The Anesthesia Consultant

MAY 10, 2016

It’s not clear the idea has widespread traction as of yet, and the concept will always be at odds with the individual aspirations of internal medicine doctors, hospitalists, intensivists, surgeons, and certified nurse anesthetists, all who want to make their own management decisions, and all who desire to be paid for owning those decisions.

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The Anesthesia Consultant

AUGUST 28, 2016

If you work in a practice which utilizes an anesthesia care team, where one physician anesthesiologist may supervise, for example, 4 Certified Registered Nurse Anesthetists (CRNAs), then a physician’s income is increased because he or she is billing for and supervising care for multiple concurrent surgeries.

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The Anesthesia Consultant

JUNE 6, 2025

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. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

SEPTEMBER 3, 2021

Will it be a nurse or will it be a physician? At times, physician anesthesiologists employ certified registered nurse anesthetists (CRNAs) to assist them in what is called the anesthesia care team (ACT) model. Are CRNAs and anesthesiologists equals? This is an important question. No, they are not.

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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 PACU nurse’s name is Gloria, and she is new to this surgical facility.

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The Anesthesia Consultant

OCTOBER 8, 2019

The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. At the onset of general anesthesia anesthesiologists place an ET tube through the mouth, past the larynx (voice box), and into the trachea (windpipe). Why Did Take Me So Long To Wake From General Anesthesia?

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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. Major adverse events seldom occur during the middle of a general anesthetic of long duration on a healthy patient. Will I Have a Breathing Tube During Anesthesia?

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Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

FEBRUARY 6, 2019

In an anesthesia care team, a physician anesthesiologist supervises up to four operating rooms and each operating room is staffed with a certified registered nurse anesthetist (CRNA). In seventeen “opt-out” states in America a solitary CRNA can attend to a patient without any physician anesthesiologist backup.

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The Anesthesia Consultant

JUNE 12, 2023

INTRAOPERATIVE DECISION A 60-year-old man with a history of hypertension is having a knee arthroscopy surgery under general anesthesia. Here are some general steps that might be considered: Activate the emergency response: Alert the medical staff immediately about the child’s deteriorating condition. No, not really.

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The Anesthesia Consultant

FEBRUARY 11, 2018

Are we physicians or are we glorified advanced practice nurses?” The surgical attendings were the kings, the students were the peasants, the nurses and techs were serfs, and the anesthesiologists were the whipping boys for the surgeons. Maybe you’re worried that nurse anesthetists will take your job away.

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The Anesthesia Consultant

OCTOBER 17, 2019

Anesthesiologists in training, practicing anesthesiologists, and Certified Registered Nurse Anesthetists (CRNAs) must receive hands-on education on performing front of neck access, as well as the reasoning behind not delaying the procedure. You’re an anesthesiologist or a CRNA. Will I Have a Breathing Tube During Anesthesia?

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

AUGUST 16, 2018

Have the Stanford Emergency Manual 5 in your operating room suite, and ask a registered nurse to recite the Cognitive Aid Checklist for HYPOXEMIA to you, to make sure you haven’t missed something. If an anesthesia care team is attending to you, how many rooms is each physician anesthesiologist supervising?

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OR Manager

NOVEMBER 19, 2024

Last November, two hospitals in Portland, Oregon, reportedly had to cancel several hundred procedures—nearly all nonemergency surgeries—due to a shortage of anesthesia providers. This incident is just one More » The post The anesthesia staffing crisis: How we got here, what hospitals can do appeared first on OR Manager.

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