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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DFW Anesthesia Professionals

AUGUST 5, 2024

Pre-operative anxiety , the psychological distress which patients experience that is provoked by concerns related to their surgical and anesthetic care, 1 is estimated to affect up to 75% of children 2 and 80% of adult patients. 3,4 It has been linked to multiple intra-operative and post-operative complications (e.g., 2022;19(16):9828.

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Post-Anesthesia Nurse Anesthetist Anesthesia Operation 98

PANA

FEBRUARY 27, 2023

Licensure procedures, socio-cultural and legal implications, and adapting to the environment of care are all very different as well. Licensure procedures, socio-cultural and legal implications, and adapting to the environment of care are all very different as well. There were many challenges along the way.

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Salem Anesthesia

JUNE 12, 2023

Certified Registered Nurse Anesthetists (CRNAs) serve an irreplaceable function on medical teams across the country. They play a crucial role in healthcare by ensuring patient safety and comfort before, during, and after surgical procedures. Proper planning creates the best possibility for surgical procedures to go well.

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The Anesthesia Consultant

AUGUST 26, 2015

No, it’s not the nurse anesthetists, nor the stress of covering surgeries in the middle of the night, nor the stress of saving patients who are trying to die in front of our eyes during acute care emergencies. Pain specialists can generate their own patients from their clinics on which to do pain-relieving procedures.

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Nurse Anesthetist Anesthesiologist Post-Anesthesia Anesthesia 52

AANA

MAY 14, 2022

Certified Registered Nurse Anesthetists (CRNAs) are advanced practice registered nurses (APRNs) who provide anesthesia related care in a variety of healthcare settings before, during, and after therapeutic, diagnostic, surgical, and obstetrical procedures.

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Nurse Anesthetist Post-Anesthesia Anesthesia Nurse 40

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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Operating Room Vital Signs Operation Post-Anesthesia 52

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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Anesthesiologist Nurse Anesthetist Post-Anesthesia Medical Procedure 52

The Anesthesia Consultant

NOVEMBER 15, 2017

The anesthesiologist and the operating room nurse transport the patient to the PACU (Post Anesthesia Care Unit), where the patient is connected to the standard monitors of pulse oximetry, ECG, blood pressure, and temperature. The PACU nurse’s name is Gloria, and she is new to this surgical facility. The surgery concludes at 1630 hours.

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The Anesthesia Consultant

JANUARY 2, 2016

More care team anesthesia and more Certified Nurse Anesthetists (CRNAs). What can we expect in the next 10 years of anesthesiology? What will be the trends for the future of anesthesiology? I’m writing this in January 2016. I see 10 trends for the future of anesthesiology as: Lower income (as adjusted for inflation).

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The Anesthesia Consultant

APRIL 26, 2018

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. Note that the anesthesia transport team member was only an anesthesia fellow or a resident.

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Anesthesia Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

FEBRUARY 16, 2021

The first surgery today is a procedure devised to treat obstructive sleep apnea, a procedure called a maxillary-mandibular osteotomy. The first surgery today is a procedure devised to treat obstructive sleep apnea, a procedure called a maxillary-mandibular osteotomy. You leave your street clothes in your locker.

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Anesthesiologist Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

JULY 2, 2018

Food and Drug Administration (FDA) is warning that repeated or lengthy use of general anesthetic and sedation drugs during surgeries or procedures in children younger than 3 years or in pregnant women during their third trimester may affect the development of children’s brains. The answer to all these questions is: “It depends.”

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 12, 2016

Association of Mild Cognitive Impairment With Exposure to General Anesthesia for Surgical and Nonsurgical Procedures: A Population-Based Study. Does exposure to general anesthesia cause dementia? In a word, “No.” Anesthesiology. 2016 Feb;124(2):312-21 answers this question. Dokkedal studied 8,503 middle-aged and elderly Danish twins.

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General Anesthesia Anesthesia Post-Anesthesia Nurse Anesthetist 52

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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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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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 23, 2016

Links to recent reports include the following: A 3-year-old girl dies in San Ramon, CA after a dental procedure in July 2016. DISCUSSION: Children periodically die in dental offices due to complications of general anesthesia or intravenous sedation. The dentist and an anesthesiologist were both present. mg/kg of midazolam, and.02

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General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 11, 2018

Are we physicians or are we glorified advanced practice nurses?” 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. Some people have difficulty seeing the outstanding merits of physician anesthesiology.

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Operating Room Anesthesiologist Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

JULY 12, 2021

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. The internet is the biggest change in anesthesiology since the FDA approvals of propofol in 1989, the laryngeal mask airway in 1991, and sevoflurane in 2002.

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Operating Room General Anesthesia Post-Anesthesia Vital Signs 52

The Anesthesia Consultant

MAY 2, 2023

An estimated 10 to 20 percent of patients who undergo major inpatient surgery experience major complications such as heart attacks, unremitting pain, infections, and blood clots in the weeks to months following their procedures; about two percent are dead within 30 days of surgery. The Barnes Jewish Hospital, Washington University, St.

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The Anesthesia Consultant

DECEMBER 23, 2015

Listening to some of its disciples, it would seem that nearly every orthopedic surgery procedure can benefit from an ultrasonic regional block for intraoperative and postoperative pain control. years after the procedure. The subspecialty of regional anesthesia has blossomed. Low, but not zero.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

OCTOBER 17, 2019

Call a surgeon stat to do a tracheostomy Ask the gynecologist to cut an airway into the patient’s neck Keep trying to intubate the trachea yourself Insert a needle into the cricothyroid membrane, and begin jet ventilation Cut an airway into the neck yourself. Case 2: “A surgical airway was performed after the patient arrested.”

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

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

OCTOBER 28, 2018

Patients with autism commonly need to be sedated for routine procedures that a normal child or adult would cooperate with. He is verbal with his mother, but refuses to interact with the anesthesia or nursing personnel. They told the mother she had the choice of going home without any surgical procedure or anesthesia at all.

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

JANUARY 19, 2017

You have to get along well with surgeons, the nursing staff, the scrub techs, administrators, and the patients. Their patients are obtunded on arrival to the Post Anesthesia Care Unit (PACU) after surgery, and they rely on the PACU nursing staff to complete the job of anesthesia wake up. Be friendly and personable. Some are not.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

JUNE 12, 2023

Medications may need to be adjusted or temporarily stopped to minimize potential risks during the procedure. Notify the code team: If the patient remains unresponsive and pulseless, it may be necessary to activate a “code blue” or similar emergency response to involve a specialized team experienced in resuscitation procedures.

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The Anesthesia Consultant

SEPTEMBER 1, 2017

All the anesthesiologists were single practitioners, that is, they were not part of an anesthesia care team with a nurse anesthetist. Projection errors also included procedures taking place in inappropriate environments, such as very sick patients having surgery in an office or an outpatient surgery center.

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Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

The Anesthesia Consultant

DECEMBER 19, 2016

At times urgent procedures are delayed until the patient has been fasting for 6 hours, and has an appropriate NPO status. At times urgent procedures are delayed until the patient has been fasting for 6 hours, and has an appropriate NPO status. A 3-year-old boy is eating a McDonalds Happy Meal on the lawn of the restaurant.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

OCTOBER 8, 2019

In contrast, other operating room professionals are usually relaxed and winding down at this time, because the surgical procedure is finished. preparing to remove an endotracheal tube from a patient Every general anesthetic has risk. In the immortal words of Forrest Gump, “Sh*t happens.” Extubation is risky business.

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The Anesthesia Consultant

DECEMBER 19, 2016

The most critical technical skill for an anesthesiologist is. facemask ventilation. All acute medical care follows the sequence of A-B-C, or Airway, Breathing, Circulation. Control of the airway is the most important clinical priority in anesthesia care. In emergency situations, maintenance of oxygen delivery by facemask can be critical.

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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

AUGUST 7, 2017

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

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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 nadir oxygen saturation was 49%.

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Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

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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Blood Oxygenation Levels Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

NOVEMBER 8, 2016

I’ve performed countless general anesthetics for surgeries requiring smooth emergence, specifically carotid endarterectomies, rhinoplasties, facelifts, craniotomies, thyroidectomies, and other head and neck procedures. An anesthesia colleague wrote to me several months ago, asking for my recommendations for achieving smooth emergence.

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General Anesthesia Anesthesia Post-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

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. I was alone, under-informed, and full of dread.

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Operating Room Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 16, 2018

Anoxic brain injury. These three words make any anesthesiologist cringe. In layman’s terms, anoxic brain injury, or anoxic encephalopathy, means “the brain is deprived of oxygen.” In an anesthetic disaster the brain can be deprived of oxygen. Without oxygen, brain cells die, and once they die they do not regenerate.

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