The Anesthesia Consultant

OCTOBER 28, 2018

It’s not infrequent that autistic patients need surgery and anesthesia. 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. What do you do?

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The Anesthesia Consultant

SEPTEMBER 15, 2020

The patient must wake up (when the surgery is over). Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. The patient must wake up (when the surgery is over).

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Anesthesia Anesthesiologist Operating Room General Anesthesia 52

The Anesthesia Consultant

FEBRUARY 22, 2018

I’ve heard surgeons say, “The patient is moving, dammit,” but the frequency of this sort of angry retort is less now than it was in the 1980s when I began my anesthesia career. Do anesthesiologists have surgeries which last 10 hours? Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

FEBRUARY 13, 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

MAY 6, 2017

A private practice anesthesia group needn’t be a physician-only group. In many private practice anesthesia groups, physician anesthesiologists supervise multiple nurse anesthetists in multiple operating rooms. These groups are still single specialty anesthesia groups. Will I Have a Breathing Tube During Anesthesia?

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The Anesthesia Consultant

JUNE 20, 2017

In anesthesiology residency training we learn to perform every kind of anesthetic—cardiac, trauma, brain surgery, transplant surgery, abdominal surgery, chest surgery—on every type of patient—newborns, one-hundred-year-olds, or pregnant women. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

DECEMBER 23, 2015

Regional anesthesia is a growing frontier in modern clinical anesthesia, in part because of the availability of ultrasonic imaging to help us direct needle placement. The subspecialty of regional anesthesia has blossomed. following general anesthesia in contrast to a peripheral nerve injury rate of 1.7%

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JANUARY 2, 2016

More care team anesthesia and more Certified Nurse Anesthetists (CRNAs). 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. Anesthesia has never been safer.

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Post-Anesthesia Anesthesiologist General Anesthesia Anesthesia 52

The Anesthesia Consultant

MAY 10, 2016

It’s not clear the idea has widespread traction as of yet, and the concept will always be at odds with the individual aspirations of internal medicine doctors, hospitalists, intensivists, surgeons, and certified nurse anesthetists, all who want to make their own management decisions, and all who desire to be paid for owning those decisions.

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The Anesthesia Consultant

JUNE 26, 2018

How can it be that general anesthesia has ceased to evolve? What about regional anesthesia? When a patient needs an epidural for surgery, the recipe of bupivicaine or lidocaine +/- narcotic is unchanged from the 1990s. Ultrasound-guided regional anesthesia was developed in 1994, but became popular in the past ten years.

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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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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

NOVEMBER 16, 2015

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

DECEMBER 19, 2016

In his judgment delaying the surgery would increase the patient’s risk of loss of vision. At the conclusion of surgery, because of the full stomach, the patient is extubated awake. For tips on a smooth emergence, see my column on Smooth Emergence from Anesthesia. Why Did Take Me So Long To Wake From General Anesthesia?

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

OCTOBER 4, 2021

including pediatric open heart surgery, and pediatric surgery involving major blood loss). In 2021 a nurse anesthetist publication looked at the use of Google Glass by seven nurse anesthetists for display of the vital signs monitor , but there were no quantitative data to examine the significance of the technology.

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The Anesthesia Consultant

MARCH 22, 2019

This likely would lead to an increased role for certified nurse anesthetists (CRNAs), and an eventual increase in the number of schools training CRNAs, but in the short term there would be no way to staff adequate numbers of anesthesia professionals. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

MARCH 24, 2022

Propofol administration requires an experienced clinician, e.g. either an anesthesiologist, a certified registered nurse anesthetist (CRNA), or an emergency medicine physician. Since midazolam (Versed) was approved in 1982, a standard anesthesia practice has included a 2 mg dose of Versed prior to surgery to calm a patient’s anxiety.

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The Anesthesia Consultant

MAY 29, 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

JULY 25, 2022

JAMA Surgery published the study “ Association of Anesthesiologist Staffing Ratio With Surgical Patient Morbidity and Mortality ” on July 22, 2022. There were approximately 21 million surgeries per year in the United States in 2014. Anesthesiologists do not routinely read JAMA Surgery and may be quick to dismiss the findings.

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The Anesthesia Consultant

AUGUST 28, 2016

The good news for the future of anesthesia careers is that the number of surgeries in the United States is expected at increase as the Baby Boomers age. The demand for anesthesia services will grow. The demand for anesthesia services will grow. Why Did Take Me So Long To Wake From General Anesthesia?

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The Anesthesia Consultant

FEBRUARY 16, 2021

Anesthesia is not the career for you if you like to sleep late—surgery always begins at 0730 hours). The first surgery today is a procedure devised to treat obstructive sleep apnea, a procedure called a maxillary-mandibular osteotomy. The surgery will take approximately three hours. I’ll remove the tube when you wake up.

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Anesthesiologist Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

MARCH 20, 2016

Nowadays when patients arrive at the hospital for surgery, it’s not uncommon for them to be armed with abundant information on their disease, their pending operation, and even their anesthesia options. 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 22, 2018

Your reward for becoming a doctor will arrive years later, when you feel what I feel when I reunite parents with their child after surgery. The surgery is over. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Her pupils wild.

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Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JANUARY 19, 2017

Their patients are obtunded on arrival to the Post Anesthesia Care Unit (PACU) after surgery, and they rely on the PACU nursing staff to complete the job of anesthesia wake up. The nurses, surgeons, and techs know which anesthesiologists to recommend, and they won’t recommend you if you’re inept.

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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.

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The Anesthesia Consultant

AUGUST 26, 2015

But nothing is perfect, and anesthesia has one threat which could in time undermine the entire specialty. No, it’s not the nurse anesthetists, nor the stress of covering surgeries in the middle of the night, nor the stress of saving patients who are trying to die in front of our eyes during acute care emergencies.

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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 anesthesiologist meets the patient prior to the surgery, reviews the chart, and examines the patient.

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The Anesthesia Consultant

OCTOBER 8, 2019

The most invasive type of airway tube used in anesthesia is called an endotracheal tube, or ET tube. At the onset of general anesthesia anesthesiologists place an ET tube through the mouth, past the larynx (voice box), and into the trachea (windpipe). The surgery concluded 2 hours later and the anesthetics were discontinued.

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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. Prior to surgery healthy outpatients donated their own autologous blood, which they received intraoperatively to treat the expected hemorrhage which accompanied liposuction. in 2016 showed a 0.9%

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The Anesthesia Consultant

OCTOBER 1, 2015

“Why do I have to stop eating and drinking prior to surgery?” This is a common question I hear from my patients—they’re puzzled by the connection between going to sleep and stopping eating prior to surgery. It’s vital that your stomach is empty prior to elective surgery and anesthesia.

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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. The dentist begins the surgery. What do you do?

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The Anesthesia Consultant

SEPTEMBER 19, 2018

. * * * * LEARN MORE ABOUT RICK NOVAK’S FICTION WRITING AT RICK NOVAK.COM BY CLICKING ON THE PICTURE BELOW: 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?

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General Anesthesia Post-Anesthesia Anesthesia Nurse Anesthetist 52

The Anesthesia Consultant

JULY 12, 2021

Every anesthesia provider carries a smartphone connected to the internet. Many anesthesia providers carry a laptop or a tablet in their briefcases. These devices enable an anesthesiologist to remain connected to the outside world during surgery. Why Did Take Me So Long To Wake From General Anesthesia?

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Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

DECEMBER 29, 2015

More likely to work part-time, and with a nurse anesthetist care-team delivery system. More likely to perform shorter surgical cases and be involved in simpler surgeries with lower base units. resuscitating trauma patients, or doing anesthesia for 24-hour liver transplantation cases. per 10,000 cases.

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The Anesthesia Consultant

JULY 2, 2018

What should you do if your 2-year-old son or daughter requires surgery and anesthesia? Consistent with animal studies, recent human studies suggest that a single, relatively short exposure to general anesthetic and sedation drugs in infants or toddlers is unlikely to have negative effects on behavior or learning.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 12, 2023

What sort of preoperative tests or therapies should this patient have before surgery? CHATGPT: For an 80-year-old woman with congestive heart failure (CHF) who needs to undergo gallbladder removal surgery, it is essential to conduct a thorough preoperative evaluation to assess her overall health status and identify any potential risks.

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The Anesthesia Consultant

DECEMBER 19, 2016

The INTUBATION AFTER INDUCTION OF GENERAL ANESTHESIA section of the Difficult Airway Algorithm is bifurcated into two pathways. After I induce general anesthesia and paralyze the patient, I find their larynx is anterior and difficult to visualize by direct laryngoscopy. Will I Have a Breathing Tube During Anesthesia?

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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

OCTOBER 21, 2015

How common are cardiac arrests during surgery? The incidence of cardiac arrest totally attributable to anesthesia mismanagement was low (0.47 per 10,000 anesthetics), and anesthesia mismanagement was responsible for only 1.5% There were 11 cardiac arrests related to anesthesia care. of deaths. (1) per 10,000 cases.

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