The Anesthesia Consultant

NOVEMBER 18, 2017

America’s hospitals are in fiscal chaos. Anesthesiologists work in hospitals, and when a hospital closes, anesthesiologists lose their jobs. Hospitals are losing money, particularly when it comes to the treatment of Medicaid/Medicare patients. 2 An anesthesia group’s success is closely tied to the fate of their hospital.

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NVIDIA: Healthcare

OCTOBER 21, 2024

Ahead of a visit to the hospital for a surgical procedure, patients often have plenty of questions about what to expect — and can be plenty nervous. These virtual teammates can have natural, human-like conversations with patients, answer a wide range of questions and provide supporting guidance prior to preadmission appointments at hospitals.

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The Anesthesia Consultant

JUNE 4, 2024

Ability can also be evidenced the quality of the anesthesia residency/fellowship training program you’ve completed, as well as the medical school you’ve graduated from. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room? No, they want a skilled practitioner.

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The Anesthesia Consultant

MAY 28, 2024

Primary Consultant Anesthesiologist The “Preoperative Evaluation” chapter in our Bible, Miller’s Anesthesia , is 80 pages long—one of the longest chapters in the book. It’s almost June, and hundreds of anesthesia residents are about to graduate from residency programs. Read on and I’ll explain why. His clinic resulted in 87.9%

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The Anesthesia Consultant

MAY 2, 2023

The Barnes Jewish Hospital, Washington University, St. Louis Imagine this: You’re an anesthesiologist in the operating room at a busy hospital. Anesthesiologists at Barnes Jewish Hospital at Washington University in St. Louis, Missouri are studying a novel system they call the Anesthesia Control Tower (ACT).

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SpecialtyCare

AUGUST 16, 2024

This article will delve into what PLIF entails, its benefits, the surgical procedure, and post-operative care, providing you with a comprehensive understanding of this critical spinal surgery. These may include infection, bleeding, nerve damage, and issues related to anesthesia. What is Posterior Lumbar Interbody Fusion (PLIF)?

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Sullivan Healthcare Consulting

SEPTEMBER 18, 2024

18, 2024 While Hospital Outpatient Department (HOPD) Ambulatory Surgery Centers receive higher reimbursement rates than freestanding Ambulatory Surgery Centers ( ASCs ), hospital systems are increasingly interested in transitioning their freestanding HOPDs to ASCs. Updated Sept.

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The Anesthesia Consultant

MARCH 2, 2024

If you wonder how much the anesthesia scene has changed significantly over the past four decades, check out this narrative: In 1986 I was in my second and final year of anesthesia residency training at Stanford, and I was looking for a job. I heard about an opening with a busy private practice anesthesia group in Southern California.

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The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. One can also order a laminated 8½ x 11½-inch version of the Manual to hang in each operating room. Both were published in the journal Anesthesia and Analgesia.

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Picis

OCTOBER 9, 2023

Anesthesia EMR software is a driving force behind this change, heralding an era that gives clinicians more time with the patient, and helps improve operations. Improvements in Data Collection Anesthesia EMR software isn’t just about documenting medical records electronically.

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The Anesthesia Consultant

NOVEMBER 15, 2023

The capacity to deliver this much oxygen to a non-intubated patient is a marked advance in anesthesia care. One day after attending the ASA meeting in San Francisco, I heard an in-person lecture in Palo Alto, California by Professor Anil Patel from the Royal National Throat, Nose and Ear Hospital in London.

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Sullivan Healthcare Consulting

JULY 25, 2024

Are your surgical services struggling to contain inflated anesthesia costs? If any of that sounds familiar, you may benefit from anesthesia consulting services. Here, we’ll call out the essentials you should look for in an anesthesia consultant. Anesthesia services don’t exist in a vacuum.

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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. In my view, inexperienced anesthesia providers are more likely to: Be nervous/anxious. This observation is no surprise.

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The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. Anesthesiologists could chat with the surgeons and/or nurses, make an occasional phone call, and at times read materials they brought with them into the operating room. Since the development of the internet, anesthesia practice has changed forever. Love it or hate it, the EMR is here to stay.

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Salem Anesthesia

JUNE 12, 2023

In this blog post, we’ll provide an insider’s perspective on a CRNA’s exciting and rewarding career by highlighting their daily responsibilities, how they overcome challenges, and their tremendous impact on patient care and the health field. To begin, it’s essential to understand the role of a CRNA.

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Picis

NOVEMBER 27, 2023

You’ve probably heard about the game-changing benefits of implementing an Anesthesia Information Management System (AIMS): time savings; ease of use; greater legibility and accuracy; reliability and defensibility; improved patient monitoring, and giving clinicians more time to focus on the patient. This will improve efficiency.

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Ed Mariano

MAY 29, 2023

Annual meeting Vice-Chair Dr. Engy Said put together a fantastic point-of-care ultrasound and regional anesthesia workshop on Thursday. Mason as well as some other inspirational anesthesiologists, see these video interviews posted by Dr. Allison Fernandez for the Women of Impact in Anesthesiology project. Michael Champeau!

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DFW Anesthesia Professionals

MARCH 4, 2024

Simnotrelvir operates by blocking the activity of an enzyme of the Covid-19 virus, which is essential for its replication. Furthermore, in a real-world study, Paxlovid recipients exhibited a 51% reduced hospitalization rate within the subsequent 30 days (Katella, 2024). Yale Medicine , Yale Medicine, 10 Jan.

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Platinum Meidcal Staffing

MARCH 10, 2023

If you’re wondering how your hospital or surgery center could benefit from the integration of these professionals, here are three ways that they improve patient outcomes. Shorten surgery times According to the Canadian Journal of Surgery, operations involving skilled surgical assistants are completed 30 percent faster.

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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. Anesthesia is not the career for you if you like to sleep late—surgery always begins at 0730 hours). The scrubs are enclosed in a device not dissimilar to a soda machine, and you need your ID to operate it.

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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.

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Nashville Anesthesia Professionals

NOVEMBER 8, 2023

million operations from taking place (3). The COVID-19 pandemic has pushed many healthcare workers to exit the workforce in the past few years by creating a more stressful working environment in hospitals and clinics (3). ASA Monitor , January 2022, [link] “The Anesthesia Provider Shortage.”

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The Anesthesia Consultant

MARCH 23, 2020

Today’s post demonstrates making a reusable N95 mask from common inexpensive operating room supplies. The video is posted here. The required parts are an operating room anesthesia mask and a ventilator in-line bacterial/viral filter: The mask assembly is held over your face with elastic straps.

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Transforming Outcomes

JUNE 26, 2020

When you think of the operating room (OR), what comes to mind? At my first hospital, I visited the nursing director regularly to see if there were any openings. If patient status changes, you may have to switch what you are doing – stepping in to help anesthesia, for example. An intense and stressful work environment?

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The Anesthesia Consultant

MAY 13, 2020

The main questions as to whether a hospital or an ambulatory surgery center can resume elective surgery as of May 2020 are: What is the incidence of COVID-19 in your geographic area? The inside of the healthcare facility will be cleaned prior to any patient care, and will be recleaned after each patient leaves an operating room.

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The Anesthesia Consultant

APRIL 25, 2021

On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ The hospital was Watertown Regional Medical Center, located in Watertown, Wisconsin , population 23,861, midway between Milwaukee and Madison. In a word, no. See this link.

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The Anesthesia Consultant

JANUARY 24, 2023

Very few anesthesia professionals have access to a quantitative NM monitoring device at present. Currently a large number of anesthesia practitioners don’t monitor neuromuscular blockade level at all. In 2016 there were more than 224,000 operating rooms in the United States , so tens of thousands of devices could be needed.

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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 assessment is ASA II, and the plan is general endotracheal anesthesia. The patient consents.

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PANA

APRIL 21, 2023

Advanced Practice Provider Spotlight: Certified registered nurse anesthetist shares perspective on caring for diverse patients Posted April 11, 2023 by ,Penn State Health News Prolung Ngin , a certified registered nurse anesthetist (CRNA) at Penn State Health Milton S.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

There are Two Laws of Anesthesia, according to surgeon lore. Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. Anesthesiologists typically spend 90+% of their working hours in the operating room.

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The Anesthesia Consultant

JULY 11, 2019

Sixty-six percent of surgeries in the United States take place as an outpatient , and many of these surgeries are performed at freestanding facilities distant from hospitals. If the patient is unstable, a physician, usually an anesthesiologist, will need to accompany the patient and the EMTs to the hospital emergency room.

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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. This could indicate a cardiac event or a complication related to the anesthesia.

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The Anesthesia Consultant

AUGUST 29, 2022

It’s a fact that cutting a child out from his mother’s womb was a death sentence for the mother in an era prior to the discovery of anesthesia and prior to the discovery of surgical techniques to control bleeding and infection. In emergency circumstances, general anesthesia may be required for Cesarean section.

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The Anesthesia Consultant

JANUARY 9, 2023

Hamlin received CPR (CardioPulmonary Resuscitation) on the field, and his heartbeat was restored before he was taken to a Cincinnati hospital. He was intubated on the field, had what I would deem a textbook resuscitation on the field from, again, immediate bystander CPR, defibrillation, airway management and then transport to the hospital.

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The Anesthesia Consultant

NOVEMBER 4, 2021

The surgeon says he will only need to operate for 15 minutes. You attach the standard vital sign monitors, preoxygenate the patient, and induce anesthesia with 150 mg of propofol, 50 micrograms of fentanyl, and 40 mg of rocuronium. She has a thick neck and a large tongue. You intubate her trachea with a 7.0

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The Anesthesia Consultant

NOVEMBER 13, 2019

Or is it an expensive gadget for hospitals and surgeons to market and attract potential patients? Video laparoscopy surgical equipment and the longer operating times were increased expenses, but the advantages of outpatient surgery and quicker recovery made the new technique the standard of care for many surgeries within the abdomen.

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The Anesthesia Consultant

JULY 6, 2023

This column will help you find the top 10 anesthesia journals. Prior to the internet, hard copies of medical journals were bound into volumes and stored at hospital or medical school libraries. Note that 2 of the top 4 publications did not even exist when I began my anesthesia training in 1984. This publication launched in 1988.

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