(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")
There are so many variables with respect to the fine nuances and individualities each patient may bring to this issue that I'd recommend you review my prior answers on this site about contacting the anesthesiologist
Surgeons are generally not trained in pain management and don't get paid to 'do it'--so your predicament is only surprising in that the "anesthetic doc" "seems" "unsure". A board-certified anesthesiologist
Yes. One might opt for a spinal or epidural anesthetic and request NO amnestic drugs. Amnestic drugs are used during general anesthetics to assure that one 'forgets' in the unlikely event that the anesthetic
It's not routinely done, since your surgeon would immediately post-operatively want to do a neurological exam to assure no nerves were damaged during the operation. This would not be possible if the nerves
The individual response to anesthesia is quite varied and dependent on many factors, some of which are never known for a wide variety of reasons. Breathing problems at the recovery room in patients who
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