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.

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The Anesthesia Consultant

MARCH 22, 2023

Because the spaceship is more than 200 days away from Earth, the physicians instruct the crew to proceed with surgery and anesthesia in outer space. How will astronauts conduct general anesthesia and surgery in outer space? Protocols regarding how to accomplish anesthesia in outer space exist in the medical literature.

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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.

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DFW Anesthesia Professionals

APRIL 24, 2024

Anesthesia plays a critical role in cesarean sections, not only to ensure the mother’s comfort and pain-free experience but also to safeguard her physiological stability and promote a positive initial bonding with the baby. However, spinal anesthesia can cause hypotension (low blood pressure), which might reduce blood flow to the fetus.

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The Anesthesia Consultant

OCTOBER 18, 2018

My name is Dr. Richard Novak, the author of About The Anesthesia Consultant. The Anesthesia Consultant exists to increase your knowledge about anesthesia and the practice of medicine before, during, and after surgery. This anesthesia blog contains more than 180 distinct pages and posts, all written by me.

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The Anesthesia Consultant

APRIL 4, 2018

Today theanesthesiaconsultant.com was named the #7 anesthesia blog in the world by Feedspot. See the link here to view the complete list of the world’s top anesthesia blogs. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

JUNE 4, 2024

Ability can also be evidenced the quality of the anesthesia residency/fellowship training program you’ve completed, as well as the medical school you’ve graduated from. How does a group determine whether a potential anesthesia hire is an affable, friendly, easy-to-get-along-with individual? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

MAY 29, 2015

The new device being discussed is the iControl-RP anesthesia robot. THE iCONTROL-RP ANESTHESIA ROBOT On May 15, 2015, the Washington Post published a story titled, “We Are Convinced the Machine Can Do Better Than Human Anesthesiologists.” A score of 40 – 60 is considered an optimal amount of anesthesia depth.

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The Anesthesia Consultant

FEBRUARY 22, 2018

THIS ORIGINAL ANESTHESIA CARTOON WAS PUBLISHED IN THE CALIFORNIA SOCIETY OF ANESTHESIOLOGISTS BULLETIN, VOLUME 52, NUMBER 2, APRIL-JUNE 2003. IS ANESTHESIA AN ART OR A SCIENCE? 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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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?

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The Anesthesia Consultant

MARCH 31, 2015

An anesthesia emergency occurs without warning. You need the ultimate anesthesia emergency guidebook. That ultimate guidebook is the S tanford Emergency Manual of Cognitive Aids for Perioperative Critical Events S , written by the Stanford Anesthesia Cognitive Aid Group. Your patient’s vital signs are dropping.

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The Anesthesia Consultant

OCTOBER 10, 2018

Richard Novak, an Adjunct Clinical Professor of Anesthesiology at Stanford University Medical Center, is available for anesthesia expert witness consultation. 2020 Invited presentation via Zoom to the American Sleep Apnea Association, Sleep Apnea and Anesthesia , November 3, 2020. Yearly lecture.

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The Anesthesia Consultant

JULY 28, 2022

There are hundreds of anesthesia textbooks, but which current books are the gold standards for anesthesia knowledge? The Anesthesia Consultant’s 2022 List of the Top Anesthesia Books includes: Miller’s Anesthesia , 9th edition, 2019, Editor-in-Chief Michael Gropper.

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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. Why Did Take Me So Long To Wake From General Anesthesia? Is this OK?

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The Anesthesia Consultant

MARCH 7, 2024

The Anesthesia Consultant was just named the #1 anesthesiology blog in the world by Feedspot. million clicks on The Anesthesia Consultant from over 100 countries. Half the articles are intended for anesthesia professionals, and half are intended for lay readers. Feedspot ranked a total of 25 anesthesia blogs/websites.

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The Anesthesia Consultant

JANUARY 29, 2020

The February 2020 edition of Anesthesiology , our specialty’s preeminent journal, published an article on robotic anesthesia. 1 The accompanying editorial by Dr. Thomas Hemmerling was titled “Robots Will Perform Anesthesia in the Near Future. ” robotic) anesthesia is at least as good as the best human anesthesia.

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The Anesthesia Consultant

NOVEMBER 3, 2015

Patients sometimes say, “Why did it take me so long to wake up after anesthesia?” Certain patients have consistent bad experiences from a past general anesthetic. They wonder if they are at increased risk for anesthesia, if something went wrong in their past anesthetics, and whether they can do about it.

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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? Twenty-first century general anesthetics are nearly identical to the anesthetic techniques of the late 1990s. How can it be that general anesthesia has ceased to evolve?

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Salem Anesthesia

MARCH 5, 2024

Anesthesia is a critical component of medical procedures, ensuring that patients undergo surgeries and interventions with minimal pain and discomfort. However, several myths surround the use of anesthesia, leading to misconceptions and concerns among individuals. Myth: Anesthesia always leads to unconsciousness.

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The Anesthesia Consultant

MAY 12, 2015

In the operating room, you induce anesthesia with your standard recipe of 2 mg of midazolam, 100 mcg of fentanyl, 200 mg of propofol, and 40 mg of rocuronium, and intubate the trachea. Let’s look at the anesthesia literature to learn what has been described about this problem. Her blood pressure is 150/90 on admission.

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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.

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The Anesthesia Consultant

JANUARY 9, 2020

BEFORE SURGERY In every cannabis using patient, the anesthesia preoperative evaluation should include assessment of the psychologic, cardiac, and pulmonary systems in order to minimize any risk of a perioperative complication. The cannabis drugs were administered 20 minutes before induction of general anesthesia in a double-blind fashion.

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The Anesthesia Consultant

MARCH 2, 2024

If you wonder how much the anesthesia scene has changed significantly over the past four decades, check out this narrative: In 1986 I was in my second and final year of anesthesia residency training at Stanford, and I was looking for a job. I heard about an opening with a busy private practice anesthesia group in Southern California.

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The Anesthesia Consultant

NOVEMBER 23, 2016

In the anesthesia world that book is now available, and it’s called Practical Anesthetic Management—The Art of Anesthesiology, authored by C. link] Their book contains a series of chapters designed to teach the anesthesia professional how to perform our craft at a higher level. Philip Larson and Richard Jaffe.

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The Anesthesia Consultant

MAY 6, 2017

A private practice single-specialty anesthesia group will usually provide anesthesia for similarly self-employed surgeons who are in private practice. For insured patients, the anesthesia group collects whatever the insurance company pays, along with the deductible or co-pay the patient owes through their insurance plan.

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The Anesthesia Consultant

FEBRUARY 4, 2018

There are iPad apps to help you answer the question regarding frailty and anesthesia. My training was in both internal medicine and anesthesiology, and the intersection of these two fields is geriatric anesthesia. References: Sieber F, Pauldine R, Geriatric Anesthesia, Miller’s Anesthesia, Chapter 80, 5 th edition, 2407-2422.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

There are Two Laws of Anesthesia, according to surgeon lore. Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. In a perfect anesthesia world, patients will not move.

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The Anesthesia Consultant

JULY 6, 2023

This column will help you find the top 10 anesthesia journals. There are multiple fine journals in our specialty, but in my opinion the top 10 periodical anesthesia publications for clinical information follow below. Note that 2 of the top 4 publications did not even exist when I began my anesthesia training in 1984.

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Cardiac and General Anesthesiology

APRIL 8, 2023

Despite its negative associations, recent research has shown promising potential for the drug in the treatment of mental health conditions such as depression and post-traumatic stress disorder (PTSD). For general anesthesia, the usual dose of ketamine is 1-2 mg/kg of body weight. The usual dose for this type of sedation is 0.5-1

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The Anesthesia Consultant

JUNE 20, 2017

We learn those skills, and then we pass the American Board of Anesthesia written and oral exams on these skills. Then for the rest of our careers we lose many anesthesia skills. Every year in June across the United States another class of anesthesia residents finishes training. In the 1990’s the rock group R.E.M. Very common.

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The Anesthesia Consultant

MAY 28, 2024

Primary Consultant Anesthesiologist The “Preoperative Evaluation” chapter in our Bible, Miller’s Anesthesia , is 80 pages long—one of the longest chapters in the book. It’s almost June, and hundreds of anesthesia residents are about to graduate from residency programs. Read on and I’ll explain why. His clinic resulted in 87.9%

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The Anesthesia Consultant

NOVEMBER 5, 2020

The video provides answers to individuals who have obstructive sleep apnea and are contemplating surgery and anesthesia. Patients with OSA frequently present for surgery, and all anesthesia professionals must be aware of the risks involved with anesthetizing OSA patient. Risks of anesthesia and the OSA patient?

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The Anesthesia Consultant

AUGUST 14, 2015

Is the practice of anesthesia an art or a science? A generation ago an MD would follow up on his patients until all the work was done for a given day, in addition to being night on-call for patients of his partners or colleagues once a week. Why Did Take Me So Long To Wake From General Anesthesia?

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Nashville Anesthesia Professionals

MAY 17, 2023

Trauma is the most common indication for surgery and anesthesia of an acutely intoxicated individual, but other types of surgical emergencies can result from drug misuse, including vascular dissection and hemorrhagic complications linked to certain stimulants.  The CAGE questionnaire can be used to this end. References 1.

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The Anesthesia Consultant

MAY 10, 2015

One of the most common questions I hear from patients immediately prior to their surgical anesthetic is, “Will I have a breathing tube down my throat during anesthesia?” Anesthetic options include general anesthesia, regional anesthesia, or local anesthesia. Why Did Take Me So Long To Wake From General Anesthesia?

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Radius Anesthesia

JANUARY 25, 2024

General anesthesia induces a state of unconsciousness, amnesia, and immobility via the suspension of neural activity, including physiological processes mediated by the spinal cord. Research on the mechanisms of anesthesia has been extensively conducted at both micro- and macro- levels.

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DFW Anesthesia Professionals

APRIL 28, 2024

Awareness during anesthesia is a rare but profoundly distressing condition that can occur when a patient becomes conscious during surgery and has recall of their surroundings or events related to the operation. One of the most effective methods for preventing awareness is the careful monitoring of depth of anesthesia.

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