The Anesthesia Consultant

OCTOBER 18, 2018

My name is Dr. Richard Novak, the author of About The Anesthesia Consultant. The Anesthesia Consultant exists to increase your knowledge about anesthesia and the practice of medicine before, during, and after surgery. This anesthesia blog contains more than 180 distinct pages and posts, all written by me.

Anesthesia

The Anesthesia Consultant

OCTOBER 28, 2018

The combination of autism and anesthesia requires careful planning. The parents/guardians and the anesthesia team need to be actively involved with forming the preoperative plan for uncooperative patients. It’s not infrequent that autistic patients need surgery and anesthesia. Anesthetizing uncooperative patients is difficult.

Anesthesia

The Anesthesia Consultant

SEPTEMBER 28, 2023

The Stanford group published the academic article “Emergency Manual Uses During Actual Critical Events and Changes in Safety Culture From the Perspective of Anesthesia Residents: A Pilot Study” in 2016, and “Clinical Uses and Impacts of Emergency Manuals During Perioperative Crises” in 2020. Will I Have a Breathing Tube During Anesthesia?

Operating Room

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.

Anesthesia

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

The Anesthesia Consultant

FEBRUARY 13, 2018

Meanwhile, back at the metaphor, anesthesiologists practiced their essential healing profession, and hoped HMOs and hospital administrators would not decrease their anesthesia quantum wage any further. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

Anesthesiologist

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. You will wear a mask in the preoperative room, and that mask will remain on your face until just prior to the induction of anesthesia.

Surgery

The Anesthesia Consultant

FEBRUARY 22, 2018

THIS ORIGINAL ANESTHESIA CARTOON WAS PUBLISHED IN THE CALIFORNIA SOCIETY OF ANESTHESIOLOGISTS BULLETIN, VOLUME 52, NUMBER 2, APRIL-JUNE 2003. IS ANESTHESIA AN ART OR A SCIENCE? The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

Anesthesia

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.

Surgical Assisting

The Anesthesia Consultant

JUNE 4, 2024

Ability can also be evidenced the quality of the anesthesia residency/fellowship training program you’ve completed, as well as the medical school you’ve graduated from. How does a group determine whether a potential anesthesia hire is an affable, friendly, easy-to-get-along-with individual?

Anesthesia

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.

General Anesthesia

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%

General Anesthesia

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). Anesthesia Workstation You log into the EMR system, and then you log into your first patient’s chart. The lower drawers to the computerized pharmacy cart unlock, and you’re able to access the propofol you’ll use to induce anesthesia.

Anesthesiologist

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. In a perfect anesthesia world, patients will not move.

Anesthesia

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% He’s right. What happened?

Anesthesiologist

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 personnel will be in great demand.

Post-Anesthesia

The Anesthesia Consultant

JUNE 26, 2018

Point/Counterpoint: How new is modern anesthesia? Are modern anesthesia techniques radically different from the methods of twenty years ago? Twenty-first century general anesthetics are nearly identical to the anesthetic techniques of the late 1990s. How can it be that general anesthesia has ceased to evolve?

Anesthesia

The Anesthesia Consultant

OCTOBER 26, 2016

I commonly hear two questions from my patients: “How does anesthesia work?” General anesthesia is the sum of hypnosis (sleep), amnesia, analgesia (pain relief), and the lack of any motion response to pain. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

General Anesthesia

The Anesthesia Consultant

MAY 6, 2017

A private practice single-specialty anesthesia group will usually provide anesthesia for similarly self-employed surgeons who are in private practice. For insured patients, the anesthesia group collects whatever the insurance company pays, along with the deductible or co-pay the patient owes through their insurance plan.

Anesthesia

The Anesthesia Consultant

MARCH 18, 2021

What’s the relationship between alcohol and anesthesia? Miller’s Anesthesia , 9 th edition, Chapter 31, Preoperative Evaluation) All adults and adolescents should be questioned regarding their history of alcohol use prior to anesthesia. Why Did Take Me So Long To Wake From General Anesthesia? Is this OK?

Anesthesia

The Anesthesia Consultant

JULY 11, 2019

Her breathing tube had been removed, but she developed upper airway obstruction in the Post Anesthesia Care Unit (PACU) and needed urgent reintubation. Pulmonary edema fluid filled her lungs and filled the hoses of the anesthesia machine. Why Did Take Me So Long To Wake From General Anesthesia?

General Anesthesia

The Anesthesia Consultant

SEPTEMBER 3, 2019

The term “burnout” was coined in the 1970s by American psychologist Herbert Freudenberger , who used the term to describe the consequences of severe stress and high ideals in helping professions such as doctors and nurses, who sacrifice themselves for others. The anesthesia residency was 80 hours per week with in-hospital night call.

Anesthesiologist

The Anesthesia Consultant

MARCH 4, 2022

How soon will we see robotic anesthesia in our hospitals and surgery centers? But what’s new in anesthesia the last 30 years? Ten years ago, when I asked him what new anesthesia drugs were in the pipeline, he answered, “None, and there probably will be very few new ones. Is the same true for anesthesia devices?

Anesthesia

The Anesthesia Consultant

JANUARY 9, 2020

BEFORE SURGERY In every cannabis using patient, the anesthesia preoperative evaluation should include assessment of the psychologic, cardiac, and pulmonary systems in order to minimize any risk of a perioperative complication. The cannabis drugs were administered 20 minutes before induction of general anesthesia in a double-blind fashion.

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

General Anesthesia

The Anesthesia Consultant

JANUARY 19, 2017

A bell-shaped curve exists for the abilities of anesthesia doctors as well. I’ve been practicing anesthesia since the mid 1980s. I’ve met and worked alongside hundreds of anesthesia colleagues from all corners of the globe. Planning anesthesia care, based on your training, experience, and knowledge, is critical.

Anesthesiologist

The Anesthesia Consultant

JUNE 20, 2017

We learn those skills, and then we pass the American Board of Anesthesia written and oral exams on these skills. Then for the rest of our careers we lose many anesthesia skills. Every year in June across the United States another class of anesthesia residents finishes training. In the 1990’s the rock group R.E.M. Very common.

Anesthesia

The Anesthesia Consultant

MAY 6, 2019

During my anesthesia training at Stanford in the 1980s I was present through the growth years of Interplast, when traveling teams were dispatched to countries around the world to perform reconstructive surgeries on cleft lip and palate patients. Each Interplast anesthesia team included one faculty member and one or more resident.

Post-Anesthesia

The Anesthesia Consultant

NOVEMBER 13, 2019

Anesthesia for laparoscopy was similar to the anesthetic for open abdominal surgery. The circulating nurse then preps the patient’s abdomen with antiseptic solution and the scrub tech surrounds the patient’s abdomen with sterile drapes. Enter any hospital today and you’ll see doctors and nurses peering into computer screens.

Surgery

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 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. If you’re a rising software engineer looking for a Holy Grail, this is it.

Post-Anesthesia

The Anesthesia Consultant

MARCH 24, 2022

The only way to end the sedative effects of propofol is for an anesthesia professional to support the airway, breathing, and circulation of the patient until the drug effects of propofol wear off in time. I’ve never administered a dose of flumazenil in my entire career, nor have most of my anesthesia colleagues.

Post-Anesthesia

The Anesthesia Consultant

OCTOBER 4, 2021

Anesthesia vital signs monitor display A second and more compelling use for smart glasses would be the display of a patient’s vital sign monitoring in real time on the smart glass screen, so that an anesthesiologist is in constant contact with the images of the vital sign electronic monitors. Let me give you a historical perspective.

Operating Room

The Anesthesia Consultant

MAY 10, 2016

Sugammadex reversal can make the duration of a rocuronium motor block almost as short acting as a succinylcholine motor block, and sugammadex can also eliminate complications in the Post Anesthesia Care Unit due to residual postoperative muscle paralysis. ANESTHESIA ELECTRONIC MEDICAL RECORDS (EMRs)– The idea is sound.

Anesthesiologist

The Anesthesia Consultant

MARCH 20, 2016

A few non-medical professionals wrote articles in magazines, newspapers, and encyclopedias to explain medical facts, diagnoses, and therapy to the lay public, but the overwhelming majority of the information was only presented to doctors and nurses in the form of medical books and journals. Will I Have a Breathing Tube During Anesthesia?

Post-Anesthesia

The Anesthesia Consultant

MAY 22, 2018

I stay with the child until the anesthetic depth has dissipated, the breathing tube is removed, and the child is awake and safe with the recovery room nurse in the Post Anesthesia Care Unit. The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia?

Post-Anesthesia

The Anesthesia Consultant

AUGUST 14, 2015

Is the practice of anesthesia an art or a science? A generation ago an MD would follow up on his patients until all the work was done for a given day, in addition to being night on-call for patients of his partners or colleagues once a week. Why Did Take Me So Long To Wake From General Anesthesia? When three p.m.

Anesthesia