Sullivan Healthcare Consulting

JUNE 4, 2024

The reasons for low OR utilization rates are multifactorial, yet they often trace back to ineffective pre-anesthesia testing processes. When effective processes aren’t in place, clinical staff don’t have the information they need to safely or legally proceed with a procedure. Finally, each case delay impacts the following cases.

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Anesthesia Communication Post-Anesthesia Safety 52

The Anesthesia Consultant

JULY 11, 2019

Her breathing tube had been removed, but she developed upper airway obstruction in the Post Anesthesia Care Unit (PACU) and needed urgent reintubation. Pulmonary edema fluid filled her lungs and filled the hoses of the anesthesia machine. Why Did Take Me So Long To Wake From General Anesthesia?

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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. Pre-Anesthesia Room 0700 hours—It’s time to meet your first patient.

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Anesthesiologist Operating Room Vital Signs Post-Anesthesia 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.

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 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. Every anesthetic is an opportunity to care for a patient at the highest level, and an opportunity to err.

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Anesthesiologist Operating Room Post-Anesthesia Anesthesia 52

EARN Cares

OCTOBER 11, 2023

In this article you will learn the tips, tricks, hacks and short-cuts for cutting through the clutter of Applicant Tracking Systems (ATS) which are used by countless job sites and portals in the healthcare industry to post roles and nursing job descriptions.

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Nurse Basic Life Support Vital Signs Communication 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 assessment is ASA II, and the plan is general endotracheal anesthesia. The surgery concludes at 1630 hours.

Anesthesiologist 52

Anesthesiologist Operating Room General Anesthesia Surgery 52

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

NOVEMBER 15, 2023

The capacity to deliver this much oxygen to a non-intubated patient is a marked advance in anesthesia care. We extended the apnea times of 25 patients with difficult airways who were undergoing general anesthesia for hypopharyngeal or laryngotracheal surgery. I was—in a word—flabbergasted. Its use expanded to adult ICUs.

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Anesthesia General Anesthesia Post-Anesthesia Operating Room 52

The Anesthesia Consultant

NOVEMBER 28, 2017

You’ve graduated from a residency program in which you learned the nuances of preoperative, intraoperative, and postoperative anesthesia practice. You believe the patient is high risk in terms of his airway, his breathing, his cardiac status, and his potential for post-operative complications. You’re a board-certified anesthesiologist.

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Anesthesiologist General Anesthesia Post-Anesthesia Anesthesia 52

The Anesthesia Consultant

NOVEMBER 8, 2022

The audit trail was mandated by the 2005 Security Rule of the Health Insurance Portability and Accountability Act (HIPAA) , which required all healthcare organizations to “implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.”

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General Anesthesia Post-Anesthesia Anesthesia Anesthesiologist 52

The Anesthesia Consultant

AUGUST 17, 2020

My experience in Quality assurance/Quality improvement programs includes: Stanford University Hospital QA Committee (Care Review Committee), 1997 – 2009 Stanford University Anesthesia QA Committee, 2002 – 2009, and Waverley Surgery Center QI Committee (Chairman), 2002 – present. Will I Have a Breathing Tube During Anesthesia?

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Anesthesia Post-Anesthesia Operating Room General Anesthesia 52

The Anesthesia Consultant

NOVEMBER 15, 2018

I practiced cardiac anesthesia from 1985 until 2000. In the 1980s, cardiac anesthesia was achieved by high dose narcotic techniques, specifically with high dose fentanyl (100 micrograms/kg) techniques. We also used intravenous sufentanil to supplement anesthesia for non-cardiac surgeries.

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Post-Anesthesia Anesthesia General Anesthesia Anesthesiologist 52

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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