The Anesthesia Consultant

JULY 11, 2019

If the patient is unstable, a physician, usually an anesthesiologist, will need to accompany the patient and the EMTs to the hospital emergency room. Her breathing tube had been removed, but she developed upper airway obstruction in the Post Anesthesia Care Unit (PACU) and needed urgent reintubation.

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The Anesthesia Consultant

OCTOBER 28, 2018

Upon arrival in the operating room, one of the security guards uncovered the sweater from the patient’s arm, and the anesthesiologist injected an intramuscular mixture of 2 mg/kg ketamine, 0.2 Once the patient became sedated (2-4 minutes later), the mother was escorted from the room and the anesthesiologist started an IV in the patient’s arm.

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The Anesthesia Consultant

MAY 13, 2020

You will wear a mask in the preoperative room, and that mask will remain on your face until just prior to the induction of anesthesia. If the procedure was an outpatient surgery, you will leave the facility and return home after you’ve recovered from anesthesia. (The Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

APRIL 12, 2021

Perhaps his anesthesiologist knows. Prior to administering an anesthetic, it would be important for the anesthesiologist to know the toxicology screen results in any patient who just survived such an accident. 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

NOVEMBER 5, 2020

Preoperative sleep study results matter to the anesthesiologist. All anesthesia care follows the priorities of Airway-Breathing-Circulation, or A B C. For the anesthesiologist, mask ventilation, direct laryngoscopy, endotracheal intubation, and fiberoptic visualization of the airway can be more difficult in patients with OSA.

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The Anesthesia Consultant

MARCH 31, 2015

An anesthesia emergency occurs without warning. As the anesthesiologist, it’s your job to make the correct diagnosis and act promptly to save your patient. You need the ultimate anesthesia emergency guidebook. Anesthesia practice is described as 99% boredom and 1% panic. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

MAY 10, 2016

Sugammadex reversal can make the duration of a rocuronium motor block almost as short acting as a succinylcholine motor block, and sugammadex can also eliminate complications in the Post Anesthesia Care Unit due to residual postoperative muscle paralysis. Grade = C-. This model is not objectionable.

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The Anesthesia Consultant

MAY 22, 2018

I stay with the child until the anesthetic depth has dissipated, the breathing tube is removed, and the child is awake and safe with the recovery room nurse in the Post Anesthesia Care Unit. 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 2, 2018

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. I’ve been a full time anesthesiologist for 34 years, and I’ve heard this monologue from patients countless times. Listen to them and adjust your care. Propofol and sevoflurane are the mainstays of 21 st century general anesthesia.

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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 11, 2020

Most patients have no real idea what anesthesiologists do. Most college premed students have no real idea what anesthesiologists do. Most medical students have no real idea what anesthesiologists do. Anesthesiologists are responsible for your medical care before, during, and after surgeries.

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The Anesthesia Consultant

NOVEMBER 28, 2017

You’re a board-certified anesthesiologist. You’ve graduated from a residency program in which you learned the nuances of preoperative, intraoperative, and postoperative anesthesia practice. Individuals would never board a Boeing 787 aircraft and tell the pilot what to do, but individuals will try to influence their anesthesiologist.

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The Anesthesia Consultant

MAY 2, 2023

Louis Imagine this: You’re an anesthesiologist in the operating room at a busy hospital. 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. What do you do?

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The Anesthesia Consultant

NOVEMBER 8, 2022

The patient suffers an acute cardiac arrest fifteen minutes after the induction of general anesthesia. The EMR shows standard of care anesthetic management. The anesthesiologist loses the malpractice suit. The family sues the anesthesiologist, and the plaintiff attorney orders an audit trail.

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The Anesthesia Consultant

NOVEMBER 15, 2023

At the 2023 American Society of Anesthesiologists meeting in San Francisco, I walked by a booth advertising High Flow Nasal Oxygen. We extended the apnea times of 25 patients with difficult airways who were undergoing general anesthesia for hypopharyngeal or laryngotracheal surgery. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

AUGUST 17, 2020

Some reports reveal only minor issues such as prolonged post-operative nausea and vomiting, or a prolonged Post Anesthesia Care Unit stay. Case #2020: Review of the case shows that the BP and heart rate increases occurred within minutes after the anesthesiologist administered an intravenous dose of the drug atropine.

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The Anesthesia Consultant

MAY 4, 2016

If a patient suffers a bad outcome after anesthesia, did the anesthesiologist commit malpractice? If there was an anesthesia error, was it anesthesia malpractice? There are risks to every anesthetic and every surgery, and if a patient sustains a complication, it may or may not be secondary to substandard anesthesia care.

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The Anesthesia Consultant

NOVEMBER 15, 2018

He warned of the risks of diversion of sufentanil by anesthesiologists and other medical personnel. In the IV formulation, it has been a drug of abuse for health care providers.” We also used intravenous sufentanil to supplement anesthesia for non-cardiac surgeries. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

APRIL 8, 2025

anesthesia, I see commandments as guidelines for how to be a safe and excellent anesthesiologist. Based on forty years of clinical practice and administration in both community and academic anesthesiology, here are Ten Commandments of Anesthesia as I see them: Be a doctor, not a propofol technician.

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The Anesthesia Consultant

NOVEMBER 25, 2024

Should anesthesiologists change their clinical care based on these studies? I. The averaged expired concentration for the induction of general anesthesia (the loss of the righting reflex) was significantly higher in females. Two recent papers document this.

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