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WHO WILL BE PROVIDING ANESTHESIA CARE 10 YEARS FROM NOW?

The Anesthesia Consultant

This will require an operating room staffed with a surgeon, a nurse, a scrub technician, and an anesthesia professional. If the current trend of inadequate numbers of anesthesia clinicians in the United States is not reversed, this insufficient supply will be a major problem. Imagine this: It’s the year 2034.

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THE DIFFERENCE BETWEEN A PHYSICIAN ANESTHESIOLOGIST AND A NURSE ANESTHETIST

The Anesthesia Consultant

What’s the difference between a physician anesthesiologist and a nurse anesthetist? After the first 3 – 4 years in the workforce, either one can master the manual skills of anesthesia. So what really is the difference between a physician anesthesiologist and a nurse anesthetist? The answer: internal medicine.

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WILL CRNAs REPLACE MD ANESTHESIOLOGISTS?

The Anesthesia Consultant

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. “

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THE RISK OF ANESTHESIA PATIENT TRANSPORT 

The Anesthesia Consultant

When you arrive at the PACU, a nurse reattaches your patient to the vital sign monitors, and discovers that the patient’s oxygen saturation has dropped from 100% in the OR to a severely low value of 80% in the PACU. The anesthesiologist may be supervising the transfusion of blood, platelets, or plasma.

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TRENDS FOR THE FUTURE OF ANESTHESIOLOGY

The Anesthesia Consultant

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.

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IS PRIVATE PRACTICE ANESTHESIA DOOMED?

The Anesthesia Consultant

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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A DAY IN THE LIFE OF AN ANESTHESIOLOGIST

The Anesthesia Consultant

The patient will probably already have an IV in their arm, placed by a registered nurse. (To You may have nausea after general anesthesia. You’ll wake up reasonably comfortable, but as the general anesthesia wears off you’ll likely experience the onset of pain. I’ll remove the tube when you wake up.