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

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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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 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?

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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MARCH 2, 2018

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. Hangover after general anesthesia (HAGA) describes a patient who has a safe general anesthetic, but who then feels hungover, sedated, and wasted for a time period exceeding two hours afterwards. I sleep for hours and I’m nauseated.

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The Anesthesia Consultant

FEBRUARY 6, 2019

Every anesthesia provider must learn to free-solo anesthesia early in his or her career. A typical hospital will have dozens of other anesthesia providers working in the same building. Commercial aviation is sometimes compared to anesthesia practice. In anesthesia there is no guaranteed second anesthesiologist.

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Anesthesiologist Operating Room Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

APRIL 26, 2018

Learjet anesthesia? Yes, anesthesia can be a glamorous specialty. Note that the anesthesia transport team member was only an anesthesia fellow or a resident. The eligible residents were second-year residents (anesthesia residency training was only two years in duration during the 1980’s).

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The Anesthesia Consultant

JUNE 27, 2017

Then he injects her IV with a syringe of adrenaline, and leaves the vital signs monitor on. The vital signs monitor shows her heart rate suddenly change to zero as she dies. The vital signs monitor continues to emit a soft high-pitched tone, but there’s no one else around to hear it.

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General Anesthesia Vital Signs Anesthesia Post-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.

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General Anesthesia Anesthesia Anesthesiologist Post-Anesthesia 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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Post-Anesthesia Anesthesia Anesthesiologist 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.

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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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General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 19, 2016

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. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

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Blood Oxygenation Levels Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

OCTOBER 19, 2015

I didn’t have a 42-inch monitor displaying Johnny’s vital signs, but I knew my son’s blood pressure was escalating. I was an expert at anesthesia, even when I was the patient. Can you walk away from your anesthesia job?” “Johnny, are you happy that your grades rank you in the middle of the pack at your school?”

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The Anesthesia Consultant

OCTOBER 12, 2015

I stood near my patient’s feet in an anesthesia cockpit surrounded by two ventilator hoses, three intravenous lines, and four computer monitor screens. I scanned the operating room monitors and confirmed that her vital signs were perfect. Ten syringes loaded with ten different drugs lay on the table before me.

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