Nashville Anesthesia Professionals

NOVEMBER 8, 2023

Growing shortages of anesthesiologists globally could significantly impact the availability of surgeries and other medical procedures, especially in rural and low-income areas. A looming shortage of anesthesiologists globally may affect the accessibility of healthcare in the next ten years. million operations from taking place (3).

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The Anesthesia Consultant

SEPTEMBER 3, 2021

Will it be a nurse or will it be a physician? A 2013 study in Anesthesiology states, “Despite the fact that a surgical procedure may have been performed for the appropriate indication and in a technically perfect manner, patients are threatened by perioperative organ injury. This is an important question. Why do patients die?

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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. Louis, Missouri are studying a novel system they call the Anesthesia Control Tower (ACT). What do you do?

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The Anesthesia Consultant

OCTOBER 4, 2021

Placing a catheter into the tiny radial artery in a child’s wrist is one of the most difficult procedures in our specialty. Wearing smart glasses improved the anesthesiologist’s first-attempt success rate, and reduced the procedure time and complication rates. binocular Moverio BT-35E smart glasses A South Korean group led by Dr. Y.E.

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The Anesthesia Consultant

MARCH 24, 2022

In July 2020 the Food and Drug Administration (FDA) approved the intravenous benzodiazepine remimazolam (Byfavo, Acacia Pharma) for use in sedation for procedures of 30 minutes or less. remimazolam propofol For use in procedural sedation, remimazolam will not replace Versed, but rather will aim to replace propofol.

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Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 12, 2023

I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. Medications may need to be adjusted or temporarily stopped to minimize potential risks during the procedure. This could indicate a cardiac event or a complication related to the anesthesia.

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The Anesthesia Consultant

AUGUST 26, 2015

Anesthesiology is a wonderful profession, as I have described in many previous posts on theanesthesiaconsultant.com. But nothing is perfect, and anesthesia has one threat which could in time undermine the entire specialty. Anesthesia providers are at best consultants, and at worst, “worker bees” called upon to provide a service.

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The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. Anesthesia is said to be “99% boredom and 15 panic,” because 99% of the time patients are stable, yet 1% of the time, especially at the beginning and the end of anesthetics, urgent or emergency circumstances could threaten the life of the patient. Love it or hate it, the EMR is here to stay.

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Operating Room General Anesthesia Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

APRIL 12, 2020

During this COVID crisis, intensive care unit and emergency room doctors and nurses in hotspots like New York City have dangerous, exhausting jobs keeping coronavirus patients alive. A minority of doctors and nurses are saddled with these dangerous around-the-clock jobs battling the disease in ICUs and ERs.

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The Anesthesia Consultant

OCTOBER 17, 2019

The study looked at malpractice closed claims and found: 1) Outcomes remained poor in malpractice closed claims related to difficult tracheal intubation; 2) The incidence of brain damage or death at induction of anesthesia was 5.5 A surgical airway is an invasive airway via the front of the patient’s neck into their trachea.

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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. You take the elevator to the third floor and proceed to the locker room.

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The Anesthesia Consultant

OCTOBER 8, 2019

The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. The ET tube is a conduit to safely transfer oxygen and anesthesia gases into and out of the lungs. Extubation is risky business.

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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 surgery concludes at 1630 hours.

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The Anesthesia Consultant

OCTOBER 28, 2018

The combination of autism and anesthesia requires careful planning. The parents/guardians and the anesthesia team need to be actively involved with forming the preoperative plan for uncooperative patients. It’s not infrequent that autistic patients need surgery and anesthesia. Anesthetizing uncooperative patients is difficult.

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The Anesthesia Consultant

JANUARY 2, 2016

More care team anesthesia and more Certified Nurse Anesthetists (CRNAs). Rather than physician anesthesiologists personally performing anesthesia, expect to see CRNAs supervised by physician anesthesiologists in an anesthesia care team, or in some states, CRNAs working alone. I’m writing this in January 2016.

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Post-Anesthesia General Anesthesia Anesthesiologist Anesthesia 52

The Anesthesia Consultant

FEBRUARY 12, 2016

Does exposure to general anesthesia cause dementia? Association of Mild Cognitive Impairment With Exposure to General Anesthesia for Surgical and Nonsurgical Procedures: A Population-Based Study. All of their anesthesia records for surgeries after the age of 40 were reviewed. In a word, “No.” Anesthesiology.

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The Anesthesia Consultant

APRIL 2, 2016

I work in a private practice setting in Palo Alto, California, and liposuction is one of the most common plastic surgery procedures performed. Early in my career, in the late 1980’s, liposuction was a bloody procedure. Preanesthetic assessment and patient selection are key for safe large-volume liposuction procedures.

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The Anesthesia Consultant

FEBRUARY 11, 2018

He writes, “Our specialty, anesthesia, has suffered an identity crisis for decades. The surgical attendings were the kings, the students were the peasants, the nurses and techs were serfs, and the anesthesiologists were the whipping boys for the surgeons. Why would I say this? Five minutes later, the patient had a cardiac arrest.

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The Anesthesia Consultant

OCTOBER 1, 2015

It’s vital that your stomach is empty prior to elective surgery and anesthesia. Under anesthesia these reflexes are absent. These fasting guidelines do not apply to surgical procedures under local anesthesia, or to those with no anesthesia. Once you’re anesthetized, your cough reflex and gag reflex are abolished.

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The Anesthesia Consultant

DECEMBER 29, 2015

How do you feel when you meet your anesthesia provider prior to a surgical procedure? In an abstract presented at the 2015 American Society of Anesthesiologists annual meeting, data from the 2014 National Anesthesia Clinical Outcomes Registry was compiled for every anesthesiologist of known age who performed at least 100 cases.

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The Anesthesia Consultant

DECEMBER 23, 2015

Regional anesthesia is a growing frontier in modern clinical anesthesia, in part because of the availability of ultrasonic imaging to help us direct needle placement. The subspecialty of regional anesthesia has blossomed. following general anesthesia in contrast to a peripheral nerve injury rate of 1.7% Low, but not zero.

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The Anesthesia Consultant

APRIL 26, 2018

Learjet anesthesia? Yes, anesthesia can be a glamorous specialty. Norman Shumway MD PhD, a Stanford surgical professor and legend, invented the heart transplantation procedure and performed the first heart transplant in the USA on January 6, 1968 in operating room 13 of Stanford University Hospital.

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Anesthesia Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

DECEMBER 19, 2016

I ask this question when I’m teaching anesthesia residents and medical students. Control of the airway is the most important clinical priority in anesthesia care. The INTUBATION AFTER INDUCTION OF GENERAL ANESTHESIA section of the Difficult Airway Algorithm is bifurcated into two pathways. Their most frequent answer is.

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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

OCTOBER 4, 2016

The procedure was to be done in the prone position, and required endotracheal intubation. The patient was turned prone, and the procedure commenced. After only 15 minutes of operating time, the gastroenterologist announced that the procedure was over. The trachea was extubated. The trachea was extubated.

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Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

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. The good news is that catastrophic events causing sudden drops in oxygen levels are very rare during anesthesia.

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The Anesthesia Consultant

JANUARY 19, 2017

A bell-shaped curve exists for the abilities of anesthesia doctors as well. I’ve been practicing anesthesia since the mid 1980s. I’ve met and worked alongside hundreds of anesthesia colleagues from all corners of the globe. Planning anesthesia care, based on your training, experience, and knowledge, is critical.

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The Anesthesia Consultant

FEBRUARY 19, 2016

We’re going to sedate this patient for a medical procedure. 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. Let’s discuss a hypothetical male patient. He is 79 years old, overweight, and has a thick neck.

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The Anesthesia Consultant

AUGUST 7, 2017

See Robot Anesthesia and Robot Anesthesia II ) AI already influences our daily life. I’m fascinated by the topic of artificial intelligence in medicine. This is the third column in a series regarding robots in medicine. Smartphones verbally direct us to our destination through mazes of highways and traffic.

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The Anesthesia Consultant

SEPTEMBER 25, 2015

An anesthesia residency is three years long, preceded by one year of internship. One year after medical school, the same graduate who just completed twelve months of internship now reaches perhaps an even more difficult transition—the first months of anesthesia residency.

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Operating Room Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 27, 2017

These alarms would bring a fleet of nurses and/or doctors into the room to try to save the patient. I love the movies, but it can be painful to watch scenes where the facts are distorted, sometimes so much that the storyline is implausible. This film is my Hollywood medical pet peeve, and the movie that motivated me to write this column.

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The Anesthesia Consultant

JULY 25, 2022

This was a landmark paper on the topic of anesthesiologist:CRNA staffing ratios, which documented that having physician anesthesiologists direct three or four operating rooms simultaneously for major noncardiac inpatient surgical procedures increased the 30-day risks of patient morbidity and mortality.

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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. Options for anesthesia induction include: Intramuscular sedation. What do you do?

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The Anesthesia Consultant

JULY 2, 2018

What should you do if your 2-year-old son or daughter requires surgery and anesthesia? Discuss with parents, caregivers, and pregnant women the benefits, risks, and appropriate timing of surgery or procedures requiring anesthetic and sedation drugs.” What are the anesthetic risks for children? Should you consent to proceed?

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

DECEMBER 19, 2016

You’re are an experienced practitioner, but not a pediatric anesthesia specialist. One is how to safely perform the open-eye, full stomach anesthetic, and the other is the performance of pediatric anesthesia by non-pediatric anesthesia specialists. You are on call for the repair. What do you do? Discussion: There are two issues.

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The Anesthesia Consultant

SEPTEMBER 1, 2017

One goal of theanesthesiaconsultant.com is to make the practice of anesthesia safer. The practice of anesthesia on healthy patients is quite safe, but we want to do everything we can to avoid preventable errors. The safety of anesthesia on ASA I and II patients has been compared to the safety record of commercial aviation.

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The Anesthesia Consultant

NOVEMBER 8, 2016

An anesthesia colleague wrote to me several months ago, asking for my recommendations for achieving smooth emergence. An anesthesia colleague wrote to me several months ago, asking for my recommendations for achieving smooth emergence. His question prompted me to write this column. to 25 μg/kg/hr.” “We We commonly administer 1.5

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The Anesthesia Consultant

MARCH 23, 2020

Can anesthesia machines be used as ICU ventilators for COVID-19 patients? Every anesthesia machine has a ventilator attached to it. For years physician anesthesiologists have transported sick patients from the intensive care unit (ICU) to the operating room (OR) when patients needed a surgical procedure. Yes, they can.

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