The Anesthesia Consultant

AUGUST 14, 2015

The practice of anesthesiology becomes very much like a physiology experiment with the twin goals for the patient of a) guaranteeing sleep, while b) striving to maintain perfect vital signs. arrived, many doctors signed off to the next doctor coming on duty to take over their job. Where is the art? When three p.m.

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Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

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. The operating team is a collaborative and cooperative venture.

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Operating Room Operation Post-Anesthesia Vital Signs 87

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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Anesthesiologist Vital Signs Post-Anesthesia Anesthesia 52

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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Anesthesiologist Operating Room General Anesthesia Surgery 52

The Anesthesia Consultant

MAY 23, 2023

” Despite this, during surgery your anesthesiologist injected fentanyl into your IV as part of your anesthetic. As a street drug, fentanyl overdose is a critical problem in the United States, but anesthesiologists administer fentanyl to most patients, and do so safely. Why do anesthesiologists utilize fentanyl?

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

JULY 12, 2021

Vigilance regarding a sleeping patient’s vital signs was always paramount, but the constant effort to be vigilant could be mind-numbing. 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.

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Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

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. My medical board certifications are in internal medicine and anesthesiology—two fields which have significant overlap in their knowledge base but radically different practice settings.

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Post-Anesthesia Anesthesia Operating Room Nurse Practitioner 52

The Anesthesia Consultant

NOVEMBER 4, 2021

You’re the anesthesiologist assigned to a freestanding ambulatory surgery center (ASC). On physical exam, her vital signs are normal, her lungs are clear, and her heart exam is positive for the clicking sound of a mechanical valve and a 2/6 systolic murmur. How could the anesthesiologist better manage the emergency?

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Surgery Vital Signs Anesthesiologist Post-Anesthesia 52

The Anesthesia Consultant

FEBRUARY 6, 2019

During the dayshift, working alone is seldom an issue for any anesthesiologist. Within seconds or minutes, any anesthesiologist can be assisted or bailed out by a colleague. Unlike Alex Honnold, the anesthesiologist is not putting their own life at risk—rather it is their patient who is at risk. Working alone may be less safe.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

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. A team led by an attending anesthesiologist uses remote monitoring to provide evidence-based support to anesthesia colleagues in all the operating rooms.

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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 12, 2023

Is it feasible that CHATGPT, this decades artificial intelligence wunderkind, can equal or better a physician anesthesiologist? Identify and address potential causes: Once the patient’s vital signs have stabilized or as the resuscitation efforts continue, the medical team will work to identify the underlying cause of the cardiac event.

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Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

SEPTEMBER 6, 2019

My name is Rick Novak, and I’m a double-boarded anesthesiologist and internal medicine doctor and a writer of medical fiction. This device monitors the patient’s EEG level of consciousness via a BIS monitor device as well as traditional vital signs. No device on the horizon can be expected to replace anesthesiologists.

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Post-Anesthesia General Anesthesia Anesthesia Operating Room 52

The Anesthesia Consultant

APRIL 26, 2018

One registered nurse had a fulltime job locating appropriate brain dead heart donors within a 60-90 minute Learjet trip from Stanford. A separate team of physicians and nurses was responsible for assembling a waitlist of prospective heart transplant recipients, and for arranging housing for them within the San Francisco Bay Area.

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Anesthesia Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

JUNE 27, 2017

Then he injects her IV with a syringe of adrenaline, and leaves the vital signs monitor on. The vital signs monitor shows her heart rate suddenly change to zero as she dies. The vital signs monitor continues to emit a soft high-pitched tone, but there’s no one else around to hear it.

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General Anesthesia Vital Signs Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

MARCH 2, 2018

I’ve been a full time anesthesiologist for 34 years, and I’ve heard this monologue from patients countless times. Both are ultra-short acting medications that enable anesthesiologists to produce alert, awake patients within an hour of most general anesthetics. All my life I’ve been very sensitive to medications. My impression?

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General Anesthesia Anesthesia Incision Post-Anesthesia 52

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. The anesthesiologist decided to extubate the trachea at that time. Extubation is risky business. The patient began to cough.

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General Anesthesia Anesthesia Anesthesiologist Post-Anesthesia 52

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. The anesthesiologist decided to extubate the trachea.

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Post-Anesthesia Anesthesia Anesthesiologist General Anesthesia 52

The Anesthesia Consultant

JUNE 23, 2016

The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. The dentist and an anesthesiologist were both present. Possible anesthesia professionals include a physician anesthesiologist, a dental anesthesiologist, or an oral surgeon (who is trained in both surgery and anesthesia).

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General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

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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Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

The Anesthesia Consultant

FEBRUARY 19, 2016

As an experienced anesthesiologist, I’ve personally watched over 25,000 patients sleep during my career. 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. Without an anesthesiologist present, the patient could die.

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Blood Oxygenation Levels Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

OCTOBER 19, 2015

I didn’t have a 42-inch monitor displaying Johnny’s vital signs, but I knew my son’s blood pressure was escalating. KIRKUS REVIEW In this debut thriller, tragedies strike an anesthesiologist as he tries to start a new life with his son. “Johnny, are you happy that your grades rank you in the middle of the pack at your school?”

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Anesthesia Anesthesiologist Operating Room Post-Anesthesia 52

The Anesthesia Consultant

JANUARY 6, 2025

The electronic record of intraoperative vital signs is a more accurate database than the previous handwritten grid of vital signs, but the actual input of medical information into the EMR by MDs and RNs is tedious and slow, requiring typing into various repetitive screens. The result has been a mixed bag.

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Anesthesia Post-Anesthesia Vital Signs General Anesthesia 86

The Anesthesia Consultant

APRIL 8, 2025

anesthesia, I see commandments as guidelines for how to be a safe and excellent anesthesiologist. Anesthesiologists are tasked with the screening and evaluation of their patients prior to surgery , with keeping their patients safe during surgery , and with treating all medical problems immediately following the anesthetic care and surgery.

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Anesthesia General Anesthesia Operating Room Post-Anesthesia 88

The Anesthesia Consultant

MARCH 2, 2020

The medical treatment would be supportive, that is, a breathing tube would be placed in the patient’s windpipe (trachea) by an anesthesiologist, an ICU doctor, or an emergency room doctor, and the tube would be connected to a mechanical breathing machine, called a ventilator. As of 2015, there were 94,837 ICU beds in the United States.

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General Anesthesia Post-Anesthesia Anesthesia Operating Room 52

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. The MKO Melt was a safe and effective alternative to intravenous sedation.

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Anesthesia General Anesthesia Post-Anesthesia Vital Signs 76

The Anesthesia Consultant

OCTOBER 12, 2015

I scanned the operating room monitors and confirmed that her vital signs were perfect. Melody was on the debate team and the varsity tennis team, and for three years she worked with Alzheimer patients at a nursing home in Palo Alto. Her life was my responsibility. My patient was stable, and my son was in danger.

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Operating Room Operation Vital Signs Nurse Anesthetist 52