The Anesthesia Consultant

JANUARY 2, 2016

I’m writing this from the perspective of a busy clinician who has worked as an anesthesiologist in California in both private practice and at a major university hospital for over 30 years. More care team anesthesia and more Certified Nurse Anesthetists (CRNAs). What can we expect in the next 10 years of anesthesiology?

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The Anesthesia Consultant

MARCH 24, 2022

In July 2020 the Food and Drug Administration (FDA) approved the intravenous benzodiazepine remimazolam (Byfavo, Acacia Pharma) for use in sedation for procedures of 30 minutes or less. remimazolam propofol For use in procedural sedation, remimazolam will not replace Versed, but rather will aim to replace propofol.

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The Anesthesia Consultant

MARCH 22, 2019

Medicare for All would decimate the specialty of physician anesthesiologists in America. The Medicare pay rate for anesthesiologists is a mere fraction of the current insurance pay rate. If a physician anesthesiologist is forced to take a pay cut to 35%-45% of their previous income, they will be upset too. 75 X $76) + (.25

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The Anesthesia Consultant

DECEMBER 23, 2015

Listening to some of its disciples, it would seem that nearly every orthopedic surgery procedure can benefit from an ultrasonic regional block for intraoperative and postoperative pain control. years after the procedure. The subspecialty of regional anesthesia has blossomed. Low, but not zero. Brull R, et al.

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The Anesthesia Consultant

DECEMBER 19, 2016

At times urgent procedures are delayed until the patient has been fasting for 6 hours, and has an appropriate NPO status. At times urgent procedures are delayed until the patient has been fasting for 6 hours, and has an appropriate NPO status. A 3-year-old boy is eating a McDonalds Happy Meal on the lawn of the restaurant.

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The Anesthesia Consultant

FEBRUARY 12, 2016

Association of Mild Cognitive Impairment With Exposure to General Anesthesia for Surgical and Nonsurgical Procedures: A Population-Based Study. Does exposure to general anesthesia cause dementia? In a word, “No.” Anesthesiology. 2016 Feb;124(2):312-21 answers this question. Dokkedal studied 8,503 middle-aged and elderly Danish twins.

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The Anesthesia Consultant

OCTOBER 28, 2018

Patients with autism commonly need to be sedated for routine procedures that a normal child or adult would cooperate with. They told the mother she had the choice of going home without any surgical procedure or anesthesia at all. The mother was adamant that the procedure needed to be performed. mg/kg midazolam, and.02

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The Anesthesia Consultant

NOVEMBER 8, 2016

Anesthesiologists prefer their patients to have a gentle transition from the anesthetized state into the awake state. 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

DECEMBER 29, 2015

Do you want an older anesthesiologist only months from retirement? Do you want a young and inexperienced anesthesiologist? How do you feel when you meet your anesthesia provider prior to a surgical procedure? Do you want a young and inexperienced anesthesiologist? Is there any data to help answer these questions?

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The Anesthesia Consultant

APRIL 12, 2020

During this COVID crisis, intensive care unit and emergency room doctors and nurses in hotspots like New York City have dangerous, exhausting jobs keeping coronavirus patients alive. A minority of doctors and nurses are saddled with these dangerous around-the-clock jobs battling the disease in ICUs and ERs.

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The Anesthesia Consultant

DECEMBER 19, 2016

What’s the most critical technical skill for an anesthesiologist? The most critical technical skill for an anesthesiologist is. The American Society of Anesthesiologists Difficult Airway Algorithm addresses this issue. I ask this question when I’m teaching anesthesia residents and medical students. facemask ventilation.

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The Anesthesia Consultant

AUGUST 26, 2015

No, it’s not the nurse anesthetists, nor the stress of covering surgeries in the middle of the night, nor the stress of saving patients who are trying to die in front of our eyes during acute care emergencies. Note that anesthesiologists who specialize in pain medicine in a clinic setting can be exceptions to this discussion.

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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 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. Your patient’s skin and lips are purple and you are terrified. What do you do?

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The Anesthesia Consultant

APRIL 2, 2016

I work in a private practice setting in Palo Alto, California, and liposuction is one of the most common plastic surgery procedures performed. Early in my career, in the late 1980’s, liposuction was a bloody procedure. Preanesthetic assessment and patient selection are key for safe large-volume liposuction procedures.

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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. Anesthesiologists at Barnes Jewish Hospital at Washington University in St. Anesthesiologists at Barnes Jewish Hospital at Washington University in St. What do you do? How do you feel about all this? A lot can go wrong. In fact, it does.

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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. These devices enable an anesthesiologist to remain connected to the outside world during surgery.

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The Anesthesia Consultant

JULY 2, 2018

Food and Drug Administration (FDA) is warning that repeated or lengthy use of general anesthetic and sedation drugs during surgeries or procedures in children younger than 3 years or in pregnant women during their third trimester may affect the development of children’s brains. The answer to all these questions is: “It depends.”

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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 1, 2015

These fasting guidelines do not apply to surgical procedures under local anesthesia, or to those with no anesthesia. The guidelines do apply for colonoscopies or upper gastrointestinal endoscopy procedures. If a patient presents for emergency surgery, the anesthesiologist must proceed without waiting for the recommended fasting times.

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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? Medications may need to be adjusted or temporarily stopped to minimize potential risks during the procedure. In 1997 the IBM computer Deep Blue beat world chess champion Gary Kasparov head to head.

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The Anesthesia Consultant

SEPTEMBER 3, 2021

Will it be a nurse or will it be a physician? A 2013 study in Anesthesiology states, “Despite the fact that a surgical procedure may have been performed for the appropriate indication and in a technically perfect manner, patients are threatened by perioperative organ injury. This is an important question. Why do patients die?

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The Anesthesia Consultant

AUGUST 7, 2017

Anesthesiologists work in operating rooms and intensive care units—acute care settings which demand vigilance, steady hands, and quick thinking. I’m fascinated by the topic of artificial intelligence in medicine. This is the third column in a series regarding robots in medicine. What about AI in medicine (AIM)?

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The Anesthesia Consultant

SEPTEMBER 25, 2015

When it was time to begin the first anesthetic, the attending faculty anesthesiologist said to me, “I don’t think the operating room is a good place to learn in the beginning.” THE JULY EFFECT AND THE NOVEMBER EFFECT: In American teaching hospitals, newly minted doctors begin internships each July.

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The Anesthesia Consultant

OCTOBER 4, 2016

The procedure was to be done in the prone position, and required endotracheal intubation. The patient was turned prone, and the procedure commenced. After only 15 minutes of operating time, the gastroenterologist announced that the procedure was over. The surgery lasted 60 minutes. The nadir oxygen saturation was 49%.

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The Anesthesia Consultant

OCTOBER 8, 2019

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. preparing to remove an endotracheal tube from a patient Every general anesthetic has risk. Extubation is risky business.

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The Anesthesia Consultant

SEPTEMBER 1, 2017

This was an important study which documented what experienced anesthesiologists already know—although our specialty has never been safer, preventable deaths still occur. A total of 266 cases of brain damage or death during anesthesia care in the operating room under the care of a solo anesthesiologist occurred. Schulz MD et al.

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The Anesthesia Consultant

JUNE 23, 2016

The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. Links to recent reports include the following: A 3-year-old girl dies in San Ramon, CA after a dental procedure in July 2016. The dentist and an anesthesiologist were both present. What do you do? 02 mg/kg of atropine.

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The Anesthesia Consultant

APRIL 26, 2018

Norman Shumway MD PhD, a Stanford surgical professor and legend, invented the heart transplantation procedure and performed the first heart transplant in the USA on January 6, 1968 in operating room 13 of Stanford University Hospital. Note that the anesthesia transport team member was only an anesthesia fellow or a resident.

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The Anesthesia Consultant

AUGUST 16, 2018

These three words make any anesthesiologist cringe. The topic of anoxic encephalopathy as related to anesthesia disasters and brain death—a issue that can ruin both a patient’s life and an anesthesiologist’s career—is not specifically covered in Miller’s Anesthesia. Anoxic brain injury.

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The Anesthesia Consultant

JUNE 27, 2017

These alarms would bring a fleet of nurses and/or doctors into the room to try to save the patient. I love the movies, but it can be painful to watch scenes where the facts are distorted, sometimes so much that the storyline is implausible. This film is my Hollywood medical pet peeve, and the movie that motivated me to write this column.

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The Anesthesia Consultant

FEBRUARY 19, 2016

As an experienced anesthesiologist, I’ve personally watched over 25,000 patients sleep during my career. We’re going to sedate this patient for a medical procedure. 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.

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PANA

JANUARY 14, 2025

by PennLive.com Patients undergoing surgery or procedures requiring anesthesia are safe when cared for by a physician anesthesiologist, a certified registered nurse anesthetist (CRNA), or both. They are with their patients for every breath during the procedure. Published: Jan. 12, 2025, 10:00 a.m.

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Radius Anesthesia

JUNE 3, 2025

This requires billers to have a precise understanding of how to calculate anesthesia time, how to apply physical status modifiers appropriately, and how to adjust claims depending on factors like emergency status or the use of medically directed certified registered nurse anesthetists.

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PANA

JANUARY 20, 2025

20, 2025 /PRNewswire/ -- Certified registered nurse anesthetists (CRNAs) are usually the last person a patient sees before a surgical procedure begins, and the first person they awake to when it ends. As the hands-on providers of anesthesia, CRNAs are with their patients throughout the entire medical procedure.

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The Anesthesia Consultant

MAY 5, 2025

Anesthesiologists and Certified Registered Nurse Anesthetists typically achieve this level of sedation by starting an intravenous line and titrating intravenous sedation with medications such as midazolam, fentanyl, propofol, and/or ketamine. It was a technique Id never heard of nor read about. What is a troche?

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The Anesthesia Consultant

MARCH 23, 2020

For years physician anesthesiologists have transported sick patients from the intensive care unit (ICU) to the operating room (OR) when patients needed a surgical procedure. These sick patients have been successfully maintained on the anesthesia machine ventilator, and physician anesthesiologists have attended to them.

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