Remove CRNA Remove General Anesthesia Remove In-Procedure
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CAPTAIN OF THE SHIP IN THE OPERATING ROOM

The Anesthesia Consultant

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. Who is the Captain of the Ship in the operating room, the surgeon or the anesthesiologist? The intern failed to irrigate the eye.

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WHO WILL BE PROVIDING ANESTHESIA CARE 10 YEARS FROM NOW?

The Anesthesia Consultant

This will require an operating room staffed with a surgeon, a nurse, a scrub technician, and an anesthesia professional. If the current trend of inadequate numbers of anesthesia clinicians in the United States is not reversed, this insufficient supply will be a major problem. of the population). of the population).

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ANESTHESIOLOGISTS COVERING THREE OR FOUR OPERATING ROOMS AT ONCE CAN INCREASE RISKS 

The Anesthesia Consultant

This was a landmark paper on the topic of anesthesiologist:CRNA staffing ratios, which documented that having physician anesthesiologists direct three or four operating rooms simultaneously for major noncardiac inpatient surgical procedures increased the 30-day risks of patient morbidity and mortality.

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REMIMAZOLAM: NEW WONDER ANESTHETIC DRUG OR MEDICAL WHITE ELEPHANT?

The Anesthesia Consultant

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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A DAY IN THE LIFE OF AN ANESTHESIOLOGIST

The Anesthesia Consultant

The first surgery today is a procedure devised to treat obstructive sleep apnea, a procedure called a maxillary-mandibular osteotomy. The first surgery today is a procedure devised to treat obstructive sleep apnea, a procedure called a maxillary-mandibular osteotomy. You leave your street clothes in your locker.

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EXTUBATION IS RISKY BUSINESS. WHY THE CONCLUSION OF GENERAL ANESTHESIA CAN BE A CRITICAL EVENT

The Anesthesia Consultant

preparing to remove an endotracheal tube from a patient Every general anesthetic has risk. The conclusion of most general anesthetics requires the removal of a breathing tube. The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. In the immortal words of Forrest Gump, “Sh*t happens.”

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CODE BLUE – WHEN AN ANESTHESIOLOGIST PREMATURELY DEPARTS A FREESTANDING SURGERY CENTER

The Anesthesia Consultant

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 trachea is intubated, and anesthesia is maintained with 1-1.5% The surgery concludes at 1630 hours.