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 52

Anesthesia General Anesthesia Post-Anesthesia Nurse Anesthetist 52

The Anesthesia Consultant

SEPTEMBER 15, 2020

There are Two Laws of Anesthesia, according to surgeon lore. 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.

Anesthesia 52

Anesthesia Anesthesiologist General Anesthesia Operating Room 52

The Anesthesia Consultant

JUNE 20, 2017

In anesthesiology residency training we learn to perform every kind of anesthetic—cardiac, trauma, brain surgery, transplant surgery, abdominal surgery, chest surgery—on every type of patient—newborns, one-hundred-year-olds, or pregnant women. Then for the rest of our careers we lose many anesthesia skills.

Anesthesia 52

Anesthesia Anesthesiologist Post-Anesthesia Nurse Anesthetist 52

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 52

Anesthesia Anesthesiologist Post-Anesthesia Nurse Anesthetist 52

Salem Anesthesia

JULY 7, 2023

Salem Anesthesia is fortunate to have the best Anesthesiologists on our team. An anesthesiologist is a medical doctor who plays a critical role in the preparation, execution, and recovery stages of surgery. Salem Anesthesia truly values the remarkable anesthesiologists in our group!

Anesthesiologist 52

Anesthesiologist CRNA Nurse Anesthetist Operating Table 52

The Anesthesia Consultant

FEBRUARY 12, 2016

Does exposure to general anesthesia cause dementia? A landmark study published in Anesthesiology Dokkedal U et al, Cognitive Functioning after Surgery in Middle-aged and Elderly Danish Twins. Results from cognitive tests were compared in twins in which one sibling was exposed to surgery and the other was not. In a word, “No.”

General Anesthesia 52

General Anesthesia Anesthesia Post-Anesthesia Nurse Anesthetist 52

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 52

Anesthesiologist Post-Anesthesia Anesthesia Nurse Anesthetist 52

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? Do anesthesiologists have surgeries which last 10 hours? Why Did Take Me So Long To Wake From General Anesthesia?

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Anesthesiologist 52

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 52

Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 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. Anesthesia has never been safer.

Post-Anesthesia 52

Post-Anesthesia General Anesthesia Anesthesiologist Anesthesia 52

The Anesthesia Consultant

OCTOBER 4, 2021

including pediatric open heart surgery, and pediatric surgery involving major blood loss). In 2021 a nurse anesthetist publication looked at the use of Google Glass by seven nurse anesthetists for display of the vital signs monitor , but there were no quantitative data to examine the significance of the technology.

Operating Room 52

Operating Room Vital Signs Operation Post-Anesthesia 52

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 52

Post-Anesthesia Anesthesiologist Anesthesia General Anesthesia 52

The Anesthesia Consultant

AUGUST 28, 2016

Let me begin by offering two anecdotes: I was an invited visiting anesthesia professor at a major university this year, and following one of my lectures an anesthesiology resident approached me for a discussion. The demand for anesthesia services will grow. How much money does an anesthesiologist earn? It depends.

Anesthesiologist 52

Anesthesiologist Post-Anesthesia Anesthesia Supervision 52

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? How can it be that general anesthesia has ceased to evolve? What about regional anesthesia? Anesthesia in 2018 is markedly different from anesthesia in the 1990s.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Vital Signs 52

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.

Anesthesia 52

Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

JULY 25, 2022

JAMA Surgery published the study “ Association of Anesthesiologist Staffing Ratio With Surgical Patient Morbidity and Mortality ” on July 22, 2022. The physician-CRNA team, otherwise known as an anesthesia care team, is a model strongly supported by the American Society of Anesthesiologists. million charts were studied.

Operating Room 52

Operating Room Anesthesiologist Operation CRNA 52

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% Low, but not zero.

General Anesthesia 52

General Anesthesia Post-Anesthesia 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. Why Did Take Me So Long To Wake From General Anesthesia? Will I Have a Breathing Tube During Anesthesia?

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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. You are on call for the repair. What do you do? Discussion: There are two issues.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

NOVEMBER 8, 2016

Coughing and bucking are associated with increases in blood pressure and heart rate, as well as increased intrathoracic pressure, intracranial pressure, intraocular pressure, and increased bleeding or edema in head and neck surgeries. His question prompted me to write this column. to 25 μg/kg/hr.”

General Anesthesia 52

General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

Nashville Anesthesia Professionals

NOVEMBER 8, 2023

Growing shortages of anesthesiologists globally could significantly impact the availability of surgeries and other medical procedures, especially in rural and low-income areas. References “Action needed to avert anesthetist shortage of 11,000 by 2040, which could affect over 8 million operations.” Anaesthesia , 29 Sept 2022, vol.

Anesthesiologist 52

Anesthesiologist Nurse Anesthetist Post-Anesthesia Medical Procedure 52

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 52

Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 52

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 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

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). The first surgery today is a procedure devised to treat obstructive sleep apnea, a procedure called a maxillary-mandibular osteotomy. The surgery will take approximately three hours.

Anesthesiologist 52

Anesthesiologist Operating Room Vital Signs Post-Anesthesia 52

The Anesthesia Consultant

OCTOBER 8, 2015

Anesthetist options were limited. Before her surgery, Alexandra reclined awake on the operating room table. Can you people just get this surgery over with? You can request more morphine, and the nurse in the recovery room will give it to you.” “Yes. During the surgery you’ll have a breathing tube in your throat.

Anesthesia 52

Anesthesia Post-Anesthesia Nurse Anesthetist Anesthesiologist 52

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. Your reward for becoming a doctor will arrive years later, when you feel what I feel when I reunite parents with their child after surgery.

Post-Anesthesia 52

Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MARCH 20, 2016

Nowadays when patients arrive at the hospital for surgery, it’s not uncommon for them to be armed with abundant information on their disease, their pending operation, and even their anesthesia options. Anyone can put medical information on a Web server, and the information posted may be incorrect or outdated.

Post-Anesthesia 52

Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

Triage Staffing

FEBRUARY 8, 2024

Nurse Anesthetist If you’re looking for a lucrative career and are prepared to invest time and effort in advanced training, consider becoming a Certified Registered Nurse Anesthetist (CRNA). It would also be your job to care for patients recovering from anesthesia.

Nurse 52

Nurse Nurse Anesthetist Vital Signs Post-Anesthesia 52

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 52

Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

MAY 29, 2018

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? Will I Have a Breathing Tube During Anesthesia? What Are the Common Anesthesia Medications?

Anesthesiologist 40

Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 40

The Anesthesia Consultant

AUGUST 26, 2015

Anesthesiology is a wonderful profession, as I have described in many previous posts on theanesthesiaconsultant.com. But nothing is perfect, and anesthesia has one threat which could in time undermine the entire specialty. Anesthesia providers are at best consultants, and at worst, “worker bees” called upon to provide a service.

Nurse Anesthetist 52

Nurse Anesthetist Anesthesiologist 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 anesthesiologist meets the patient prior to the surgery, reviews the chart, and examines the patient.

Anesthesiologist 52

Anesthesiologist Operating Room General Anesthesia Surgery 52

The Anesthesia Consultant

OCTOBER 1, 2015

“Why do I have to stop eating and drinking prior to surgery?” This is a common question I hear from my patients—they’re puzzled by the connection between going to sleep and stopping eating prior to surgery. It’s vital that your stomach is empty prior to elective surgery and anesthesia.

Anesthesia 52

Anesthesia General Anesthesia Surgery Anesthesiologist 52

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. Prior to surgery healthy outpatients donated their own autologous blood, which they received intraoperatively to treat the expected hemorrhage which accompanied liposuction.

General Anesthesia 52

General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

APRIL 12, 2020

In the United States as a whole, surgery has ground to a halt. Surgeons, anesthesiologists, certified nurse anesthetists, and operating room nurses are barely working at all now, for the fourth consecutive week. According to CMS, what kind of surgery can be done during this pandemic?

Anesthesiologist 52

Anesthesiologist Nurse Nurse Anesthetist Post-Anesthesia 52

The Anesthesia Consultant

JUNE 12, 2023

I entered three anesthesia consultations into CHATGPT, one preoperative, one intraoperative, and one postoperative. What sort of preoperative tests or therapies should this patient have before surgery? They will consider her individual medical history and unique circumstances to ensure a safe and successful surgery.

Anesthesia 52

Anesthesia Post-Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

SEPTEMBER 19, 2018

. * * * * LEARN MORE ABOUT RICK NOVAK’S FICTION WRITING AT RICK NOVAK.COM BY CLICKING ON THE PICTURE BELOW: 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 52

General Anesthesia Post-Anesthesia Anesthesia Nurse Anesthetist 52