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SMART GLASSES IN THE OPERATING ROOM

The Anesthesia Consultant

This is a futuristic technology, and its use may connote that the hospital or surgery center is at the cutting edge of monitoring and safety equipment (despite the lack of any data to confirm this advantage at this time). Would the addition of smart glasses for routine monitoring be an overdose of technology in the operating room cockpit?

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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. Imagine this: It’s the year 2034.

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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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A DAY IN THE LIFE OF AN ANESTHESIOLOGIST

The Anesthesia Consultant

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. You take the elevator to the third floor and proceed to the locker room.

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THE RISK OF ANESTHESIA PATIENT TRANSPORT 

The Anesthesia Consultant

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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AUTISM AND ANESTHESIA

The Anesthesia Consultant

Dental cases are common, and are frequently referred to a hospital because the typical care systems at an outpatient surgery center or a dental office are inadequate to complete a successful anesthetic. The most common anesthesia induction technique in children and toddlers is an inhalation induction with sevoflurane.

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ANESTHESIA EMERGENCY GUIDEBOOK

The Anesthesia Consultant

You’re a Medical Director or medical educator, and you’re scheduled to deliver a lecture on the management of two or three common operating room emergencies. You’re an expert witness or a member of your hospital’s Quality Improvement committee, charged with reviewing the unfortunate outcome of an operating room medical complication.