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. References “Action needed to avert anesthetist shortage of 11,000 by 2040, which could affect over 8 million operations.” Anaesthesia , 29 Sept 2022, vol.

Anesthesiologist 52

Anesthesiologist Nurse Anesthetist Post-Anesthesia Medical Procedure 52

The Anesthesia Consultant

SEPTEMBER 3, 2021

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. Very few patients die in the operating room, but significant numbers die in the weeks that follow.

Nurse 52

Nurse Nurse Anesthetist Supervision CRNA 52

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?

Anesthesia 52

Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

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. The average internal diameter of the radial artery is 1.2 ± 0.3

Operating Room 52

Operating Room Vital Signs Operation Post-Anesthesia 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.

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 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. Yes, it does. Perhaps, but probably not.

Operating Room 52

Operating Room Anesthesiologist Operation CRNA 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.

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

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.

Nurse Anesthetist 52

Nurse Anesthetist Post-Anesthesia Anesthesiologist Anesthesia 52

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.

Operating Room 52

Operating Room General Anesthesia Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

APRIL 12, 2020

Surgeons, anesthesiologists, certified nurse anesthetists, and operating room nurses are barely working at all now, for the fourth consecutive week. The CMS document says to “postpone non-essential surgeries and other procedures. COVID-19 is a terrible medical tragedy, but it is not a surgical disease.

Anesthesiologist 52

Anesthesiologist Nurse Nurse Anesthetist Post-Anesthesia 52

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?

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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 Not really. How can we train anesthesiologists to perform cricothyroidotomies?

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist Operating Room Surgery General Anesthesia 52

The Anesthesia Consultant

OCTOBER 8, 2019

The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. At the onset of general anesthesia anesthesiologists place an ET tube through the mouth, past the larynx (voice box), and into the trachea (windpipe). If the patient has an ET tube, it is usually removed.

General Anesthesia 52

General Anesthesia Anesthesia Anesthesiologist Post-Anesthesia 52

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. Pre-Anesthesia Room 0700 hours—It’s time to meet your first patient.

Anesthesiologist 52

Anesthesiologist Vital Signs Operating Room Post-Anesthesia 52

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. Anesthesia has never been safer.

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesiologist Anesthesia 52

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.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Operating Room 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.

General Anesthesia 52

General Anesthesia Anesthesia Post-Anesthesia Nurse Anesthetist 52

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.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 11, 2018

He writes, “Our specialty, anesthesia, has suffered an identity crisis for decades. One day I was scrubbed in as a retractor-holding medical student on a 12-hour esophagectomy, and at the conclusion of the procedure the attending surgeon removed his gloves and gown and left the room to talk to the family. Keep up your skills.

Operating Room 52

Operating Room Anesthesiologist Post-Anesthesia General Anesthesia 52

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.

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

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?

General Anesthesia 52

General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

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.

General Anesthesia 52

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.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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. At this point I went home.

Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

NOVEMBER 8, 2016

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

General Anesthesia 52

General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 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. Why Did Take Me So Long To Wake From General Anesthesia?

Post-Anesthesia 52

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.

Post-Anesthesia 52

Post-Anesthesia Anesthesia Anesthesiologist Vital Signs 52

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.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia Anesthesia 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. “Yes, Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

Blood Oxygenation Levels 52

Blood Oxygenation Levels Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

AUGUST 7, 2017

See Robot Anesthesia and Robot Anesthesia II ) AI already influences our daily life. This robot is not intended to have an independent existence, but rather enables the surgeon to see inside the body in three dimensions and to perform fine motor procedures at a higher level. Will I Have a Breathing Tube During Anesthesia?

Post-Anesthesia 52

Post-Anesthesia Anesthesia Operating Room Vital Signs 52

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. After ten minutes, he left to pursue other duties.

Operating Room 52

Operating Room Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 27, 2017

The premise of Coma was that healthy young patients were developing brain death after general anesthesia, for no apparent reason. Each of these drugs is a liquid, which is then vaporized by special equipment to deliver inhaled anesthesia gas. If you’re extremely sick and you’re having a high-risk procedure, the answer is yes.

Vital Signs 52

Vital Signs General Anesthesia Anesthesia Post-Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia General Anesthesia Anesthesia 52

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.

Anesthesia 52

Anesthesia General Anesthesia Surgery Anesthesiologist 52

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.

Anesthesia 52

Anesthesia Operating Room Anesthesiologist Post-Anesthesia 52