The Anesthesia Consultant

JULY 12, 2021

Vigilance regarding a sleeping patient’s vital signs was always paramount, but the constant effort to be vigilant could be mind-numbing. 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.

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Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

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). It’s also not uncommon for the patient to be breathing room air during transport.

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Anesthesia Vital Signs General Anesthesia Post-Anesthesia 52

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

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. One can also order a laminated 8½ x 11½-inch version of the Manual to hang in each operating room. A printable version of the Stanford Emergency Manual is available online for free.

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Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

OCTOBER 11, 2020

An anesthesia machine, with the vital signs monitor screen on the left, and the electronic medical records computer screen on the right. His vital signs are heart rate = 100, BP = 150/80, respiratory rate = 20 breaths/minute, oxygen saturation 95% on room air, and temperature 100.2 The BP is 100/50.

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Anesthesiologist Vital Signs Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

MAY 2, 2023

Louis Imagine this: You’re an anesthesiologist in the operating room at a busy hospital. A team led by an attending anesthesiologist uses remote monitoring to provide evidence-based support to anesthesia colleagues in all the operating rooms. The Barnes Jewish Hospital, Washington University, St.

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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

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. As this scene ends, Frankie walks out of the room leaving Maggie to die behind him. You can relax. The Doctor (1991).

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The Anesthesia Consultant

FEBRUARY 6, 2019

In an anesthesia care team, a physician anesthesiologist supervises up to four operating rooms and each operating room is staffed with a certified registered nurse anesthetist (CRNA). In many hospital operating rooms, a solitary physician anesthesiologist attends to his or her patient alone.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

MARCH 2, 2020

Each bed would require a ventilator, a set of monitors, and around-the-clock nursing staffing. Can an anesthesia machine in an operating room be used as an ICU ventilator? Can an anesthesia machine in an operating room be used as an ICU ventilator? The supplies of each of these is finite. The parking lot was full.

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The Anesthesia Consultant

AUGUST 7, 2017

Anesthesiologists work in operating rooms and intensive care units—acute care settings which demand vigilance, steady hands, and quick thinking. These arenas will be: 1) diagnosis of images, 2) clinics, and 3) operating rooms/intensive care units. What will an AIM robot doctor look like?

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The Anesthesia Consultant

JUNE 23, 2016

Within minutes after the injection of these three drugs, the child will become sleepy and unresponsive, and the anesthesiologist can take the child from the parent’s arms and bring the patient into the operating room. He or she will be vigilant to all vital signs, and to the Airway-Breathing-Circulation of the patient.

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General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MAY 23, 2023

In operating room anesthesia, the narcotic fentanyl is a clear liquid usually marketed in vials of two milliliters or five milliliters. An ICU physician will write an order for the dosing of intravenous fentanyl, and the ICU nurse will be in constant attendance to monitor the patient’s vital signs and level of sedation.

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

JUNE 26, 2018

What about monitors of vital signs? The standard monitoring devices of pulse oximetry, end-tidal CO2 monitoring, and other essential anesthesia vital sign monitors were developed and in use by the 1990s. Anesthesia in 2018 is markedly different from anesthesia in the 1990s.

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The Anesthesia Consultant

AUGUST 14, 2015

My career has bridged clinics, operating rooms, intensive care units, emergency rooms, and helicopter trauma medicine. In the 21 st century operating room practice of anesthesiology, we typically have ten minutes to talk to a patient prior to rendering them unconscious. I’ve practiced in four different decades.

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The Anesthesia Consultant

SEPTEMBER 6, 2019

I don’t tout myself as an expert in AI technology, but I am an expert in taking care of patients, which I’ve done in clinics, operating rooms, intensive care units, and emergency rooms at Stanford and in Silicon Valley for over 30 years. AI is already prevalent in our daily life. Can AIM replace physicians?

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The Anesthesia Consultant

SEPTEMBER 1, 2017

A total of 266 cases of brain damage or death during anesthesia care in the operating room under the care of a solo anesthesiologist occurred. All the anesthesiologists were single practitioners, that is, they were not part of an anesthesia care team with a nurse anesthetist. Be extra wary when attending to obese patients.

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Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

The Anesthesia Consultant

JUNE 12, 2023

Here are some general steps that might be considered: Alert the medical team: The anesthesiologist or healthcare providers in the operating room need to be notified immediately about the patient’s deteriorating condition. The surgeon and additional medical personnel may also be called upon for assistance. No, not really.

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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. The patient’s vital signs remained normal and the ET tube was removed. If the patient has an ET tube, it is usually removed. Anesthesiologists are vigilant during extubation.

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General Anesthesia Anesthesia Anesthesiologist Post-Anesthesia 52

The Anesthesia Consultant

AUGUST 16, 2018

His preoperative vital signs were normal with an oxygen saturation of 98%. His preoperative vital signs were normal. Have the Stanford Emergency Manual 5 in your operating room suite, and ask a registered nurse to recite the Cognitive Aid Checklist for HYPOXEMIA to you, to make sure you haven’t missed something.

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Post-Anesthesia Anesthesia Anesthesiologist General Anesthesia 52

The Anesthesia Consultant

OCTOBER 19, 2015

I was still vibrating from my day in the operating room. Get your ass out of that windowless tomb of an operating room and take your son back to your childhood home.” I didn’t have a 42-inch monitor displaying Johnny’s vital signs, but I knew my son’s blood pressure was escalating. Johnny’s 17 years old.

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The Anesthesia Consultant

JANUARY 6, 2025

Electronic Medical Records (EMR) in the operating room. The electronic record of intraoperative vital signs is a more accurate database than the previous handwritten grid of vital signs, but the actual input of medical information into the EMR by MDs and RNs is tedious and slow, requiring typing into various repetitive screens.

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The Anesthesia Consultant

APRIL 8, 2025

You learn to inject propofol and intubate a patient in the first few months, but its a lifetime journey to master the medical aspects of evaluating and treating the heart, lungs, brain, kidneys and vital signs during anesthesia care. The goal is to be a perioperative (around the time of operation) doctor, not a technician.

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SpecialtyCare

FEBRUARY 17, 2025

These professionals handle a variety of tasks, including performing preoperative assessments, assisting in the operating room, and managing postoperative care. They are crucial members of the surgical team, ensuring that operations run smoothly while improving patient outcomes. Their responsibilities include: 1.

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The Anesthesia Consultant

OCTOBER 12, 2015

The text read: 911 call me I was administering an anesthetic to a 41-year-old woman in an operating room at Stanford University, while a neurosurgeon worked to remove a meningioma tumor from her brain. I scanned the operating room monitors and confirmed that her vital signs were perfect.

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