesthesia? What Are the Anesthesia Risks For Children?

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Operating Room General Anesthesia Post-Anesthesia 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 His vital signs remain normal.

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Anesthesiologist Vital Signs Post-Anesthesia Anesthesia 52

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 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. 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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Anesthesia Operating Room Vital Signs Post-Anesthesia 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.

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

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Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

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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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

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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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 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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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 6, 2019

Let me cite some examples of anesthesia free-soloing: The new graduate is on duty at 2 a.m., The typical anesthetic for this surgery is a rapid-sequence induction of intravenous general anesthesia, followed by the placement of a hollow breathing tube through the mouth into the patient’s windpipe. Sound scary?

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Anesthesiologist Operating Room Post-Anesthesia General Anesthesia 52

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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Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

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?

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesia Operating Room 52

The Anesthesia Consultant

MAY 2, 2023

Alerts or abnormal vital signs and laboratory results are represented by squares and triangles, respectively. 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? How Safe is Anesthesia in the 21st Century?

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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MAY 23, 2023

An ICU physician will write an order for the dosing of intravenous fentanyl, and the ICU nurse will be in constant attendance to monitor the patient’s vital signs and level of sedation. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 1, 2017

Be wary when administering general anesthesia to any patient who cannot walk up two flights of stairs. This requires preoperative workup to determine the diagnosis and to apply treatment prior to general anesthesia. The surgeon needs to know if the vital signs are deteriorating.

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Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

The Anesthesia Consultant

JUNE 12, 2023

INTRAOPERATIVE DECISION A 60-year-old man with a history of hypertension is having a knee arthroscopy surgery under general anesthesia. 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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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 7, 2017

Regarding anesthesiology, I expect future AIM robots will be hyperattentive monitoring devices which follow the vital signs of anesthetized patients, and then utilize feedback loops to titrate or adjust the depth of anesthetic drugs as indicated by these vital signs. Will I Have a Breathing Tube During Anesthesia?

Post-Anesthesia 52

Post-Anesthesia Anesthesia Operating Room Nurse Practitioner 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?

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Blood Oxygenation Levels Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

JANUARY 30, 2024

Usually there’s no time to fill out the anesthesia record during an acute complication, but as soon as you have time, write a detailed note that describes the clinical circumstances that occurred, how you treated those circumstances, and what the patient’s response was. Why Did Take Me So Long To Wake From General Anesthesia?

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

DECEMBER 30, 2022

Neither ciprofol nor propofol caused statistically significant differences in vital signs. mg/kg for the induction of general anesthesia. 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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General Anesthesia Post-Anesthesia Anesthesia In-Procedure 40

The Anesthesia Consultant

AUGUST 16, 2018

His preoperative vital signs were normal with an oxygen saturation of 98%. Anesthesia was induced with propofol 250 mg, fentanyl 100 micrograms, and rocuronium 50 mg IV. His preoperative vital signs were normal. Why Did Take Me So Long To Wake From General Anesthesia? He was otherwise healthy.

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Post-Anesthesia Anesthesia Anesthesiologist General Anesthesia 52

Anaesthesia News

MARCH 6, 2024

Pharyngeal airway express (PAXpress) The PA Xpress TM (Vital Signs Inc., Comparison of the EasyTube and endotracheal tube during general anesthesia in fasted adult patients. Best Pract Res Clin Anaesthesiol 2005; 19: 595-609 31. Lorenz V, Rich JM, Schebesta K, Taslakian S, Müllner M, Frass M, et al.

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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. The patient is always right.

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General Anesthesia Anesthesia Incision Post-Anesthesia 52

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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Anesthesia Post-Anesthesia Anesthesiologist Vital Signs 52

The Anesthesia Consultant

JUNE 15, 2022

William Morton (below) discovered ether anesthesia first. THE FIRST PUBLIC DEMONSTRATION OF ETHER AS A GENERAL ANESTHETIC. Dr. Morton performed the first public demonstration of general anesthesia at Harvard’s Massachusetts General Hospital on October 16, 1846. Will I Have a Breathing Tube During Anesthesia?

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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

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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Anesthesia Post-Anesthesia General Anesthesia Vital Signs 52

Radius Anesthesia

MAY 17, 2023

For cancer patients undergoing surgery, regional anesthesia and general anesthesia with propofol should be favored, while volatile agents should not be used in order to prevent cancer patients from perioperative immunosuppression that can increase the risk of cancer recurrence.

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