The Anesthesia Consultant

MARCH 24, 2022

A non-anesthesia-professional can administer remimazolam, whereas an anesthesia professional/airway expert must administer and monitor propofol administration. Anesthesiologists can manage the airway of a patient over-sedated with a benzodiazepine without need to administer a reversal agent. Total intravenous anesthesia (TIVA).

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The Anesthesia Consultant

MAY 10, 2016

I wish I’d had the foresight and the money ten years ago to invest in a factory that produced generic anesthetic drugs. The cooperation between surgeons, anesthesiologists, and internal medicine specialists to develop the protocols has been outstanding, the standardized checklist care has been well accepted, and patients are benefiting.

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The Anesthesia Consultant

JUNE 6, 2025

Who is the Captain of the Ship in the operating room, the surgeon or the anesthesiologist? The operating room team today consists of multiple professionals working in collaboration, including the surgeon, the scrub tech, the circulating nurse, and the anesthesia MD or CRNA.

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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 anesthesiologist meets the patient prior to the surgery, reviews the chart, and examines the patient.

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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). Anesthesiologists are vigilant during extubation.

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The Anesthesia Consultant

JULY 12, 2021

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. Major adverse events seldom occur during the middle of a general anesthetic of long duration on a healthy patient.

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The Anesthesia Consultant

FEBRUARY 6, 2019

During the dayshift, working alone is seldom an issue for any anesthesiologist. A typical hospital will have dozens of other anesthesia providers working in the same building. Within seconds or minutes, any anesthesiologist can be assisted or bailed out by a colleague. There are multiple different models of anesthesia care.

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The Anesthesia Consultant

FEBRUARY 11, 2018

Today I read a thoughtful and well-written essay in Anesthesiology News titled, Anesthesiologists-The Utility Players of the Medical Field written by anesthesiologist David Stinson MD from my native state of Minnesota. To me, the appropriate headline should read, “Anesthesiologists—the Most Valuable Players of the Medical Team.”

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The Anesthesia Consultant

OCTOBER 17, 2019

You’re an anesthesiologist. I’d like to focus on one specific aspect of this important study: anesthesiologists need to lose their reluctance to cut a surgical airway into a patient’s neck in a “can’t intubate, can’t oxygenate” airway emergency. Case 5: “The anesthesiologist asked the surgeon to perform an emergency cricothyrotomy.

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The Anesthesia Consultant

JULY 12, 2017

This is what the anesthesia experience is like for most patients: You show up for surgery, and some anesthesia professional you’ve never met or talked to appears 10 minutes before you are to be wheeled into the operating room. The anesthesia professional might be an MD, a CRNA, or both a MD and a CRNA might be involved.

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The Anesthesia Consultant

JUNE 12, 2023

Is it feasible that CHATGPT, this decades artificial intelligence wunderkind, can equal or better a physician anesthesiologist? I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

SEPTEMBER 3, 2021

A board-certified physician anesthesiologist is therefore validated as an expert in all areas of perioperative medicine. Most anesthetics are conducted by physician anesthesiologists. In this model, an MD anesthesiologist supervises up to four CRNAs who work in up to four different operating rooms simultaneously.

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The Anesthesia Consultant

AUGUST 16, 2018

These three words make any anesthesiologist cringe. 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 anesthesiologist decided to extubate the trachea.

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