Salem Anesthesia

JUNE 12, 2023

Certified Registered Nurse Anesthetists (CRNAs) serve an irreplaceable function on medical teams across the country. CRNAs received specialized training that is critical in surgeries and healthcare. As a critical component of a successful surgery, CRNAs are constantly assessing the patient’s vitals and pain level/comfort.

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CRNA Nurse Anesthetist Post-Anesthesia Operating Room 52

PANA

FEBRUARY 15, 2023

Ashley Bell, BSN, RN , has always been fascinated by the way patients are put into a state where they are unable to feel and respond to outside stimuli, and then when they awake, they have no recollection of what took place throughout the surgery.

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Nurse Anesthetist CRNA Nurse Anesthesia 52

Concordia Anesthesiology

AUGUST 30, 2021

While few administrators would consider reducing the number of surgeries (that would strangle the golden goose!) All MD In this model, (most prevalent in one-or two-room surgery centers and less common in large ambulatory surgery centers), all anesthesia care is provided by medical doctors only, specifically physician anesthesiologists.

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Salem Anesthesia

JULY 7, 2023

An anesthesiologist is a medical doctor who plays a critical role in the preparation, execution, and recovery stages of surgery. Additionally, the anesthesiologist leads teams of certified registered nurse anesthetists ( CRNA s) and certified anesthesiologist assistants (CAAs).

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The Anesthesia Consultant

OCTOBER 18, 2018

The Anesthesia Consultant exists to increase your knowledge about anesthesia and the practice of medicine before, during, and after surgery. The other half are detailed, well-referenced articles aimed at physician anesthesiologists, nurse anesthetists, and anesthesia assistants the world over.

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Anesthesia General Anesthesia Post-Anesthesia Nurse Anesthetist 52

The Anesthesia Consultant

MAY 10, 2016

It’s not clear the idea has widespread traction as of yet, and the concept will always be at odds with the individual aspirations of internal medicine doctors, hospitalists, intensivists, surgeons, and certified nurse anesthetists, all who want to make their own management decisions, and all who desire to be paid for owning those decisions.

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Anesthesiologist Post-Anesthesia Anesthesia Nurse Anesthetist 52

The Anesthesia Consultant

MAY 6, 2017

In many private practice anesthesia groups, physician anesthesiologists supervise multiple nurse anesthetists in multiple operating rooms. Physician anesthesiologists pay their nurse anesthetists as employees as well as their other expenses, and then divide the profit.

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Anesthesia Anesthesiologist Post-Anesthesia Nurse Anesthetist 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. What kind of cases do you want to do when you’re out of training?”

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Anesthesia Post-Anesthesia Anesthesiologist Nurse Anesthetist 52

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. The patient must wake up (when the surgery is over).

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Anesthesia Anesthesiologist General Anesthesia Operating Room 52

The Anesthesia Consultant

FEBRUARY 22, 2018

Do anesthesiologists have surgeries which last 10 hours? 12 Important Things to Know as You Near the End of Your Anesthesia Training Should You Cancel Surgery For a Blood Pressure = 178/108? Yes, we do, and that’s a long time to remain vigilant. Hibbing also happens to be the hometown of music icon Bob Dylan.

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The Anesthesia Consultant

FEBRUARY 12, 2016

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. Anesthesiology. 2016 Feb;124(2):312-21 answers this question.

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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.

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Operating Room Vital Signs Operation Post-Anesthesia 52

The Anesthesia Consultant

FEBRUARY 13, 2018

12 Important Things to Know as You Near the End of Your Anesthesia Training Should You Cancel Surgery For a Blood Pressure = 178/108? Joining the hospital staff, Nico runs afoul of a grouchy nurse anesthetist calling himself Bobby Dylan, who plays Dylan songs twice a week in a bar called Heaven’s Door.

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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 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. Similarly, a study from the UK suggests that there will be a shortage of 11,000 anesthetic staff members by 2040, preventing 8.25

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Anesthesiologist Nurse Anesthetist Post-Anesthesia Medical Procedure 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.

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Anesthesia Post-Anesthesia Nurse Anesthetist 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. Nurses consistently have their backs to patients as they type, type, type data into computer terminals.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JANUARY 2, 2016

More care team anesthesia and more Certified Nurse Anesthetists (CRNAs). An aging population, an increased volume of surgery, and an increased demand for anesthesia personnel. As the baby boomers age, there will be an increased number of surgeries on older, sicker patients. Anesthesia personnel will be in great demand.

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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. You’ll be asleep for the entire surgery.

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The Anesthesia Consultant

AUGUST 28, 2016

The good news for the future of anesthesia careers is that the number of surgeries in the United States is expected at increase as the Baby Boomers age. As stated above, the good news for the future of anesthesia careers is that the number of surgeries in the United States is expected at increase as the Baby Boomers age.

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Anesthesiologist Post-Anesthesia Anesthesia Supervision 52

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?

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

JANUARY 19, 2017

You have to get along well with surgeons, the nursing staff, the scrub techs, administrators, and the patients. 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. Be friendly and personable.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

MARCH 22, 2019

This likely would lead to an increased role for certified nurse anesthetists (CRNAs), and an eventual increase in the number of schools training CRNAs, but in the short term there would be no way to staff adequate numbers of anesthesia professionals.

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The Anesthesia Consultant

DECEMBER 23, 2015

Listening to some of its disciples, it would seem that nearly every orthopedic surgery procedure can benefit from an ultrasonic regional block for intraoperative and postoperative pain control. 12 Important Things to Know as You Near the End of Your Anesthesia Training Should You Cancel Surgery For a Blood Pressure = 178/108?

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

JUNE 26, 2018

When a patient needs an epidural for surgery, the recipe of bupivicaine or lidocaine +/- narcotic is unchanged from the 1990s. Administering local anesthetic injections adjacent to major nerves grants non-narcotic pain relief to thousands of patients following orthopedic surgeries. What about regional anesthesia?

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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. There were approximately 21 million surgeries per year in the United States in 2014. Anesthesiologists do not routinely read JAMA Surgery and may be quick to dismiss the findings.

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Operating Room Anesthesiologist Operation CRNA 52

The Anesthesia Consultant

MAY 29, 2018

12 Important Things to Know as You Near the End of Your Anesthesia Training Should You Cancel Surgery For a Blood Pressure = 178/108? Joining the hospital staff, Nico runs afoul of a grouchy nurse anesthetist calling himself Bobby Dylan, who plays Dylan songs twice a week in a bar called Heaven’s Door.

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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 40

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.

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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.

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Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

The Anesthesia Consultant

DECEMBER 19, 2016

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. 12 Important Things to Know as You Near the End of Your Anesthesia Training Should You Cancel Surgery For a Blood Pressure = 178/108?

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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. Results showed the addition of this single dose (0.5

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General Anesthesia Anesthesia Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

OCTOBER 26, 2016

For example, in a general anesthetic for an abdominal surgery, the anesthesiologist may inject Versed into the IV as a premedication to reduce anxiety, then inject propofol into the IV to initiate sleep, and inject rocuronium into the IV to induce muscle relaxation/paralysis prior to inserting an endotracheal breathing tube.

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

MARCH 24, 2022

Propofol administration requires an experienced clinician, e.g. either an anesthesiologist, a certified registered nurse anesthetist (CRNA), or an emergency medicine physician. 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.

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Post-Anesthesia General Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

APRIL 12, 2020

During this COVID crisis, intensive care unit and emergency room doctors and nurses in hotspots like New York City have dangerous, exhausting jobs keeping coronavirus patients alive. A minority of doctors and nurses are saddled with these dangerous around-the-clock jobs battling the disease in ICUs and ERs.

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Anesthesiologist Nurse Nurse Anesthetist Post-Anesthesia 52

The Anesthesia Consultant

AUGUST 26, 2015

No, it’s not the nurse anesthetists, nor the stress of covering surgeries in the middle of the night, nor the stress of saving patients who are trying to die in front of our eyes during acute care emergencies. In their operating room role they more resemble the niche of a surgeon than that of an anesthetist.

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Nurse Anesthetist Anesthesiologist Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

SEPTEMBER 3, 2021

Who is responsible for your safety before, during, and after your surgery? Will it be a nurse or will it be a physician? The word “perioperative” means “around the time of surgery.” It’s officially defined as the 30-day time period following surgery. Note this data was for inpatient surgeries. No, they are not.

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Nurse Nurse Anesthetist Supervision CRNA 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.

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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.

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