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). This is a reasonable policy, but what if anesthesia patient transport to the PACU lasts 4 minutes and 59 seconds (i.e.

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The Anesthesia Consultant

MAY 13, 2020

The main questions as to whether a hospital or an ambulatory surgery center can resume elective surgery as of May 2020 are: What is the incidence of COVID-19 in your geographic area? When I’m at Stanford Hospital or the surgery centers in our area I’m confident the environment is safe. Will I Have a Breathing Tube During Anesthesia?

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Surgery Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

FEBRUARY 13, 2018

Meanwhile, back at the metaphor, anesthesiologists practiced their essential healing profession, and hoped HMOs and hospital administrators would not decrease their anesthesia quantum wage any further. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

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The Anesthesia Consultant

MARCH 7, 2017

Three sets of editors have contacted me to write chapters for their anesthesia/surgical textbooks on topics I’ve written about on my website. A leading university anesthesia program invited me to travel to their hospital and lecture as a Visiting Professor. Writing is a passion, but my primary job is still clinical anesthesia.

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The Anesthesia Consultant

OCTOBER 10, 2018

Richard Novak, an Adjunct Clinical Professor of Anesthesiology at Stanford University Medical Center, is available for anesthesia expert witness consultation. Chemistry, Magna Cum Laude, Carleton College 1976-80 M.D., Chemistry, Magna Cum Laude, Carleton College 1976-80 M.D.,

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The Anesthesia Consultant

MARCH 2, 2024

I contacted the group via telephone, mailed them my resume, and they invited me to travel to their hospital for an interview. When I arrived at their hospital, I donned scrubs and was ushered from operating room to operating room to meet 15 or 20 attending anesthesiologists while they worked. I was excited. Don’t worry,” they said.

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The Anesthesia Consultant

JANUARY 29, 2018

Anesthesiologists still work in hospital operating rooms, but their expertise is also needed in other places, including invasive radiology, gastrointestinal endoscopy, electrophysiology and more. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

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The Anesthesia Consultant

DECEMBER 19, 2016

The boy suffers a penetrating open eye injury, and is taken to the nearest hospital. You’re are an experienced practitioner, but not a pediatric anesthesia specialist. One is how to safely perform the open-eye, full stomach anesthetic, and the other is the performance of pediatric anesthesia by non-pediatric anesthesia specialists.

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The Anesthesia Consultant

NOVEMBER 16, 2015

I agree with him that the current cumbersome EHRs come between doctors and patients during hospital care. My criticisms include: Different EHRs at different hospitals are unable to communicate with each other. If you work at different hospitals with different EHRs, you have to be trained and retrained in multiple EHR platforms.

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The Anesthesia Consultant

MAY 3, 2017

For the patient above, the problem list would include: Hypertension Type 2 diabetes Obesity Sedentary lifestyle Preoperative assessment for upcoming general anesthesia for gallstones An assessment and plan for each medical problem would be listed as follows: BP= 140/85 today. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

MAY 12, 2015

Let’s look at the anesthesia literature to learn what has been described about this problem. Sinai Hospital in New York queried the computerized anesthesia records of 4,096 patients undergoing general anesthesia and analyzed the incidence of hypotension in the period immediately after induction.

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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). Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

JUNE 4, 2024

Most anesthesia vacancies are in less desirable locations with a poorer payor mix. If there is a hospital or a town you desire to work in, contact employers and find out if there are any job openings. Top anesthesia groups rarely advertise that they have openings, rather they seek out available new hires via their alumni networks.

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The Anesthesia Consultant

FEBRUARY 22, 2018

The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

SEPTEMBER 6, 2022

Ambulatory anesthesiology is defined as the administration of anesthetics for outpatient surgical procedures, which are minor procedures which don’t require hospitalization. Most career anesthesiologists who practice in ambulatory surgery centers also continue to practice at a hospital. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

SEPTEMBER 3, 2019

I completed two residencies in the 1980s at Stanford University Hospital, the first in internal medicine and the second in anesthesiology. I worked 30-hour shifts in the hospital every third night on most rotations, without a day off afterwards. The anesthesia residency was 80 hours per week with in-hospital night call.

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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 hospital was Watertown Regional Medical Center, located in Watertown, Wisconsin , population 23,861, midway between Milwaukee and Madison. A doctor or a nurse?

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Platinum Meidcal Staffing

MARCH 10, 2023

If you’re wondering how your hospital or surgery center could benefit from the integration of these professionals, here are three ways that they improve patient outcomes. Minimize patient time under anesthesia General anesthesia induces a sleep-like state using a combination of intravenous medications and inhaled gasses.

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The Anesthesia Consultant

DECEMBER 23, 2015

following general anesthesia in contrast to a peripheral nerve injury rate of 1.7% Perioperative nerve injury after total shoulder arthroplasty: assessment of risk after regional anesthesia. It’s striking that the patients with general anesthesia had MORE peripheral nerve injuries than patients who had an interscalene block.

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The Anesthesia Consultant

DECEMBER 3, 2019

Round up your smartest engineer buddies and invent the electronic medical recordkeeping system every hospital needs. Doctors and hospitals who failed to adopt a government-approved EMR system by the end of 2014 faced cutbacks in their Medicare reimbursements. hospitals have an EMR system. How can a hospital recoup this cost?

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The Anesthesia Consultant

NOVEMBER 13, 2019

Or is it an expensive gadget for hospitals and surgeons to market and attract potential patients? Sixty hospitals in the United States used the system in 2002, but this number grew to 431 hospitals by 2014. Approximately 1,500 United States hospitals now have the da Vinci Surgical System, according to Modern Healthcare.

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The Anesthesia Consultant

JUNE 26, 2018

How can it be that general anesthesia has ceased to evolve? 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. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

JULY 1, 2020

At that age you’ll have a negative net worth, and you’ll be financially years behind your friends who went to work immediately out of college You’ll work long hours, including sleeping overnight in hospitals during your training. Answering phone calls or being summoned into the hospital at 3 a.m. 80-hour work weeks are common.

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The Anesthesia Consultant

NOVEMBER 5, 2020

Are OSA patients discharged home after surgery, or are they kept in the hospital? Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia? What Are the Common Anesthesia Medications? How Safe is Anesthesia in the 21st Century?

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The Anesthesia Consultant

MARCH 18, 2021

Miller’s Anesthesia , 9 th edition, Chapter 31, Preoperative Evaluation) All adults and adolescents should be questioned regarding their history of alcohol use prior to anesthesia. 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

AUGUST 15, 2024

Consider this: if a hospital purchased 20 McGrath scopes at $3899, with the small pocket size of a McGrath scope it would only be a matter of time before some of the scopes would disappear. The university hospital where I work owns multiple GlideScopes and C-MAC video scopes but stops far short of one for every room. McGrath blades.

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The Anesthesia Consultant

MAY 6, 2017

The Merriam-Webster online dictionary defines private practice as: “a professional business (such as that of a lawyer or doctor) that is not controlled or paid for by the government or a larger company (such as a hospital).” 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

MAY 28, 2024

Per the Anesthesia Quality Institute, in 2009 the majority of 41,693 anesthesiologists in the United States worked outside of academic centers. While 43% worked in an academic medical center, 35% worked in a community hospital, 11% worked in a city/county hospital, and 6% worked solely in an ambulatory surgery center.

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The Anesthesia Consultant

OCTOBER 26, 2016

General anesthesia is the sum of hypnosis (sleep), amnesia, analgesia (pain relief), and the lack of any motion response to pain. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

JULY 28, 2022

There are hundreds of anesthesia textbooks, but which current books are the gold standards for anesthesia knowledge? Should you buy these books, or should you advocate that your hospital purchase them for the medical library? Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

SEPTEMBER 28, 2023

The Stanford Emergency Manual has been used in all Stanford Hospital anesthetizing locations since 2012, and Stanford has printed and shipped thousands of Manuals to institutions around the United States and the world. 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

FEBRUARY 16, 2021

To aid you in visualizing yourself in the hospital, I’m substituting the pronoun “you” instead of “I” in the narrative below. You complete your morning bathroom and breakfast routines, and leave your residence at 0630 hours for the hospital. Your hospital contains multiple operating rooms, and today you are in room #10.

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The Anesthesia Consultant

MARCH 31, 2015

Kevin Fish of Stanford authored a 1994 book entitled Crisis Management in Anesthesiology , and their work and publications involving teaching via an anesthesia simulator led to the development of cognitive aids for operating rooms in the Palo Alto VA Hospital and also a national VA project. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

SEPTEMBER 15, 2020

A busy surgeon will spend 50% of their time in the operating room, and the other 50% in preoperative clinic, postoperative clinic, or rounding on patients in the hospital. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

MARCH 4, 2022

How soon will we see robotic anesthesia in our hospitals and surgery centers? Most of these discoveries originated in Silicon Valley, just miles outside Stanford University Hospital where I’ve been working for the past 42 years. Our medical world inside the hospital has changed more slowly. Relatively little.

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The Anesthesia Consultant

JULY 6, 2018

Dr. Gawande is a Professor of Surgery at Harvard/ Brigham and Women’s Hospital, and is the bestselling author of multiple nonfiction books directed at healthcare topics. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

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Gomer: Anesthesiology

MAY 25, 2020

New York, NY – The era of COVID-19 has pushed the envelope in hospitals across the world, challenging care delivery models and allowing one ventilator to ventilate 600 patients at once. Shortly after, the spinal anesthetic wore off and the patient was quickly placed under general anesthesia.

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