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CAN WE PREVENT AGITATION IN PEDIATRIC PATIENTS FOLLOWING ANESTHESIA?
Clinical Case of the Month: A 5-year-old boy is scheduled for general anesthesia for a cochlear implant. On your pre-operative phone call to the mother, she tells you that after the same surgery on...
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FACTS FOR LAYPEOPLE: DRUGS ANESTHESIOLOGISTS USE
INTRAVENOUS MEDICATIONS: 1. PROPOFOL. Propofol is an intravenous sedative-hypnotic, and the most commonly used general anesthetic medication in the United States. Because propofol can cause the...
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DO YOU NEED AN ANESTHESIOLOGIST FOR A COLONOSCOPY?
Do you need an anesthesiologist for a colonoscopy? The answer is: it depends. It depends on 1) your health, 2) the conscious sedation skills of your gastroenterologist, and 3) the facility you have...
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THE TOP TEN MOST USEFUL ADVANCES AND THE FIVE MOST OVERRATED ADVANCES...
In 1986, the American Society of Anesthesiologists adopted pulse oximetry and end-tidal CO2 monitoring as standards of care. These two monitors were our specialty’s major advances in the 1980’s, and...
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LANDING THE ANESTHESIA PLANE: WHEN SHOULD YOU EXTUBATE THE TRACHEA?
Clinical Case for Discussion: You’re anesthetizing a 60-year-old woman for a thyroidectomy. The surgeon tells you, “If this woman bucks on the endotracheal tube on awakening it could cause a neck...
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ANESTHESIA FACTS FOR NON-MEDICAL PEOPLE: HOW DOES THE ANESTHESIOLOGIST DECIDE...
You are a 100-pound, 70-year-old woman. Your son is a 200-pound, 35-year-old man. Do you both require the same doses of general anesthetic if you each need to have your gall bladder removed? No, you do...
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HOW TO WAKE UP PATIENTS PROMPTLY FOLLOWING GENERAL ANESTHETICS
Two patients arrive simultaneously in the recovery room following general endotracheal anesthetics. One patient is unresponsive and requires an oral airway to maintain adequate respiration. In the next...
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DO YOU NEED AN ANESTHESIOLOGIST FOR ENDOSCOPY OF YOUR ESOPHAGUS, STOMACH, AND...
Do you need an anesthesiologist for an upper gastrointestinal endoscopy? In the aftermath of Joan Rivers’ tragic death following an upper endoscopy procedure at a New York outpatient surgery center,...
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HOW LONG WILL IT TAKE ME TO WAKE UP FROM GENERAL ANESTHESIA?
One of the most frequent questions I hear from patients before surgery is, “How long will it take me to wake up from general anesthesia?” The answer is, “It depends.” It depends on: What drugs the...
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WILL YOU HAVE A BREATHING TUBE DOWN YOUR THROAT DURING YOUR SURGERY?
One of the most common questions I hear from patients immediately prior to their surgical anesthetic is, “Will I have a breathing tube down my throat during anesthesia?” The answer is: It depends....
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ROBOT ANESTHESA II
THE iCONTROL-RP ANESTHESIA ROBOT On May 15, 2015, the Washington Post published a story titled, “We Are Convinced the Machine Can Do Better Than Human Anesthesiologists.” Is this true? Are...
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CAN WE PREVENT AGITATION IN PEDIATRIC PATIENTS FOLLOWING ANESTHESIA?
Clinical Case of the Month: A 5-year-old boy is scheduled for general anesthesia for a cochlear implant. On your pre-operative phone call to the mother, she tells you that after the same surgery on...
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FACTS FOR LAYPEOPLE: DRUGS ANESTHESIOLOGISTS ADMINISTER
INTRAVENOUS MEDICATIONS: 1. PROPOFOL. Propofol is an intravenous sedative-hypnotic, and the most commonly used general anesthetic medication in the United States. Because propofol can cause the...
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HOW NEW IS “MODERN ANESTHESIA?”
Point/Counterpoint: How new is modern anesthesia? Are modern anesthesia techniques radically different from the methods of twenty years ago? True or false? POINT: False. Twenty-first century general...
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DYING UNDER GENERAL ANESTHESIA
You’re an anesthesiologist and you’re contacted by a patient who is dying of cancer. He wants an end of life anesthetic so that he will be unconscious and die without pain and suffering. What do you...
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