The Anesthesia Consultant

JANUARY 2, 2016

I’m writing this from the perspective of a busy clinician who has worked as an anesthesiologist in California in both private practice and at a major university hospital for over 30 years. More care team anesthesia and more Certified Nurse Anesthetists (CRNAs).

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The Anesthesia Consultant

FEBRUARY 16, 2021

To aid you in visualizing yourself in the hospital, I’m substituting the pronoun “you” instead of “I” in the narrative below. You complete your morning bathroom and breakfast routines, and leave your residence at 0630 hours for the hospital. Your hospital contains multiple operating rooms, and today you are in room #10.

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The Anesthesia Consultant

OCTOBER 21, 2015

3) Physicians from a Thai teaching hospital reviewed 44,339 emergency surgery patients from 2003 to 2011, and found the incidence of perioperative cardiac arrest in emergency surgery was 163 per 10,000 cases. A 9-year survey in a Brazilian tertiary teaching hospital. Risk Manag Healthc Policy. 2014 Sep 4;7:155-62. eCollection 2014.

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The Anesthesia Consultant

OCTOBER 8, 2019

Let’s examine five actual post-extubation scenarios that caused death, complications, or a near-miss: During my first month of anesthesia training at a county hospital in San Jose, California, I chose to try to wake up a healthy patient without the presence of my faculty member. She walked out of the hospital two days later.

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The Anesthesia Consultant

SEPTEMBER 25, 2015

THE JULY EFFECT AND THE NOVEMBER EFFECT: In American teaching hospitals, newly minted doctors begin internships each July. The term “July Effect” was coined to describe this shift change in academic hospitals each July, when the arrival of inexperienced doctors may increase the risks of medical care.

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Operating Room Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 16, 2018

He walked out the hospital alive and well. When a bad outcome like this occurs in a hospital or surgery center, a facility’s Quality Assurance Committee examines the details of the case—not to assign blame—but to identify flaws in patient care systems which must be improved in the future.

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The Anesthesia Consultant

AUGUST 7, 2017

AI computers will be stocked with information from multiple sources, including all known medical knowledge published in textbooks and journals, as well as the electronic health records (EHR)/ clinical data from thousands of previous hospital and clinic patients. What will an AIM robot doctor look like?

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The Anesthesia Consultant

AUGUST 28, 2016

If you work in a practice which utilizes an anesthesia care team, where one physician anesthesiologist may supervise, for example, 4 Certified Registered Nurse Anesthetists (CRNAs), then a physician’s income is increased because he or she is billing for and supervising care for multiple concurrent surgeries.

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The Anesthesia Consultant

MAY 6, 2017

The Merriam-Webster online dictionary defines private practice as: “a professional business (such as that of a lawyer or doctor) that is not controlled or paid for by the government or a larger company (such as a hospital).” In my community the dentists are all in private practice, as are most of the accountants, psychologists, and attorneys.

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The Anesthesia Consultant

NOVEMBER 12, 2015

It was Johnny’s first day of school and my first day to report to the local hospital. I needed to be at Hibbing General Hospital before 7:30. The hospital was a three-block hike from Dom’s house, so it made sense to leave the battered BMW on the curb and walk to Hibbing General. He was only a nurse anesthetist.

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