The Anesthesia Consultant

NOVEMBER 4, 2021

On physical exam, her vital signs are normal, her lungs are clear, and her heart exam is positive for the clicking sound of a mechanical valve and a 2/6 systolic murmur. Vital signs remain normal with BP=110/70, P=80, and oxygen saturation=99%. She is obese, weighing 200 pounds, with a BMI=35. She is on no medications.

Surgery 52

Surgery Vital Signs Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. Vigilance regarding a sleeping patient’s vital signs was always paramount, but the constant effort to be vigilant could be mind-numbing. Since the development of the internet, anesthesia practice has changed forever. 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

MARCH 18, 2021

What’s the relationship between alcohol and anesthesia? Miller’s Anesthesia , 9 th edition, Chapter 31, Preoperative Evaluation) All adults and adolescents should be questioned regarding their history of alcohol use prior to anesthesia. You’re a patient scheduled for elective surgery tomorrow. Is this OK?

Anesthesia 52

Anesthesia Vital Signs General Anesthesia Post-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

MAY 23, 2023

Fentanyl was introduced in the 1960s when it was first patented under the brand name Sublimaze , and fentanyl quickly became the most commonly administered narcotic by anesthesia providers. In operating room anesthesia, the narcotic fentanyl is a clear liquid usually marketed in vials of two milliliters or five milliliters.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

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.

Anesthesia 52

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?

Anesthesia 52

Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

APRIL 26, 2018

Learjet anesthesia? Yes, anesthesia can be a glamorous specialty. One registered nurse had a fulltime job locating appropriate brain dead heart donors within a 60-90 minute Learjet trip from Stanford. Note that the anesthesia transport team member was only an anesthesia fellow or a resident.

Anesthesia 52

Anesthesia Operating Room Vital Signs Post-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? Why Did Take Me So Long To Wake From General Anesthesia?

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Operating Room 52

EARN Cares

OCTOBER 11, 2023

As a registered nurse, you would think that all this technology supporting the hiring process of nurses would lead to improvements or faster response times but if you have ever spent time on a single application website then you know the frustration and effort that simply goes to waste. What a disaster?!

Nurse 52

Nurse Basic Life Support Vital Signs Communication 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. The vital signs monitor continues to emit a soft high-pitched tone, but there’s no one else around to hear it.

Vital Signs 52

Vital Signs General Anesthesia Anesthesia Post-Anesthesia 52

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.

Anesthesiologist 52

Anesthesiologist Operating Room General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 6, 2019

The Amazon Echo brings us Alexa, an AI-powered personal assistant who follows verbal commands in our homes.Artificial intelligence in medicine (AIM) will grow in importance in the decades to come and will change anesthesia practice, surgical practice, perioperative medicine in clinics, and the interpretation of imaging.

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesia Operating Room 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

AUGUST 7, 2017

See Robot Anesthesia and Robot Anesthesia II ) AI already influences our daily life. In my previous essays Robot Anesthesia and Robot Anesthesia II , I described models of robots designed to perform intravenous sedation or intubation of the trachea, products which are futuristic but currently have no market share.

Post-Anesthesia 52

Post-Anesthesia Anesthesia Operating Room Nurse Practitioner 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

AUGUST 14, 2015

Is the practice of anesthesia an art or a science? The practice of anesthesiology becomes very much like a physiology experiment with the twin goals for the patient of a) guaranteeing sleep, while b) striving to maintain perfect vital signs. Why Did Take Me So Long To Wake From General Anesthesia? Where is the art?

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Operating Room 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?

Blood Oxygenation Levels 52

Blood Oxygenation Levels Post-Anesthesia Anesthesia General 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). This is a reasonable policy, but what if anesthesia patient transport to the PACU lasts 4 minutes and 59 seconds (i.e.

Anesthesia 52

Anesthesia Vital Signs General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

MARCH 4, 2022

How soon will we see robotic anesthesia in our hospitals and surgery centers? But what’s new in anesthesia the last 30 years? Ten years ago, when I asked him what new anesthesia drugs were in the pipeline, he answered, “None, and there probably will be very few new ones. Is the same true for anesthesia devices?

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Vital Signs 52

The Anesthesia Consultant

JUNE 26, 2018

Point/Counterpoint: How new is modern anesthesia? Are modern anesthesia techniques radically different from the methods of twenty years ago? How can it be that general anesthesia has ceased to evolve? What about regional anesthesia? What about monitors of vital signs? True or false? POINT : False.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Vital Signs 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

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

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.

General Anesthesia 52

General Anesthesia Anesthesia Incision Post-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?”

Anesthesia 52

Anesthesia Anesthesiologist Operating Room Post-Anesthesia 52

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.

Operating Room 52

Operating Room Operation Vital Signs Nurse Anesthetist 52