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. An overly deep level of anesthesia will help prevent movement, but has the adverse consequence of requiring a longer time to wake the patient at the end of the surgery.

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Anesthesia Anesthesiologist General Anesthesia Post-Anesthesia 52

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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Anesthesiologist Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

MAY 10, 2016

CHECKLISTS – We now have pre-incision Time Outs, pre-induction Anesthesia Time Outs, and pre-regional anesthesia Block Time Outs. The current market leader for hospitals is Epic, a ponderous, expensive system that does little to make the pertinent information easier to find in medical charts. Grade = B-. Even if 99.9%

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Anesthesiologist Post-Anesthesia Anesthesia Nurse Anesthetist 52

Jalal Surgical

DECEMBER 5, 2023

Circumcision Surgery at Home Circumcision is a surgical procedure that should only be performed by trained healthcare professionals in a controlled environment, such as a hospital or clinic. Anesthesia: Surgical circumcision is typically performed under local or general anesthesia to minimize pain and discomfort during the procedure.

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Incision Sterile In-Procedure Safety 52

SpecialtyCare

JUNE 15, 2024

How long will I need to stay in the hospital after PLIF surgery? Understanding PLIF Surgery PLIF surgery is a spinal fusion technique where the surgeon accesses the lumbar spine through an incision in the back. The Procedure During surgery, you will be placed under general anesthesia. How long does the surgery take?

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Surgery In-Procedure Incision Procedure 40

The Anesthesia Consultant

MARCH 2, 2018

Prior to surgery your patient tells you, “I always get a hangover after general anesthesia. Hangover after general anesthesia (HAGA) describes a patient who has a safe general anesthetic, but who then feels hungover, sedated, and wasted for a time period exceeding two hours afterwards. The patient is always right.

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General Anesthesia Anesthesia Incision Post-Anesthesia 52

The Anesthesia Consultant

OCTOBER 11, 2020

Dr. A administers an IV dose of an intravenous antibiotic prior to the surgical incision, and also administers two IV antinausea drugs, ondansetron (Zofran) and metoclopropamide (Reglan) prophylactically. The surgeon makes multiple small incisions and inserts additional surgical tools inside the abdomen.

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Anesthesiologist Vital Signs Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

APRIL 30, 2024

In 1965 Dr. Robert Jackson brought the technique from Japan to the Toronto General Hospital in North America. On January 6, 1968, Shumway performed the first successful heart transplant in America at Stanford University Hospital. In 2023, 110 hospitals in the U.S. Why Did Take Me So Long To Wake From General Anesthesia?

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General Anesthesia Post-Anesthesia Anesthesia In-Procedure 52

The Anesthesia Consultant

FEBRUARY 23, 2018

Prior to the pulse oximeter, anesthesiologists had only unreliable measures of tissue oxygenation, such as observing how red the blood seemed when the surgeon made the initial incision into the patient. Anesthesia was a more dangerous undertaking without true second-to-second knowledge of the patient’s oxygenation.

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Anesthesiologist Post-Anesthesia Anesthesia General Anesthesia 52

The Anesthesia Consultant

NOVEMBER 4, 2021

The surgeon injects 2% lidocaine at the skin incision site, and the surgery begins. This freestanding outpatient surgery center was located miles from the local hospital, and the hospital resources of an intensive care unit (ICU), respiratory therapists, arterial blood gas analysis, and chest X-rays were not available.

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Surgery Vital Signs Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 29, 2022

As House of the Dragon depicted, in primitive times there was no way to stop the acute bleeding from Cesarean incisions into the abdomen and the uterus. Prior to the discovery of general anesthesia, sedation for surgery usually included oral alcohol drinks, or opiates derived from poppies.

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General Anesthesia Post-Anesthesia Anesthesia Suture 52

The Anesthesia Consultant

APRIL 26, 2018

Norman Shumway MD PhD, a Stanford surgical professor and legend, invented the heart transplantation procedure and performed the first heart transplant in the USA on January 6, 1968 in operating room 13 of Stanford University Hospital. Upon arrival at the airport in the donor city, an ambulance transported us to the hospital.

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Anesthesia Operating Room Vital Signs Post-Anesthesia 52