The Anesthesia Consultant

MAY 13, 2020

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. An important question for many Americans is, “Is it safe for me to have surgery during this COVID pandemic?” It depends. Everyone in the healthcare facility will be wearing masks.

Surgery

The Anesthesia Consultant

MARCH 22, 2023

Because the spaceship is more than 200 days away from Earth, the physicians instruct the crew to proceed with surgery and anesthesia in outer space. How will astronauts conduct general anesthesia and surgery in outer space? Protocols regarding how to accomplish anesthesia in outer space exist in the medical literature.

Anesthesia

The Anesthesia Consultant

AUGUST 15, 2024

A recent 2024 publication in JAMA looked at 8429 surgical procedures from March 2021 to December 2022 in a single institution. The anesthesiologist could indirectly visualize the patient’s vocal cords, which enabled the placement of the endotracheal tube into the windpipe. I utilize VL for difficult airway cases or emergency cases.

Operating Room

Platinum Meidcal Staffing

MARCH 10, 2023

Allow more procedures to be performed When surgery times are shortened, surgeons and other surgery providers are able to work with more patients per day. This means that more procedures are performed, and more patients are assisted overall. However, the number of surgeries performed depends on surgery length.

Surgical Assisting

The Anesthesia Consultant

NOVEMBER 23, 2016

In the anesthesia world that book is now available, and it’s called Practical Anesthetic Management—The Art of Anesthesiology, authored by C. Between them, Larson and Jaffe have taught hundreds of anesthesia residents the finer points of clinical care. Philip Larson and Richard Jaffe. He was my neuroanesthesia professor at Stanford.

Anesthesia

The Anesthesia Consultant

MAY 3, 2017

Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. In many health care systems there are no anesthesia clinics, and primary care doctors (internal medicine specialists, family practitioners, or pediatricians) do the preoperative assessments.

General Anesthesia

Gomer: Anesthesiology

MAY 25, 2020

Shortly after, the spinal anesthetic wore off and the patient was quickly placed under general anesthesia. The procedure was completed uneventfully after the surgeon, Dr. Annuloplasty, unscrubbed to sucker punch Dr. Millerstein. Dr. Annuloplasty remains in a ketamine-induced haze in the corner of the operating room.

Anesthesiologist

The Anesthesia Consultant

MARCH 24, 2022

In July 2020 the Food and Drug Administration (FDA) approved the intravenous benzodiazepine remimazolam (Byfavo, Acacia Pharma) for use in sedation for procedures of 30 minutes or less. remimazolam propofol For use in procedural sedation, remimazolam will not replace Versed, but rather will aim to replace propofol.

Post-Anesthesia

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. Her blood pressure is 150/90 on admission.

Anesthesia

The Anesthesia Consultant

NOVEMBER 7, 2018

SCALPEL, BOUGIE, TUBE APPROACH TO CRICOTHYROIDOTOMY This week I attended an outstanding Stanford Anesthesia Grand Rounds delivered by Drs. The specter that someday we will induce and paralyze a morbidly obese patient, and then be unable to intubate or oxygenate that patient, is in the back of the mind of every anesthesia professional.

Incision

The Anesthesia Consultant

JANUARY 2, 2016

Rather than physician anesthesiologists personally performing anesthesia, expect to see CRNAs supervised by physician anesthesiologists in an anesthesia care team, or in some states, CRNAs working alone. There will be a paucity of new drugs to change the practice of operating room anesthesia.

Post-Anesthesia

The Anesthesia Consultant

NOVEMBER 13, 2019

The da Vinci surgeon sits at a console in the corner of the operating room, with his back to the patient and his face in a 3-D viewer, which gives a high-definition, magnified view of the surgical site. Assistant surgeon(s) and techs stand at the patient’s side, watch the surgery on video screens, and assist during the operation.

Surgery

The Anesthesia Consultant

JANUARY 19, 2017

I’ve met and worked alongside hundreds of anesthesia colleagues from all corners of the globe. Some were academic professors, some were trainees at a university, and some were community anesthesiologists either in my group or in other anesthesia companies. Learn to perform medical procedures at the highest level.

Anesthesiologist

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% 300 mg of morphine, and a light general anesthetic using 1-1.5% What do you do?

Anesthesiologist

The Anesthesia Consultant

JULY 11, 2019

When a patient decompensates emergently at a freestanding ambulatory surgery center or in an operating room at a doctor’s office, the facility will call for an ambulance staffed with EMT personnel. The surgery was done in a small community hospital where there was no ICU, blood bank, or emergency room.

General Anesthesia

The Anesthesia Consultant

OCTOBER 19, 2018

Let’s discuss an elephant in the room of operating room anesthesia–the association between peripheral nerve blocks and nerve injury. The use of peripheral nerve blocks has crescendoed in anesthesia practice, stimulated by the use of ultrasound-guided visualization of nerves. Liu SS, et al. Why is this?

General Anesthesia

The Anesthesia Consultant

JULY 6, 2018

This proposed elimination of wasteful spending would decrease the demand for anesthesia professionals. From the exam room to the operating room, doctors today follow a clear set of protocols that Dr. Gawande helped establish. Pearl writes, “ It’s estimated that 25 percent of all U.S.

Anesthesiologist

The Anesthesia Consultant

MARCH 22, 2019

My aim is to inform my readers, both anesthesia professionals and laypersons, that if Medicare for All becomes reality, there will be a dire consequence regarding anesthesia staffing and services to patients. What happens if every anesthesia patient pays only Medicare rates in a Medicare for All future? 75 X $76) + (.25

Post-Anesthesia

The Anesthesia Consultant

DECEMBER 19, 2016

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. A 3-year-old boy is eating a McDonalds Happy Meal on the lawn of the restaurant.

General Anesthesia

The Anesthesia Consultant

DECEMBER 3, 2019

Physicians see EPIC as a software system designed to make billing efficient for the hospitals, so that the hospitals can capture a charge for every dose of medication and every procedure. Want to know how to make a billion dollars in healthcare and change the world for the better at the same time? The strategy worked. The strategy worked.

Post-Anesthesia

The Anesthesia Consultant

MAY 29, 2015

The new device being discussed is the iControl-RP anesthesia robot. THE iCONTROL-RP ANESTHESIA ROBOT On May 15, 2015, the Washington Post published a story titled, “We Are Convinced the Machine Can Do Better Than Human Anesthesiologists.” Are anesthesiologists on the verge of being replaced by a new robot? In a word, “No.”

Anesthesia

The Anesthesia Consultant

NOVEMBER 15, 2021

Pursue a career as a clinic doctor if you enjoy sitting in a room, listening to patients and talking to patients. Most clinic doctors work daytime hours, but have weekend call and night call, which may include phone consultations or emergency room visits. The sooner you understand these two forks in the road, the better off you’ll be.

Post-Anesthesia

The Anesthesia Consultant

JUNE 18, 2019

Data exists that intravenous caffeine may be effective in assisting the awakening of patients following general anesthesia. Will a shot of IV espresso be the stimulus for you to return to consciousness after your general anesthetic? I tried it on several of my patients who had prolonged awakening after general anesthesia.

General Anesthesia

Ed Mariano

SEPTEMBER 23, 2021

Just before the start of anesthesia, a patient may hear the operating room nurse saying, “Think of a nice dream as you go off to sleep.” While these statements are intended to soothe patients during a stressful time, they gloss over this critical fact: Anesthesia is not like normal sleep at all.

Anesthesia

The Anesthesia Consultant

JULY 12, 2021

Picture this: your job requires you to spend the majority of your day in a windowless room with four other people. You cannot leave the room, and if you make a serious error in your work, someone can die. Major adverse events seldom occur during the middle of a general anesthetic of long duration on a healthy patient.

Operating Room

The Anesthesia Consultant

JANUARY 1, 2024

Anesthesiologists are likely to have: A preference for being in an operating room rather than in a clinic. This may occur via a telephone call one day prior to surgery, or in the preanesthetic room on the day of surgery. Most of the time an anesthesiologist works in the operating room.

Anesthesiologist

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 patient enters the operating room at 0730 hours. The patient consents.

Anesthesiologist

The Anesthesia Consultant

OCTOBER 8, 2019

preparing to remove an endotracheal tube from a patient Every general anesthetic has risk. The conclusion of most general anesthetics requires the removal of a breathing tube. The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. In the immortal words of Forrest Gump, “Sh*t happens.”

General Anesthesia

The Anesthesia Consultant

JUNE 23, 2016

GENERAL ANESTHESIA FOR DENTAL OFFICES CASE PRESENTATION: A 5-year-old developmentally delayed autistic boy has multiple dental cavities. The dentist consults you, a physician anesthesiologist, to do sedation or anesthesia for dental restoration. Options for anesthesia induction include: Intramuscular sedation.

General Anesthesia

The Anesthesia Consultant

MAY 2, 2023

Louis Imagine this: You’re an anesthesiologist in the operating room at a busy hospital. Your patient is in mid-surgery, and you receive a call from the Anesthesia Control Tower that the patient’s blood pressure is too low, your blood transfusion replacement is inadequate, and that the patient is in danger. What do you do?

Anesthesia

The Anesthesia Consultant

APRIL 2, 2016

I work in a private practice setting in Palo Alto, California, and liposuction is one of the most common plastic surgery procedures performed. Early in my career, in the late 1980’s, liposuction was a bloody procedure. Preanesthetic assessment and patient selection are key for safe large-volume liposuction procedures.

General Anesthesia

The Anesthesia Consultant

NOVEMBER 28, 2017

You’ve graduated from a residency program in which you learned the nuances of preoperative, intraoperative, and postoperative anesthesia practice. You believe the patient is high risk in terms of his airway, his breathing, his cardiac status, and his potential for post-operative complications. You’re a board-certified anesthesiologist.

Anesthesiologist

The Anesthesia Consultant

NOVEMBER 15, 2023

The capacity to deliver this much oxygen to a non-intubated patient is a marked advance in anesthesia care. Dr. Patel has been a pioneer in bringing HFNO/THRIVE from the ICU into the operating room. At the 2023 American Society of Anesthesiologists meeting in San Francisco, I walked by a booth advertising High Flow Nasal Oxygen.

Anesthesia

The Anesthesia Consultant

AUGUST 28, 2023

Patients assigned to continuous finger-cuff monitoring received more than twice as much norepinephrine both within 15 minutes after starting induction of anesthesia and during the entire surgery, when compared with patients assigned to intermittent oscillometric monitoring.

General Anesthesia

The Anesthesia Consultant

AUGUST 7, 2017

See Robot Anesthesia and Robot Anesthesia II ) AI already influences our daily life. Anesthesiologists work in operating rooms and intensive care units—acute care settings which demand vigilance, steady hands, and quick thinking. I’m fascinated by the topic of artificial intelligence in medicine.

Post-Anesthesia

The Anesthesia Consultant

SEPTEMBER 6, 2019

I don’t tout myself as an expert in AI technology, but I am an expert in taking care of patients, which I’ve done in clinics, operating rooms, intensive care units, and emergency rooms at Stanford and in Silicon Valley for over 30 years. AI is already prevalent in our daily life. AI is already prevalent in our daily life.

Post-Anesthesia

The Anesthesia Consultant

FEBRUARY 11, 2018

In the late 1970’s I was a third-year medical student at a prominent Midwestern medical school, where an unspoken rank system existed in the operating room. The ICU attendings had respectful peer relationships with all the surgeons, including the private-practice cardiac surgeons whose post-operative patients were housed in the ICU.

Anesthesiologist