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.

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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.

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Anesthesia Anesthesiologist Post-Anesthesia Nurse Anesthetist 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). Anesthesia Workstation You log into the EMR system, and then you log into your first patient’s chart. The lower drawers to the computerized pharmacy cart unlock, and you’re able to access the propofol you’ll use to induce anesthesia.

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The Anesthesia Consultant

JUNE 6, 2025

The operating room team today consists of multiple professionals working in collaboration, including the surgeon, the scrub tech, the circulating nurse, and the anesthesia MD or CRNA. Many surgeons chose to lord over the anesthesia attendings with verbal abuse and a condescending attitude.

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The Anesthesia Consultant

SEPTEMBER 3, 2021

Will it be a nurse or will it be a physician? At times, physician anesthesiologists employ certified registered nurse anesthetists (CRNAs) to assist them in what is called the anesthesia care team (ACT) model. All the responsibility in the ACT model resides with the supervising MD anesthesiologist. No, they are not.

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The Anesthesia Consultant

OCTOBER 18, 2018

What do you need to know before you start your first job following anesthesia residency? When an anesthesiologist finishes their formal training, he or she has a brain full of academic teachings, and has performed hundreds of anesthetics in a university setting while being supervised by faculty members. But are you ready to work alone?

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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.

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Nurse Anesthetist Anesthesiologist Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

JULY 12, 2021

Anesthesia is a hands-on specialty. 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. Since the development of the internet, anesthesia practice has changed forever. Love it or hate it, the EMR is here to stay.

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Operating Room General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

AUGUST 7, 2017

See Robot Anesthesia and Robot Anesthesia II ) AI already influences our daily life. In my previous essays Robot Anesthesia and Robot Anesthesia II , I described models of robots designed to perform intravenous sedation or intubation of the trachea, products which are futuristic but currently have no market share.

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The Anesthesia Consultant

FEBRUARY 6, 2019

Every anesthesia provider must learn to free-solo anesthesia early in his or her career. A typical hospital will have dozens of other anesthesia providers working in the same building. Commercial aviation is sometimes compared to anesthesia practice. In anesthesia there is no guaranteed second anesthesiologist.

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The Anesthesia Consultant

MAY 2, 2023

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. Louis, Missouri are studying a novel system they call the Anesthesia Control Tower (ACT). What do you do?

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Anesthesia Operating Room Post-Anesthesia Anesthesiologist 52

The Anesthesia Consultant

SEPTEMBER 25, 2015

An anesthesia residency is three years long, preceded by one year of internship. One year after medical school, the same graduate who just completed twelve months of internship now reaches perhaps an even more difficult transition—the first months of anesthesia residency. After ten minutes, he left to pursue other duties.

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Operating Room Post-Anesthesia Anesthesia Anesthesiologist 52

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). If the patient has an ET tube, it is usually removed.

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The Anesthesia Consultant

OCTOBER 21, 2015

The incidence of cardiac arrest totally attributable to anesthesia mismanagement was low (0.47 per 10,000 anesthetics), and anesthesia mismanagement was responsible for only 1.5% 2) From 2010 to 2013 the National Anesthesia Clinical Outcomes Registry reported the risk of intraoperative cardiac arrest as 5.6 of deaths. (1)

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The Anesthesia Consultant

AUGUST 16, 2018

If something dire goes wrong during anesthesia and surgery and the flow of oxygen to the brain is cut off, an anesthesia practitioner has about five minutes to diagnose the cause of the problem and treat it. The good news is that catastrophic events causing sudden drops in oxygen levels are very rare during anesthesia.

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The Anesthesia Consultant

APRIL 8, 2025

anesthesia, I see commandments as guidelines for how to be a safe and excellent anesthesiologist. Based on forty years of clinical practice and administration in both community and academic anesthesiology, here are Ten Commandments of Anesthesia as I see them: Be a doctor, not a propofol technician.

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Radius Anesthesia

DECEMBER 16, 2024

During this time, they receive hands-on experience in various surgical procedures under the supervision of experienced surgeons. Postoperative care also includes working with other healthcare professionals, like nurses and physical therapists, to promote a smooth recovery 5,6. Preparing for Post-Surgery. ACS [link] 5.

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The Anesthesia Consultant

NOVEMBER 12, 2015

I’d already secured my medical staff privileges and my appointment to the anesthesia service. At Stanford every nurse, doctor, and janitor knew my name. The schedule for the day was posted on a white board across from the central desk. Heidi, this is Dr. Nicolai Antone, a welcome addition to the anesthesia staff.

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