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

JULY 11, 2019

Sixty-six percent of surgeries in the United States take place as an outpatient , and many of these surgeries are performed at freestanding facilities distant from hospitals. If the patient is unstable, a physician, usually an anesthesiologist, will need to accompany the patient and the EMTs to the hospital emergency room.

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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

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? The inside of the healthcare facility will be cleaned prior to any patient care, and will be recleaned after each patient leaves an operating room.

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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. Shorten surgery times According to the Canadian Journal of Surgery, operations involving skilled surgical assistants are completed 30 percent faster.

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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 KISS (Keep It Simple Stupid) Principle is a valuable concept in aviation as well as anesthesia. What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

SEPTEMBER 15, 2020

Anesthesiologists typically spend 90+% of their working hours in the operating room. 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. Anesthesiologists win the tally for most operating room hours per week.

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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.

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The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. One can also order a laminated 8½ x 11½-inch version of the Manual to hang in each operating room. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

MARCH 31, 2015

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.

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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? Video laparoscopy surgical equipment and the longer operating times were increased expenses, but the advantages of outpatient surgery and quicker recovery made the new technique the standard of care for many surgeries within the abdomen.

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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

MAY 12, 2015

In the operating room, you induce anesthesia with your standard recipe of 2 mg of midazolam, 100 mcg of fentanyl, 200 mg of propofol, and 40 mg of rocuronium, and intubate the trachea. Let’s look at the anesthesia literature to learn what has been described about this problem. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

MAY 3, 2017

Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. Plan: cleared for general anesthesia providing ECG and labs are normal. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

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The Anesthesia Consultant

JUNE 4, 2024

No one wants a partner who repeatedly creates conflict in the workplace, who initiates conflict with a surgeon in the operating room, a nurse in the post anesthesia care unit, or an administrator. But how about a surgical specialist, such as a general surgeon, a cardiac-thoracic surgeon, an orthopedic surgeon, or an anesthesiologist?

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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

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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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

FEBRUARY 22, 2018

Baker is doing in panel 4, but the anesthesiologist’s rapid heart rate and the adrenaline rush in high pressure operating room situations accompany the growth of every anesthesiologist from inexperience trainee to seasoned professional. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

NOVEMBER 5, 2020

PREOPOPERATIVE CARE : Let’s talk about the diagnosed sleep apnea patient and pre-operative assessment for upcoming surgery: The diagnosis of OSA is based on the presence of symptoms, such as disturbed sleep, snoring, hypertension, and also the frequency of sleep-related respiratory events during a sleep study or home sleep apnea testing.

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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

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

JUNE 26, 2018

How can it be that general anesthesia has ceased to evolve? Anesthesia in 2018 is markedly different from anesthesia in the 1990s. Most of the drugs in use haven’t changed, but current-day anesthesia providers practice in a cockpit surrounded by computers. Why Did Take Me So Long To Wake From General Anesthesia?

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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).” A private practice anesthesia group needn’t be a physician-only group. Let’s look at the issues.

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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

JANUARY 19, 2017

Some were academic professors, some were trainees at a university, and some were community anesthesiologists either in my group or in other anesthesia companies. We’re entering an era of metrics for physicians, in which the government and hospital systems will collect data to monitor quality and performance. Stick up for yourself.

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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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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

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

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. From the exam room to the operating room, doctors today follow a clear set of protocols that Dr. Gawande helped establish. What Are the Common Anesthesia Medications?

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SpecialtyCare

AUGUST 16, 2024

This article will delve into what PLIF entails, its benefits, the surgical procedure, and post-operative care, providing you with a comprehensive understanding of this critical spinal surgery. Post-Operative Care and Recovery Recovery from PLIF surgery involves a combination of rest, physical therapy, and gradual return to activities.

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The Anesthesia Consultant

JANUARY 24, 2023

In 2016 there were more than 224,000 operating rooms in the United States , so tens of thousands of devices could be needed. Several large hospital systems, including the University of Arizona, Duke, University of North Carolina, and the Medical College of Wisconsin have purchased the devices for their operating rooms.

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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. Physician anesthesiologists must master the diverse anesthetic drug repertoire of injectable hypnotics, narcotics, muscle relaxants, as well as the inhaled general anesthetics.

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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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Nashville Anesthesia Professionals

MAY 17, 2023

Furthermore, an intoxicated patient may be at increased risk of vomiting due to either anesthesia or the drug. During the operation, the findings of a recent retrospective chart review have demonstrated the presence of alcohol-induced hemodynamic dysregulation in intoxicated trauma patients suffering from a presumed intra-abdominal injury 4.

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The Anesthesia Consultant

OCTOBER 18, 2017

You utilize the current multimodal strategies for operating room anesthesia and postoperative pain reduction, including an ultrasound-guided adductor canal block with 0.5% 300 mg of morphine, and a light general anesthetic using 1-1.5% It can happen, and it’s not that difficult in some hospital systems. Let’s do it.”

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The Anesthesia Consultant

MARCH 22, 2019

Even if a liberal Democrat wins the presidency and Congress gains a majority of Democrats in both the Senate and the House, they will all have to overcome multiple powerful lobbies, including the medical insurance industry, hospitals, the pharmacology industry, and organized physician groups. Risk during an anesthesia career is omnipresent.

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