The Anesthesia Consultant

NOVEMBER 15, 2023

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. Dr. Patel has been a pioneer in bringing HFNO/THRIVE from the ICU into 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

JANUARY 30, 2024

Imagine you’re two months out of anesthesia training, working at a community hospital, and at 2 a.m. you need to induce emergency anesthesia for a 300-pound man who just ate a full meal of pizza and beer two hours earlier. You’re working alone without that anesthesia attending who stood next to you during residency training.

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The Anesthesia Consultant

NOVEMBER 5, 2020

PREOPOPERATIVE CARE : Let’s talk about the diagnosed sleep apnea patient and pre-operative assessment for upcoming surgery: The diagnosis of OSA is based on the presence of symptoms, such as disturbed sleep, snoring, hypertension, and also the frequency of sleep-related respiratory events during a sleep study or home sleep apnea testing.

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The Anesthesia Consultant

OCTOBER 11, 2020

Anesthesiologists are responsible for your medical care before, during, and after surgeries. Perioperative” means “around the time of operations.” A then records all pertinent preoperative information into the electronic medical record (EMR) via a computer keyboard and screen located just to the right of his anesthesia machine.

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The Anesthesia Consultant

OCTOBER 28, 2018

Dental cases are common, and are frequently referred to a hospital because the typical care systems at an outpatient surgery center or a dental office are inadequate to complete a successful anesthetic. The most common anesthesia induction technique in children and toddlers is an inhalation induction with sevoflurane.

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The Anesthesia Consultant

MARCH 31, 2015

You’re a Medical Director or medical educator, and you’re scheduled to deliver a lecture on the management of two or three common operating room emergencies. You’re an expert witness or a member of your hospital’s Quality Improvement committee, charged with reviewing the unfortunate outcome of an operating room medical complication.

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The Anesthesia Consultant

JANUARY 19, 2017

Some were academic professors, some were trainees at a university, and some were community anesthesiologists either in my group or in other anesthesia companies. We’re entering an era of metrics for physicians, in which the government and hospital systems will collect data to monitor quality and performance. Stick up for yourself.

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The Anesthesia Consultant

NOVEMBER 8, 2022

Every time a healthcare provider clicks his or her mouse on an EMR, that click is recorded by the Orwellian Big Brother of Medical Care, the audit trail. An audit trail can be defined as a “record that shows who has accessed a computer system, when it was accessed, and what operations were performed.”

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The Anesthesia Consultant

OCTOBER 18, 2017

You utilize the current multimodal strategies for operating room anesthesia and postoperative pain reduction, including an ultrasound-guided adductor canal block with 0.5% The patient does well, and is discharged from the Post Anesthesia Care Unit in excellent condition. The patient objects. Let’s do it.”

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The Anesthesia Consultant

NOVEMBER 28, 2017

You believe the patient is high risk in terms of his airway, his breathing, his cardiac status, and his potential for post-operative complications. Propofol infusions are typically used to make our patients sleep, and most propofol infusions cross the American Society of Anesthesiologists line into general anesthesia.

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EARN Cares

OCTOBER 11, 2023

If you are coming from a non-critical care role, be sure to highlight your previous nursing jobs that have prepared you to step into this role. Some hospitals require 1-2 years of ICU or Critical Care experience in order to be hired. View Critical care RN Sample Resume 7.

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Sullivan Healthcare Consulting

JUNE 4, 2024

Yet, with a single minute in the OR costing as much as $120, ASCs, hospital outpatient departments (HOPD), and ORs regularly waste much more than that. The reasons for low OR utilization rates are multifactorial, yet they often trace back to ineffective pre-anesthesia testing processes. Do it again. Wait another minute. It’s unlikely.

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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). a long transport, but less than 5 minutes to the recovery area)? had a pulse oximetry reading < 85%.

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The Anesthesia Consultant

AUGUST 17, 2020

In 1999 the Institute of Medicine published the landmark “To Err is Human” report , which described that adverse events occurred in 3 – 4% of all hospital admissions, and that over 50% of the adverse events were due to preventable medical errors. Mistakes happen in medicine. We can’t fix problems we haven’t identified.

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Somnia

MAY 31, 2024

Anesthesia departments are crucial to the success of operating rooms (ORs). Ensuring your anesthesia team excels in both areas is vital. Here are five warning signs that your anesthesia team might be underperforming: 1. Lookout for: A trend toward severe post-operative nausea and vomiting.

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The Anesthesia Consultant

NOVEMBER 15, 2018

The FDA approved the drug to be used in hospital settings only, for the treatment of moderate-to-severe acute pain, where a narcotic is needed and rapid onset is desired, but the route of administration does not require intravenous access. Dsuvia will be marketed as “postoperative, sublingual, patient controlled analgesia.”

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The Anesthesia Consultant

MAY 4, 2016

The surgery and anesthesia proceed uneventfully. The patient is awakened from general anesthesia and taken to the Post Anesthesia Care Unit. Abdominal surgery and general anesthesia in this patient population are not without risk, even with optimal anesthetic care. The patient accepts these risks.

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