The Anesthesia Consultant

APRIL 25, 2021

A doctor or a nurse? On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “

Anesthesiologist

The Anesthesia Consultant

FEBRUARY 16, 2021

One of my readers asked me to describe a day in the life of an anesthesiologist, as he was considering a career in anesthesiology. Because anesthesiologists do not scrub in a sterile fashion, it’s OK to wear your watch and ring., Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room.

Anesthesiologist

The Anesthesia Consultant

JANUARY 19, 2017

What qualities define an outstanding anesthesiologist? Some were academic professors, some were trainees at a university, and some were community anesthesiologists either in my group or in other anesthesia companies. Rather, I’m choosing to list the qualities I’ve witnessed that make physician anesthesiologists stand out as leaders.

Anesthesiologist

Clemson

MAY 30, 2022

The Realizing Improved Patient Care through Human-Centered Design in the Operating Room (RIPCHD.OR) learning lab uses a socio-technical approach incorporating human factors engineering and evidence-based design principles to create an optimal ergonomically sound operating room that results in improved patient and staff safety.

Operating Room

The Anesthesia Consultant

JANUARY 29, 2018

News and World Report credited anesthesiologist with another honor: the highest paying job in their 2018 Best Paying Jobs survey. Regarding the #1 job, physician anesthesiologist , the article states, “the breadth of the profession has dramatically expanded in the last decade.

Anesthesiologist

Gomer: Anesthesiology

MAY 25, 2020

At one New York medical center, intense clinical demands and provider fatigue have inspired one anesthesiologist to push the boundaries of clinical medicine. Dr. Mac “McGrath” Millerstein, a cardiothoracic anesthesiologist, has intubated countless patients with COVID over the last several weeks.

Anesthesiologist

The Anesthesia Consultant

OCTOBER 18, 2017

You utilize the current multimodal strategies for operating room anesthesia and postoperative pain reduction, including an ultrasound-guided adductor canal block with 0.5% Neurosurgeons have taken him to the operating room to drain the hematoma and decompress the spinal column. He’s right. What happened?

Anesthesiologist

The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. One can also order a laminated 8½ x 11½-inch version of the Manual to hang in each operating room. David Gaba, Steven Howard, and Sara Goldhaber-Fiebert.

Operating Room

The Anesthesia Consultant

MARCH 23, 2020

Today’s post demonstrates making a reusable N95 mask from common inexpensive operating room supplies. The required parts are an operating room anesthesia mask and a ventilator in-line bacterial/viral filter: The mask assembly is held over your face with elastic straps. The video is posted here.

Nurse Anesthetist

The Anesthesia Consultant

SEPTEMBER 15, 2020

Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. Most surgeons’ comprehension of what anesthesiologists are doing is limited. The patient must wake up (when the surgery is over).

Anesthesia

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. While the increased number of providers requires a higher level of supervision, the added availability of another physician to work with OR nursing enhances efficiency.

Anesthesia

The Anesthesia Consultant

MAY 13, 2020

When you enter the healthcare facility, a nurse will question you regarding virus symptoms, and will screen you by taking your temperature. The inside of the healthcare facility will be cleaned prior to any patient care, and will be recleaned after each patient leaves an operating room.

Surgery

Gomer: Anesthesiology

APRIL 10, 2020

Peter, MN – Physician on FIRE , an anesthesiologist and financial blogger , recently hit the magical goal of Financial Independence and Retire Early (FIRE) in his mid 40s. Once he achieved ‘FIRE status’ JACHO and hospital administration determined he was too much of a fire risk to be in the operating room.

Operating Room

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). It’s also not uncommon for the patient to be breathing room air during transport.

Anesthesia

The Anesthesia Consultant

MAY 6, 2017

Why should anesthesiologists be any different? In many private practice anesthesia groups, physician anesthesiologists supervise multiple nurse anesthetists in multiple operating rooms. Physician anesthesiologists pay their nurse anesthetists as employees as well as their other expenses, and then divide the profit.

Anesthesia

Salem Anesthesia

JUNE 12, 2023

Certified Registered Nurse Anesthetists (CRNAs) serve an irreplaceable function on medical teams across the country. With this information in mind, CRNAs collaborate with surgeons, nurses, and other healthcare professionals to develop personalized anesthesia plans to meet the specific needs of each patient.

CRNA

The Anesthesia Consultant

JUNE 4, 2024

Here’s why the three A’s are in a different order for anesthesiology: ABILITY: For an anesthesiologist seeking a high-paying job in a competitive region of the country, the most important asset is ability. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room?

Anesthesia

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. ” In 2018, anesthesiologists consider surgeons our colleagues, and we seek and expect collegial relationships with them. Do anesthesiologists have surgeries which last 10 hours?

Anesthesia

The Anesthesia Consultant

MARCH 24, 2022

Items 1 – 5 are discussed as follows: Non-anesthesiologists can reverse the effects of remimazolam with flumazenil if they overdose a patient, but this advantage is less important for anesthesia professionals. Anesthesiologists can manage the airway of a patient over-sedated with a benzodiazepine without need to administer a reversal agent.

Post-Anesthesia

The Anesthesia Consultant

NOVEMBER 13, 2019

Almost every anesthesiologist in America has experience with surgery using the da Vinci robot system. The da Vinci surgeon sits at a console in the corner of the operating room, with his back to the patient and his face in a 3-D viewer, which gives a high-definition, magnified view of the surgical site.

Surgery

The Anesthesia Consultant

NOVEMBER 16, 2015

Particularly in acute care, the computer keyboard and screen have no place between an anesthesiologist and his patient, an emergency room physician and his patient, an ICU doctor and his patient, or an ICU nurse and her patient. With an EHR it takes at least 5 clicks to chart “atropine 0.4 on the atropine line.

General Anesthesia

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). A generation ago an anesthesiologist started a case and finished that case.

Post-Anesthesia

The Anesthesia Consultant

AUGUST 28, 2016

How much money does an anesthesiologist earn? What is a physician anesthesiologist’s salary in today’s marketplace? I recently received an email from a medical student who was considering anesthesia as a career specialty, but his concern was: is the bottom about to fall out for anesthesiologists’ salaries?

Anesthesiologist

Picis

APRIL 8, 2024

The key is finding the balance between optimizing operating room utilization and maintaining staff well-being. This unpredictability leads to a constantly changing schedule, which can result in either underutilized or overbooked operating rooms.

Surgery

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. of insured rates.

Post-Anesthesia

The Anesthesia Consultant

OCTOBER 28, 2018

He is verbal with his mother, but refuses to interact with the anesthesia or nursing personnel. The two hospital guards and the mother donned white operating room coveralls. 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.

Anesthesia

PANA

FEBRUARY 28, 2023

Dawn Bent, DNP, MSN, CRNA , didn’t choose to be a nurse anesthetist as much as the profession chose her. She was working as an ICU nurse for eight years when one of the anesthesiologists that she worked with told her: “I think you would be a great nurse anesthetist.”

Nurse Anesthetist

The Anesthesia Consultant

MARCH 15, 2020

Dr. Jerome Adams, the Surgeon General of the United States, an anesthesiologist himself, and a professional I have tremendous respect for, tweeted this advice on February 29 th , 2020: “Seriously people- STOP BUYING MASKS! I’m talking about the looser version commonly worn in operating rooms.

Operating Room

The Anesthesia Consultant

JULY 11, 2019

When a patient decompensates emergently at a freestanding ambulatory surgery center or in an operating room at a doctor’s office, the facility will call for an ambulance staffed with EMT personnel. The surgery was done in a small community hospital where there was no ICU, blood bank, or emergency room.

General Anesthesia

The Anesthesia Consultant

DECEMBER 19, 2016

The second issue in this case is that you’re not a pediatric anesthesiologist. A children’s hospital or a university hospital will have a team of pediatric anesthesiologists with specialized training on call for emergencies. In my opinion, neonates and younger infants need anesthesiologists with specialized pediatric training.

General Anesthesia

The Anesthesia Consultant

DECEMBER 3, 2019

You’ll become rich, and America’s doctors, nurses, and patients will bow to your achievement. Alas, doctors and nurses serve as data-entry technicians for the EPIC system of billing. EPIC is a poor system for doctors and nurses working in a hospital. If you’re a rising software engineer looking for a Holy Grail, this is it.

Post-Anesthesia

The Anesthesia Consultant

OCTOBER 8, 2015

I’m an anesthesiologist, and my job is to keep people alive. Before her surgery, Alexandra reclined awake on the operating room table. Her eyes were closed, and she was unaware I’d entered the room. You can request more morphine, and the nurse in the recovery room will give it to you.” “Yes.

Anesthesia

SpecialtyCare

DECEMBER 11, 2023

Lauren] debriefed me on how the days would go, the logistics of the surgeries — two operating rooms were run simultaneously, and I had to monitor both rooms at once. “[They] personally asked me if I’d be interested in attending,” said Devon. “As As this was a unique opportunity that does not come along often, I said yes!

Operating Room

The Anesthesia Consultant

AUGUST 14, 2015

My career has bridged clinics, operating rooms, intensive care units, emergency rooms, and helicopter trauma medicine. In the 21 st century operating room practice of anesthesiology, we typically have ten minutes to talk to a patient prior to rendering them unconscious. I’ve practiced in four different decades.

Anesthesia

The Circulating Life

FEBRUARY 8, 2024

This is the group of scrub techs and nurses that I worked with for the week. I had to find it, or find someone who could help me find it, before I could bring it back to the room. No one in the room knew me, and I desperately wanted to do well and demonstrate that I really was a competent OR nurse.

Operating Room

The Anesthesia Consultant

JUNE 26, 2018

Each operating room anesthesia location is the epicenter of computerized medical record-keeping machines, computerized Pyxis-style drug storage systems, computerized labeling machines, and bar-code reading billing machines. Sugammadex is the single most important new medication in the toolbox of the 21 st -century anesthesiologist.

Anesthesia

The Anesthesia Consultant

MAY 6, 2019

The teams included plastic surgeons, anesthesiologists, pediatricians, and nurses experienced in the care of cleft palate reconstructions. Because there were dozens of cases to be done, the anesthesia attending and the anesthesia resident each did their cases alone and independently, in adjoining operating rooms.

Post-Anesthesia