The Anesthesia Consultant

OCTOBER 28, 2018

He is verbal with his mother, but refuses to interact with the anesthesia or nursing personnel. The two hospital guards and the mother donned white operating room coveralls. Parents often ask about the risk of general anesthesia to the brain of their child. Will I Have a Breathing Tube During Anesthesia?

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

MAY 13, 2020

When you enter the healthcare facility, a nurse will question you regarding virus symptoms, and will screen you by taking your temperature. 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.

Surgery 52

Surgery Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

APRIL 25, 2021

A doctor or a nurse? On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “ On March 28, 2021 the anesthesia world in the United States was rocked by the headline: “ Wisconsin Hospital Replaces All Anesthesiologists With CRNAs. “

Anesthesiologist 52

Anesthesiologist Nurse Anesthetist Supervision CRNA 52

The Anesthesia Consultant

SEPTEMBER 15, 2020

There are Two Laws of Anesthesia, according to surgeon lore. Surgeons work with physician anesthesiologists, with certified nurse anesthetists (CRNAs), or with an anesthesia care team that includes both physician anesthesiologists and CRNAs. Anesthesiologists typically spend 90+% of their working hours in the operating room.

Anesthesia 52

Anesthesia Anesthesiologist Operating Room General Anesthesia 52

Platinum Meidcal Staffing

MARCH 10, 2023

3 Ways Surgical Providers Improve Patient Outcomes Surgical providers—surgical assistants, nurses, and surgical technologists—provide aid during surgery to doctors. Minimize patient time under anesthesia General anesthesia induces a sleep-like state using a combination of intravenous medications and inhaled gasses.

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Surgical Assistant Surgical Assisting General Anesthesia Post-Anesthesia 52

Gomer: Anesthesiology

MAY 25, 2020

That’s why we have circulating nurses in the OR.” said Willing Accomplice, the room’s circulating nurse. Shortly after, the spinal anesthetic wore off and the patient was quickly placed under general anesthesia. Dr. Annuloplasty remains in a ketamine-induced haze in the corner of the operating room.

Anesthesiologist 52

Anesthesiologist Hematoma General Anesthesia Incision 52

The Anesthesia Consultant

JANUARY 19, 2017

You have to get along well with surgeons, the nursing staff, the scrub techs, administrators, and the patients. 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. Be friendly and personable.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

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. Do you think patients want a friendly anesthesiologist who is all thumbs in the operating room?

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

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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Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

NOVEMBER 16, 2015

Particularly in acute care, the computer keyboard and screen have no place between an anesthesiologist and his patient, an emergency room physician and his patient, an ICU doctor and his patient, or an ICU nurse and her patient. Nurses consistently have their backs to patients as they type, type, type data into computer terminals.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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 52

Surgery Incision Post-Anesthesia General Anesthesia 52

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.

Anesthesia 52

Anesthesia Anesthesiologist Post-Anesthesia Nurse Anesthetist 52

The Anesthesia Consultant

MARCH 24, 2022

For a long operating room anesthesia case (e.g. Propofol administration requires an experienced clinician, e.g. either an anesthesiologist, a certified registered nurse anesthetist (CRNA), or an emergency medicine physician. Give your patient a dose of Versed before they enter the operating room.

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 14, 2015

My career has bridged clinics, operating rooms, intensive care units, emergency rooms, and helicopter trauma medicine. In the 21 st century operating room practice of anesthesiology, we typically have ten minutes to talk to a patient prior to rendering them unconscious. What Are the Common Anesthesia Medications?

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Anesthesia Post-Anesthesia General Anesthesia Operating Room 52

The Anesthesia Consultant

DECEMBER 3, 2019

You’ll become rich, and America’s doctors, nurses, and patients will bow to your achievement. Alas, doctors and nurses serve as data-entry technicians for the EPIC system of billing. EPIC is a poor system for doctors and nurses working in a hospital. Why Did Take Me So Long To Wake From General Anesthesia?

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesia Hospital 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. What Are the Common Anesthesia Medications?

Post-Anesthesia 52

Post-Anesthesia Anesthesiologist General Anesthesia Anesthesia 52

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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Anesthesia General Anesthesia Post-Anesthesia Vital Signs 52

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 52

General Anesthesia Post-Anesthesia Anesthesiologist Anesthesia 52

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% Why Did Take Me So Long To Wake From General Anesthesia?

Anesthesiologist 52

Anesthesiologist Hematoma Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

DECEMBER 19, 2016

Unless the hospital is very large, it’s uncommon to have anesthesiologists of multiple specialties on call each day, e.g. one for pediatrics, one for cardiac cases, one for trauma, one for obstetrics, and one for the general operating rooms. Why Did Take Me So Long To Wake From General Anesthesia?

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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. Risk during an anesthesia career is omnipresent.

Post-Anesthesia 52

Post-Anesthesia Anesthesiologist Anesthesia General Anesthesia 52

The Anesthesia Consultant

MAY 6, 2019

The teams included plastic surgeons, anesthesiologists, pediatricians, and nurses experienced in the care of cleft palate reconstructions. We started intravenous lines after the induction of anesthesia, but we had very few medications to inject into those IVs. Why Did Take Me So Long To Wake From General Anesthesia?

Post-Anesthesia 52

Post-Anesthesia Anesthesia General Anesthesia Surgery 52

The Anesthesia Consultant

AUGUST 28, 2016

An operating room anesthesia practice is somewhat akin to being a taxi cab driver. 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?

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia Supervision 52

The Anesthesia Consultant

JUNE 6, 2025

Who is the Captain of the Ship in the operating room, the surgeon or the anesthesiologist? The Captain of the Ship doctrine was a 20 th century legal doctrine which held that, in an operating room, the surgeon was “liable for all actions conducted in the course of the operation.”

Operating Room 65

Operating Room Operation Post-Anesthesia Vital Signs 65

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.

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Anesthesia General Anesthesia Anesthesiologist Post-Anesthesia 130

The Anesthesia Consultant

JULY 12, 2021

Anesthesiologists could chat with the surgeons and/or nurses, make an occasional phone call, and at times read materials they brought with them into the operating room. Major adverse events seldom occur during the middle of a general anesthetic of long duration on a healthy patient.

Operating Room 52

Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

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 52

Anesthesiologist Operating Room General Anesthesia Surgery 52

The Anesthesia Consultant

JANUARY 1, 2024

Anesthesiologists are likely to have: A preference for being in an operating room rather than in a clinic. Most of the time an anesthesiologist works in the operating room. A busy surgeon may work in the operating room two or three days per week. Operating room medicine requires action.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

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). Why Did Take Me So Long To Wake From General Anesthesia?

General Anesthesia 52

General Anesthesia Anesthesia Anesthesiologist Post-Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 3, 2021

Will it be a nurse or will it be a physician? Very few patients die in the operating room, but significant numbers die in the weeks that follow. At times, physician anesthesiologists employ certified registered nurse anesthetists (CRNAs) to assist them in what is called the anesthesia care team (ACT) model.

Nurse 52

Nurse Nurse Anesthetist Supervision CRNA 52

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. What is this threat?

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Nurse Anesthetist Anesthesiologist Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

AUGUST 7, 2017

Anesthesiologists work in operating rooms and intensive care units—acute care settings which demand vigilance, steady hands, and quick thinking. These arenas will be: 1) diagnosis of images, 2) clinics, and 3) operating rooms/intensive care units. Why Did Take Me So Long To Wake From General Anesthesia?

Post-Anesthesia 52

Post-Anesthesia Anesthesia Operating Room Nurse Practitioner 52

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. Potent inhalation anesthesia (sevoflurane). What do you do?

General Anesthesia 52

General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

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.

Anesthesia 52

Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MARCH 12, 2015

On the 1 – 3 days a week most surgeons spend operating, they are joined in the operating room by anesthesiologists who attend to surgical patients’ lives every day. TOP 10 MOST STRESSFUL SITUATIONS IN AN ANESTHESIOLOGIST’S JOB Emergency general anesthesia in a morbidly obese patient. Picture a 3 a.m.

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General Anesthesia Anesthesiologist Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

FEBRUARY 6, 2019

In an anesthesia care team, a physician anesthesiologist supervises up to four operating rooms and each operating room is staffed with a certified registered nurse anesthetist (CRNA). In many hospital operating rooms, a solitary physician anesthesiologist attends to his or her patient alone.

Anesthesiologist 52

Anesthesiologist Operating Room Post-Anesthesia General Anesthesia 52

The Anesthesia Consultant

FEBRUARY 11, 2018

Are we physicians or are we glorified advanced practice nurses?” 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. Read my column on bullying in the operating room. He or she knows how to do the operation.

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Operating Room Anesthesiologist Post-Anesthesia General Anesthesia 52