Cardiac and General Anesthesiology

APRIL 4, 2023

Job security: As long as there are surgeries, there will always be a need for skilled anesthesiologists. You will be able to see the immediate effects of the anesthesia and know whether the patient is comfortable or not. You can specialize in pediatric anesthesia, cardiac anesthesia, obstetric anesthesia, and more.

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Nurse Jess

JANUARY 18, 2023

Last week, I encounter a patient that I’ve taken care of twice before (how likely is it amongst 30 CRNAs at the hospital that I get to take care of him 3 times in a row?). Since I remembered how it took much longer from him to recover from anesthesia, I adjusted my anesthetic and he recovered much more quickly.

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The Anesthesia Consultant

NOVEMBER 5, 2020

This week I filmed a 26-minute question and answer video for the American Sleep Apnea Association regarding the topic of sleep apnea and surgery. The video provides answers to individuals who have obstructive sleep apnea and are contemplating surgery and anesthesia. Risks of anesthesia and the OSA patient?

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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. Chemistry, Magna Cum Laude, Carleton College 1976-80 M.D., Chemistry, Magna Cum Laude, Carleton College 1976-80 M.D.,

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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

Ed Mariano

FEBRUARY 12, 2022

Despite previously published guidelines and practice recommendations, there remains unwarranted variation in the quality of pain management provided to patients having surgery. Unwarranted variations in healthcare are inconsistencies in clinical practice that have no basis in science or patient preference. In 2019, the U.S.

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Anesthesia Surgery Anesthesiologist Hospital 130

The Anesthesia Consultant

MARCH 18, 2021

You’re a patient scheduled for elective surgery tomorrow. You’re nervous and you’d like to drink a glass of wine (or two) at dinner the night before the surgery. What’s the relationship between alcohol and anesthesia? Surgery is common in the United States—there were more than 17 million surgeries performed in America in 2014.

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Anesthesia Vital Signs General Anesthesia Post-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.

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

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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Anesthesia Anesthesiologist Post-Anesthesia General Anesthesia 52

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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Anesthesia General Anesthesia Post-Anesthesia Nurse Anesthetist 52

The Anesthesia Consultant

MARCH 4, 2022

How soon will we see robotic anesthesia in our hospitals and surgery centers? Most of these discoveries originated in Silicon Valley, just miles outside Stanford University Hospital where I’ve been working for the past 42 years. Our medical world inside the hospital has changed more slowly. Relatively little.

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Anesthesia Post-Anesthesia General Anesthesia Vital Signs 52

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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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

FEBRUARY 12, 2016

Does exposure to general anesthesia cause dementia? A landmark study published in Anesthesiology Dokkedal U et al, Cognitive Functioning after Surgery in Middle-aged and Elderly Danish Twins. Results from cognitive tests were compared in twins in which one sibling was exposed to surgery and the other was not. In a word, “No.”

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General Anesthesia Anesthesia Post-Anesthesia Nurse Anesthetist 52

Concordia Anesthesiology

AUGUST 30, 2021

Without a doubt, the operating room (OR) brings in the lion’s share of a hospital’s revenue, amounting to as much as 70% or more. So, why aren’t hospitals developing and expanding the OR? Still, with the OR a prime revenue-generator for any hospital, its operation should be scrutinized to see where cost-savings might be implemented.

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Anesthesia Supervision Nurse Anesthetist Operating Room 52

The Anesthesia Consultant

MAY 6, 2017

The Merriam-Webster online dictionary defines private practice as: “a professional business (such as that of a lawyer or doctor) that is not controlled or paid for by the government or a larger company (such as a hospital).” A private practice anesthesia group needn’t be a physician-only group. Let’s look at the issues. It depends.

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Anesthesia Anesthesiologist Post-Anesthesia Nurse Anesthetist 52

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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Anesthesia Operating Room Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

JANUARY 9, 2020

In the United States, cannabis use disorder has not been associated with any change in overall perioperative morbidity, mortality, length of hospital stay or costs, but cannabis use disorder is associated with an increased risk of postoperative myocardial infarction.

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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? Should you buy these books, or should you advocate that your hospital purchase them for the medical library? All anesthesia providers should have access to the current two-volume 3112-page edition.

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Anesthesia Post-Anesthesia General Anesthesia In-Procedure 52

Ed Mariano

MARCH 3, 2021

Provide education to all patients (adult) and primary caregivers on the pain treatment plan, including proper storage and disposal of opioids and tapering of analgesics after hospital discharge. Adjust the pain management plan based on adequacy of pain relief and presence of adverse events.

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The Anesthesia Consultant

NOVEMBER 13, 2019

Almost every anesthesiologist in America has experience with surgery using the da Vinci robot system. Is robot surgery a miraculous futuristic device that advances surgery to a higher plain? Or is it an expensive gadget for hospitals and surgeons to market and attract potential patients?

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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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Anesthesia Vital Signs General Anesthesia Post-Anesthesia 52

Somnia

APRIL 5, 2023

Reducing drug waste created by anesthesiologists can result in significant cost savings for ASC’s and hospitals. Drug waste is a significant contributor to the cost of routine anesthesia care,” said lead author of study Raj Patel, BS, a medical student at University of Illinois Chicago.

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Radius Anesthesia

JULY 5, 2024

Surgical prehabilitation, often shortened to “prehab,” is a proactive approach that prepares patients physically and psychologically for the stresses of surgery. The goal is to ensure that the patient enters surgery in the best possible physical condition. Physical exercise is a cornerstone of most prehabilitation programs.

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The Anesthesia Consultant

SEPTEMBER 15, 2020

There are Two Laws of Anesthesia, according to surgeon lore. The patient must wake up (when the surgery is over). Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs.

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Anesthesia Anesthesiologist General Anesthesia Post-Anesthesia 52

The Surgical Tech Student

JUNE 29, 2025

Daily writing prompt Have you ever had surgery? View all responses My first surgery was when I was in the 2nd grade. I also spent a week in the hospital. My next surgery wasn’t until 2008 when we found out that I was pregnant after going to the ED with bleeding & severe abdominal pain. It was a rough time.

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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? How can it be that general anesthesia has ceased to evolve? What about regional anesthesia? Anesthesia in 2018 is markedly different from anesthesia in the 1990s.

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The Anesthesia Consultant

MAY 13, 2020

An important question for many Americans is, “Is it safe for me to have surgery during this COVID pandemic?” The main questions as to whether a hospital or an ambulatory surgery center can resume elective surgery as of May 2020 are: What is the incidence of COVID-19 in your geographic area? It depends.

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Surgery Post-Anesthesia General Anesthesia Anesthesia 52

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? Do anesthesiologists have surgeries which last 10 hours? Why Did Take Me So Long To Wake From General Anesthesia?

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Nashville Anesthesia Professionals

SEPTEMBER 26, 2023

Mepivacaine is a local anesthetic that is used to block sensation and pain during surgery, often as spinal anesthesia. It is also used in dental surgery. found that mepivacaine is superior to bupivacaine in hip arthroplasty (joint surgery of the hip). Research conducted by Schwenk et al. Calkins et al.

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Surgery Post-Anesthesia Anesthesia General Anesthesia 52

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. ALCOHOL AND ANESTHESIA | Anesthesia Experts. References 1.

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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

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?

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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

NOVEMBER 8, 2016

Coughing and bucking are associated with increases in blood pressure and heart rate, as well as increased intrathoracic pressure, intracranial pressure, intraocular pressure, and increased bleeding or edema in head and neck surgeries. His question prompted me to write this column. to 25 μg/kg/hr.”

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NVIDIA: Healthcare

OCTOBER 21, 2024

Ahead of a visit to the hospital for a surgical procedure, patients often have plenty of questions about what to expect — and can be plenty nervous. These virtual teammates can have natural, human-like conversations with patients, answer a wide range of questions and provide supporting guidance prior to preadmission appointments at hospitals.

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In-Procedure Hospital Procedure Communication 105

The Anesthesia Consultant

JUNE 20, 2017

In anesthesiology residency training we learn to perform every kind of anesthetic—cardiac, trauma, brain surgery, transplant surgery, abdominal surgery, chest surgery—on every type of patient—newborns, one-hundred-year-olds, or pregnant women. Then for the rest of our careers we lose many anesthesia skills.

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Anesthesia Post-Anesthesia Anesthesiologist Nurse Anesthetist 52

Radius Anesthesia

MARCH 25, 2024

Lidocaine is an amide local anesthetic commonly used for local or topical anesthesia. found strong evidence that intravenous lidocaine reduces postoperative (defined in the review as 1–4 hours after surgery) pain when compared to placebo. A 2020 review of controlled trials for intravenous lidocaine infusion conducted by Chu et al.

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Post-Anesthesia Anesthesia Safety In-Procedure 98

Nashville Anesthesia Professionals

AUGUST 30, 2023

million hospital births found that pairing a newborn with a physician of the same race reduces in-hospital mortality by 50%, as well as decreasing communication barriers between patients and physicians, and increasing healthcare utilization by these patients 2. Another retrospective analysis of 1.8 Int Anesthesiol Clin. 1913405117. 

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The Anesthesia Consultant

JULY 6, 2023

This column will help you find the top 10 anesthesia journals. Prior to the internet, hard copies of medical journals were bound into volumes and stored at hospital or medical school libraries. Note that 2 of the top 4 publications did not even exist when I began my anesthesia training in 1984. This publication launched in 1988.

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SpecialtyCare

JULY 28, 2024

Anterior Lumbar Interbody Fusion, or ALIF surgery, is a significant medical advancement in spinal treatments. In this blog, we’ll explore what ALIF surgery entails, its benefits, and how it can improve your quality of life. We’ll also provide a comprehensive FAQ section to address common concerns and questions.

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