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(U.S.) Board-Certified anesthesiologist also certified in Advanced Cardiac Life Support and Pediatric Advanced Life Support. I can answer questions related and specific to clinical anesthesia issues, problems, concerns and methods--both pediatric and adult. This includes matters that are strictly anesthesia in nature and also in other related medical specialties that impact various patient management decisions (e.g. asthmatic undergoing surgery) during or around the time of an anesthetic. I can answer questions about becoming a physician and specifically an anesthesiologist, and practicing anesthesiology. I am not a researcher or academic, so questions so-related are for someone else. I can tell you what a nightmare government involvement in medicine has been and will continue to be as it escalates.
Over twenty-five years of adult and pediatric, inpatient and outpatient clinical anesthesia practice--some private, some group.
American Association of Physicians and Surgeons. My county medical society.
[not a researcher]
American medical school graduate. Board Certified. Fellowship trained Cardiovascular and Pediatric anesthesia subspecialist.
Over 20,000 anesthetics, the majority of which have been personally managed, with less than 5% consisting of supervising nurse anesthetists or in-training resident physicians.
Many anesthetics are not delivered by board-certified anesthesiologists, but by less trained individuals. Surgeons usually do not know the credentials of the anesthesia personnel at the hospitals or surgery centers where they work. Check them yourself. Often anesthesiologists supervise many nurse anesthetists at one time.
The dirty-little-secret in this business is that when doctors themselves have surgery they have a one-on-one anesthesiologist who is not supervising others, administering the anesthesia himself. State on your operative consent exactly what you expect from your anesthesia provider. (e.g. "board-certified anesthesiologist managing only my case")
The risks with a spinal vs general are about the same. A bigger question is the nature of your ventricular arrythmia. If the arrythmia is significant enough to warrant an EP study and possible ablation
Not knowing every detail of the anesthetic, surgery and your medical history will keep me from properly answering the specific questions you've posed. All anesthetics are not created equally! Since the
Marijuana around the time of surgery has been studied as a possible way to reduce post-operative nausea and vomiting.......the studies have, largely, been inconclusive.........but there have been no issues
Since it's an adventure tourism course for which you're doing research, I'd say your best bet is to research how to identify these species such that you'll stay away from them (as they're quite dangerous
As I'm NOT a toxicologist, I would say your question is better directed at someone who is! While anesthesiologists DO use pharmaceuticals to create a temporary toxic "effect", they are really quite different
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