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.

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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. If the procedure was an outpatient surgery, you will leave the facility and return home after you’ve recovered from anesthesia.

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The Anesthesia Consultant

MARCH 22, 2023

How will astronauts conduct general anesthesia and surgery in outer space? If an astronaut requires general anesthesia, one must assume the patient has a full stomach and is at risk for aspiration. Studies on Earth show that an average of 20 procedures are required to reach a learning curve plateau.

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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. Of course none of the anesthesiologists or operating room personnel are dishonest, but preventing theft of these small valuable devices would be difficult. Will I Have a Breathing Tube During Anesthesia?

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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. Depending on the specialty, around 8 to 10 small surgeries are possible each day.

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The Anesthesia Consultant

MAY 3, 2017

Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. Plan: cleared for general anesthesia providing ECG and labs are normal. The primary care doctor should not estimate the percentage of survival or morbidity for the scheduled procedure.

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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.

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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. Predictors of hypotension after induction of general anesthesia Anesth Analg. Her blood pressure is 150/90 on admission.

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The Anesthesia Consultant

NOVEMBER 7, 2018

In addition, barotrauma occurred in 32% of CICO emergency procedures. Enlisting the surgeon’s help during the procedure is advisable. Dr. Bradley explained that in one approach in Britain, a two-person team traveled from operating room to operating room to teach the SBT method.

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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.

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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.

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The Anesthesia Consultant

JANUARY 19, 2017

Learn to perform medical procedures at the highest level. Some surgeons are bullies, and are condescending in their remarks and attitudes toward the anesthesia provider they’re working with. The other medical professionals in the operating room will respect you for it. Anesthesiologists are hands-on doctors.

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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% You discuss the procedure of a blood patch and he says, “Yes, that’s what I need.

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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. This includes avoiding procedures that cause major pain, bleeding, or disruption of physiology.

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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.

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

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The Anesthesia Consultant

MARCH 22, 2019

Procedural specialties such as surgery and anesthesiology are higher paying than primary care specialties such as internal medicine or pediatrics. The work of procedural physicians requires specialized skills, and their work incurs more risk than interviewing and examining patients in a clinic.

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The Anesthesia Consultant

DECEMBER 19, 2016

At times urgent procedures are delayed until the patient has been fasting for 6 hours, and has an appropriate NPO status. Let’s assume your surgeon is determined to operate urgently, and doesn’t want to wait 6 hours after the patient’s meal. Why Did Take Me So Long To Wake From General Anesthesia?

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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. As an anesthesiologist in the operating room, you will have your own EPIC computer next to the anesthesia machine.

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The Anesthesia Consultant

MAY 29, 2015

iControl-RP is connected to the NeuroSENSE EEG monitor, the two infusion pumps for separately controlled propofol and remifentanil administration, and the operating room patient vital signs monitor. 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

NOVEMBER 15, 2021

Pursue a career as an acute care doctor if you prefer adrenaline-charged arenas such as the operating room, the intensive care unit, the labor and delivery suite, or the emergency room. Physicians who do procedures, and who incur the risks of procedures gone wrong, earn more money. Income differences.

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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.”

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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.

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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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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. Love it or hate it, the EMR is here to stay.

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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.

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

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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 procedure lasted only 15 minutes. Extubation is risky business.

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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.

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

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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. 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.

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The Anesthesia Consultant

NOVEMBER 28, 2017

Propofol infusions are typically used to make our patients sleep, and most propofol infusions cross the American Society of Anesthesiologists line into general anesthesia. You may make the surgeon happy, and you may continue to have a safe airway under general anesthesia in the absence of the endotracheal tube, but what if you don’t?

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The Anesthesia Consultant

NOVEMBER 15, 2023

Dr. Patel has been a pioneer in bringing HFNO/THRIVE from the ICU into the operating room. We extended the apnea times of 25 patients with difficult airways who were undergoing general anesthesia for hypopharyngeal or laryngotracheal surgery. His airway exam shows a thick neck (circumference 42 cm, or 16.5

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The Anesthesia Consultant

AUGUST 28, 2023

Daniel Sessler, one of the world’s most respected and prolific anesthesia researchers , is a co-author of the recent Anesthesiology study. To me this validates the notion that continuous finger-cuff technology may eventually gain widespread adoption in operating room monitoring. Will I Have a Breathing Tube During Anesthesia?

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

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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?

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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.

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