EMERGENCY AIRWAY BLEEDING AFTER SLEEP APNEA SURGERY
Clinical Case for Discussion: You are called at 0200 hours to anesthetize a 50-year-old man who is bleeding from his palate. He is 14 hours status-post a uvulopalatopharyngeoplasty (UPPP) for...
View ArticleDO ANESTHESIOLOGISTS HAVE THE HIGHEST MALPRACTICE INSURANCE RATES?
Do Anesthesiologists Have the Highest Malpractice Insurance Rates? In a word, “No.” Anesthesia mishaps can lead to critical events such as death or coma, but in recent decades improvements in operating...
View ArticleAN ANESTHESIA ANECDOTE: AN INEPT ANESTHESIA PROVIDER CAN KILL A PATIENT IN...
NEWSPAPER HEADLINE: “ANESTHESIOLOGIST KILLS PREGNANT MOTHER DURING EMERGENCY SURGERY” An inept anesthesia provider can kill a patient in less than ten minutes. What follows is a true story, with the...
View ArticleBLINK: WHEN AN EXPERIENCED ANESTHESIOLOGIST MEETS THEIR PATIENT
Clinical Case for Discussion: As an anesthesia resident, how does your preoperative interview with a patient differ from that of an anesthesiologist with 20 years of experience? Discussion: In my...
View ArticleROBOT ANESTHESIA
Will robots replace anesthesiologists? I am the Medical Director of a surgery center in California that does 5,000 gastroenterology endoscopies per year. Recently a national marketing firm contacted...
View ArticleTHE 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...
View ArticleAVOIDING AIRWAY DISASTERS IN ANESTHESIA
Every anesthesia practitioner dreads an airway disaster. Anesthesiologists and nurse anesthetists are airway experts, but anesthesia professionals are often the only person in the operating room...
View ArticleHOW TO PREPARE TO SAFELY INDUCE GENERAL ANESTHESIA IN TWO MINUTES
You’re called to induce anesthesia for a patient being rushed to the operating room for emergency surgery. You arrive at the operating room only minutes before the patient is scheduled to arrive. How...
View ArticleAIRWAY LAWSUITS
At weddings you’ll often hear a Bible verse that reads, “And now these three remain: faith, hope and love. But the greatest of these is love.” (1 Corinthians 13:13) A parallel verse in the bible of...
View Article12 THINGS TO KNOW AS YOU NEAR THE END OF YOUR ANESTHESIA TRAINING
In “Subterranean Homesick Blues” Bob Dylan wrote, Twenty years of schoolin’ and they put you on the day shift. For anesthesiologists, it’s more like twenty-five years of training and they put you on...
View ArticleANESTHESIA ERRORS AND COMPLICATIONS: MALPRACTICE OR NOT?
If a patient suffers a bad outcome after anesthesia, did the anesthesiologist commit malpractice? Not necessarily. There are risks to every anesthetic and every surgery, and if a patient sustains a...
View ArticleEMERGENCY AIRWAY BLEEDING AFTER SLEEP APNEA SURGERY
Clinical Case for Discussion: You are called at 0200 hours to anesthetize a 50-year-old man who is bleeding from his palate. He is 14 hours status-post a uvulopalatopharyngeoplasty (UPPP) for...
View ArticleSTANFORD EMERGENCY MANUAL POCKET VERSION
The Stanford Emergency Manual has become an essential reference for anesthesiologists. The manual lists diagnostic and therapeutic steps to follow in 26 different emergency scenarios. When a Code Blue...
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