The Anesthesia Consultant

NOVEMBER 16, 2015

In a past column I identified the EHR as the most overrated advance affecting anesthesia practice in the past 25 years. My criticisms include: Different EHRs at different hospitals are unable to communicate with each other. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

APRIL 12, 2021

The anesthesiologist needs to know what other drugs, if any, were present in the patient’s system at the time of the crash, because this fact could influence anesthesia management. In 2013 the Food and Drug Administration released the following Safety Communication regarding zolpidem (Ambien) : The U.S.

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The Anesthesia Consultant

APRIL 25, 2021

On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ The medical center previously had an anesthesia staff that included both MDs and CRNAs (Certified Registered Nurse Anesthetists). (He In a word, no. No, they are not.

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The Anesthesia Consultant

MAY 28, 2024

Primary Consultant Anesthesiologist The “Preoperative Evaluation” chapter in our Bible, Miller’s Anesthesia , is 80 pages long—one of the longest chapters in the book. It’s almost June, and hundreds of anesthesia residents are about to graduate from residency programs. Read on and I’ll explain why. His clinic resulted in 87.9%

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The Anesthesia Consultant

JANUARY 19, 2017

A bell-shaped curve exists for the abilities of anesthesia doctors as well. I’ve been practicing anesthesia since the mid 1980s. I’ve met and worked alongside hundreds of anesthesia colleagues from all corners of the globe. Planning anesthesia care, based on your training, experience, and knowledge, is critical.

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The Anesthesia Consultant

MARCH 4, 2022

How soon will we see robotic anesthesia in our hospitals and surgery centers? But what’s new in anesthesia the last 30 years? Ten years ago, when I asked him what new anesthesia drugs were in the pipeline, he answered, “None, and there probably will be very few new ones. Is the same true for anesthesia devices?

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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. ANESTHESIA ELECTRONIC MEDICAL RECORDS (EMRs)– The idea is sound.

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The Anesthesia Consultant

DECEMBER 3, 2019

When it’s time to write a pre-op evaluation anesthesia note in EPIC, you can choose a template which lists all the usual and normal findings, and then click on pertinent positive or negative additions to this template. As an anesthesiologist in the operating room, you will have your own EPIC computer next to the anesthesia machine.

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Radius Anesthesia

JANUARY 25, 2024

General anesthesia induces a state of unconsciousness, amnesia, and immobility via the suspension of neural activity, including physiological processes mediated by the spinal cord. Research on the mechanisms of anesthesia has been extensively conducted at both micro- and macro- levels.

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The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. The Merriam-Webster dictionary defines the internet as “an electronic communications network that connects computer networks and organizational computer facilities around the world.” Since the development of the internet, anesthesia practice has changed forever.

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The Anesthesia Consultant

JULY 2, 2018

What should you do if your 2-year-old son or daughter requires surgery and anesthesia? Anesthesia for infants and children is most frequently initiated with an inhalation induction of sevoflurane vapor, because most infants and children do not have an IV line prior to induction. Should you consent to proceed?

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The Anesthesia Consultant

MAY 2, 2023

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. Louis, Missouri are studying a novel system they call the Anesthesia Control Tower (ACT). What do you do?

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The Anesthesia Consultant

NOVEMBER 27, 2022

It’s within the resources of every anesthesia residency program to provide Mock Oral Exams for their trainees. Faculty Member A) begins by asking 10 minutes of questions dealing with preoperative anesthesia issues, followed by 15 minutes of questions about intraoperative issues by the second examiner (e.g. Monitoring. Why or why not?

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The Anesthesia Consultant

FEBRUARY 8, 2016

The most difficult challenge for any anesthesiologist is the transition from the end of anesthesia residency into the beginning of your first job. Their role is to teach anesthesia, to take care of patients, and to do research. Why are jobs posted on Internet sites usually inferior jobs? They are not guidance counselors.

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The Anesthesia Consultant

JULY 17, 2015

You’ve found The Anesthesia Consultant website, so you have some interest in anesthesia. The truth is: a career in anesthesia involves unique demands that most people would not seek, tolerate, or ever grow accustomed to. Many doctors with superior manual dexterity migrate toward operative specialties like surgery or anesthesia.

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Nashville Anesthesia Professionals

FEBRUARY 5, 2024

Bronchoscopy is an investigative or therapeutic procedure that involves inserting an instrument into the lungs via the airway and is often performed under anesthesia. Rigid bronchoscopy generally warrants general anesthesia, while flexible bronchoscopy can be carried out under sedation supplemented with topical anesthesia [1].

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The Anesthesia Consultant

JANUARY 14, 2021

Sugammadex is not cheap (a cost of $100 per 200 mg vial), but since the availability of sugammadex, no anesthesia practitioner should ever have an awake and still-paralyzed patient at the conclusion of an anesthetic. The medical literature supports the fact that COVID patients have increased complications after anesthesia and surgery.

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The Anesthesia Consultant

JANUARY 31, 2023

Jed Wolpaw, the host of ACCRAC An anesthesia education success story: I was administering a mock oral board exam to a Stanford first-year anesthesia resident in November 2022, and the young man aced the test. How do you know so much about anesthesia already?” What void in anesthesia education did you identify?

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The Anesthesia Consultant

OCTOBER 28, 2020

This study examined the issue of autism and epidural anesthesia for childbirth. The article showed a 37% increased incidence of autistic spectrum disorder (ASD) in children whose mothers received epidural anesthesia during labor. Epidural anesthesia is very popular and has been shown to be safe for both the mother and for the infant.

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The Anesthesia Consultant

JANUARY 9, 2023

.” When the medical team turned off the intravenous general anesthetic sedatives, Damar’s neurologic function was intact, which was a wonderful outcome. While the endotracheal tube was in place he could not speak, and initially he had to communicate by pen and paper. Why Did Take Me So Long To Wake From General Anesthesia?

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Anaesthesia News

MAY 4, 2025

Nevertheless, despite advances in laryngoscopic devices, the incidence of POST remains high. A novel intubation technique with endotracheal tube (ETT) rotation 180 degrees (ETT 180) has been suggested to overcome stylet related injury and, possibly, decrease the POST. A much more recent paper from Sweden confirms this observation 2.

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