The Anesthesia Consultant

NOVEMBER 13, 2019

Almost every anesthesiologist in America has experience with surgery using the da Vinci robot system. Is robot surgery a miraculous futuristic device that advances surgery to a higher plain? Until the 1990s most abdominal surgery was done through an open incision. To answer these questions let’s first review some history.

Surgery

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). Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room. Your hospital contains multiple operating rooms, and today you are in room #10.

Anesthesiologist

The Anesthesia Consultant

SEPTEMBER 28, 2023

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. One can also order a laminated 8½ x 11½-inch version of the Manual to hang in each operating room. Why Did Take Me So Long To Wake From General Anesthesia?

Operating Room

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. Anesthesiologists typically spend 90+% of their working hours in the operating room.

Anesthesia

The Anesthesia Consultant

MAY 3, 2017

Many patients require preoperative clearance prior to surgery, especially patients with significant medical problems or at extremes of age. Some health care systems run preoperative anesthesia clinics, where anesthesia professionals evaluate these patients prior to surgery. Let’s choose an illustrative example.

General Anesthesia

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? mg/kg midazolam, and.02

Anesthesia

The Anesthesia Consultant

AUGUST 15, 2024

Open abdominal surgeries became laparoscopies, with the surgeon focused on a two-dimensional video screen while he or she manipulated instruments inside the abdomen. McGrath Video Laryngoscope Limitations of video laryngoscopy include: The price of purchasing one GlideScope for our multispecialty ambulatory surgery center was $14,000.

Operating Room

The Anesthesia Consultant

JANUARY 29, 2020

The primary study by Joosten 1 looked at the performance of multiple closed-loop systems for administration of anesthesia in 90 patients undergoing major noncardiac surgery in a single center in Belgium. A BIS monitor The depth of anesthesia was measured using a BIS (bispectral index) monitor. l · min –1 · m –2 ?

Anesthesia

The Anesthesia Consultant

MARCH 22, 2023

Because the spaceship is more than 200 days away from Earth, the physicians instruct the crew to proceed with surgery and anesthesia in outer space. How will astronauts conduct general anesthesia and surgery in outer space? GENERAL ANESTHESIA General anesthesia has the advantages of a quick and reliable onset.

Anesthesia

The Anesthesia Consultant

MARCH 31, 2015

You’re a Medical Director or medical educator, and you’re scheduled to deliver a lecture on the management of two or three common operating room emergencies. You’re an expert witness or a member of your hospital’s Quality Improvement committee, charged with reviewing the unfortunate outcome of an operating room medical complication.

Anesthesia

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). All were transported to the PACU on room air without oxygen supplementation.

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. They assist in exposure, closure, hemostasis, and other intraoperative technical functions that ultimately ensure the surgery is successful.

Surgical Assistant

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.

Anesthesia

The Anesthesia Consultant

JULY 28, 2022

Digital access to all this written expertise can be at your fingertips anywhere, including in the operating room suite. The Anesthesia Consultant’s 2022 List of the Top Anesthesia Books includes: Miller’s Anesthesia , 9th edition, 2019, Editor-in-Chief Michael Gropper.

Anesthesia

The Anesthesia Consultant

MARCH 2, 2024

When I arrived at their hospital, I donned scrubs and was ushered from operating room to operating room to meet 15 or 20 attending anesthesiologists while they worked. How will you anesthetize him for his eye surgery?” I’d read a lot from my anesthesia textbooks at that point, and I passed their exam.

Anesthesia

The Anesthesia Consultant

APRIL 25, 2021

When you enter a hospital or surgery center for a surgery and an anesthesia professional approaches you prior to your surgery, that professional could be a physician anesthesiologist, a Certified Registered Nurse Anesthetist, or an Anesthesia Assistant (AA). Why Did Take Me So Long To Wake From General Anesthesia?

Anesthesiologist

The Anesthesia Consultant

JANUARY 29, 2018

Anesthesiologists still work in hospital operating rooms, but their expertise is also needed in other places, including invasive radiology, gastrointestinal endoscopy, electrophysiology and more. 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

JULY 11, 2019

Sixty-six percent of surgeries in the United States take place as an outpatient , and many of these surgeries are performed at freestanding facilities distant from hospitals. If the patient is unstable, a physician, usually an anesthesiologist, will need to accompany the patient and the EMTs to the hospital emergency room.

General Anesthesia

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?

Anesthesia

The Anesthesia Consultant

NOVEMBER 23, 2016

Between them, Larson and Jaffe have taught hundreds of anesthesia residents the finer points of clinical care. Now, because of this book, readers can find on the printed page what the authors taught in the preoperative forum, in the operating room, and in the post-anesthesia recovery room.

Anesthesia

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

The Anesthesia Consultant

MARCH 24, 2022

For a long operating room anesthesia case (e.g. 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. Our chairman lectured to us, “Do you know many patients are nervous prior to their anesthesia and surgery?

Post-Anesthesia

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. Enjoy your 10 minutes with each patient prior to surgery. The other medical professionals in the operating room will respect you for it.

Anesthesiologist

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?

Anesthesia

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.

Post-Anesthesia

The Anesthesia Consultant

NOVEMBER 7, 2018

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. Evaluate each airway prior to surgery. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

Incision

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. Anesth Analg.

General Anesthesia

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 iControl-RP has been used to induce deep sedation in adults and children undergoing general surgery.

Anesthesia

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. Anesthesia in 2018 is markedly different from anesthesia in the 1990s.

Anesthesia

The Anesthesia Consultant

JULY 1, 2020

As the Baby Boomer generation ages, they’re all requiring an increased level of health care intervention. The average salary varies by specialty from $230,000/year for pediatrics to $480,000/year for orthopedic surgery. Why Did Take Me So Long To Wake From General Anesthesia? What Are the Common Anesthesia Medications?

General Anesthesia

The Anesthesia Consultant

JANUARY 24, 2023

In 2016 there were more than 224,000 operating rooms in the United States , so tens of thousands of devices could be needed. the thumb must be entirely free to move, which precludes monitoring the hand that has been tucked at the patient’s side during surgery. Why Did Take Me So Long To Wake From General Anesthesia?

Post-Anesthesia

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?

Anesthesia

The Anesthesia Consultant

JANUARY 30, 2024

Inexperienced anesthesiologists may only contemplate a recipe of anesthesia drugs, instead of seeing his or her role as the management of the patient’s medical problems prior to, during, and after surgery. in the context of what the surgery and the anesthetic medications do to these diseases. It’s a symbiotic relationship.

Anesthesiologist

The Anesthesia Consultant

DECEMBER 19, 2016

Let’s assume your surgeon is determined to operate urgently, and doesn’t want to wait 6 hours after the patient’s meal. 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.

General Anesthesia

The Anesthesia Consultant

MAY 6, 2019

International Plastic Surgery Imagine. rare unrepaired surgical cases in foreign lands, coupled with surgeons in America who rarely have the opportunity to operate on such cases. This model for plastic and reconstructive surgery was born at Stanford University Medical Center in the 1960s in an organization named Interplast.

Post-Anesthesia

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. Risk during an anesthesia career is omnipresent. In addition, freeing patients from pain and ushering them through surgery safely is a wonderful vocation.

Post-Anesthesia

The Anesthesia Consultant

NOVEMBER 16, 2015

In an operating room, the circulating nurse’s job is analogous to that of a court reporter/stenographer. 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?

General Anesthesia