Cardiac Anesthesiologist Blog Horner syndrome, also medically referred to as oculosympathetic paresis, is a relatively rare condition characterized by a specific group of signs resulting from a disruption in the sympathetic nerve supply to the eye. While the symptoms themselves—such as a drooping eyelid—might seem minor, they often serve as a “red flag” for serious underlying […]
Read MoreAuthor: Richard Novak, MD THE ANESTHESIA CONSULTANT The Ten Commandments in the Old Testament of the Bible described a path toward a proper life. In 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 […]
Read MoreRadius Anesthesia Blog Cardiac complications are a significant driver of postoperative morbidity and mortality in patients undergoing noncardiac surgery. The physiological stress of surgery can lead to myocardial ischemia, arrhythmias, or heart failure, especially in patients with preexisting cardiovascular disease. Even for noncardiac surgery, effective cardiac risk assessment allows the clinical team to optimize perioperative […]
Read MoreAuthor: Richard Novak, MD THE ANESTHESIA CONSULTANT In the past year a friend of an acquaintance of mine travelled from California to Switzerland and obtained enough oral medications, prescribed by a physician, to complete a Physician Assisted Death (PAD), otherwise known as Physician Assisted Suicide (PAS). His diagnosis was early Alzheimer’s disease, and apparently his […]
Read MoreBurnout or time away in pain, ICU, or administration doesn’t erase your anesthesia training—it just requires a structured path back. For many physicians, it simply means you stepped away to regroup. We work with anesthesiologists every day who want to return to clinical anesthesia after time away in: administration or leadership roles pain medicine critical […]
Read MoreHardin Medical Center (122 beds) is offering a rare CRNA-only practice where you can enjoy full autonomy and an exceptional lifestyle. • Schedule: 2 weeks on / 1 week off (17 weeks off each year)• Model: Independent CRNA practice – no anesthesiologist supervision• Case Mix: General surgery, orthopedics, endoscopy, OB/GYN (including epidurals & C-sections)• No […]
Read MoreCardiac Anesthesiologist Blog Introduction: Why the “NPO” Rule is No Longer Enough While the traditional “6 hours for solids, 2 hours for clear liquids” (NPO — nil per os) remains the gold standard, it often fails in the realities of the ICU and emergency surgery. Gastroparesis in diabetes, critical illness, opioid analgesia, or severe stress significantly slow […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review A wave of payer anesthesia policy changes — capping billable time, cutting CRNA rates and penalizing facilities for using out-of-network clinicians — is intensifying financial pressure on practices already contending with rising overhead. Legislators and physician associations are pushing back, but several policies have taken effect regardless. Here are three […]
Read MoreCardiac Anesthesiologist Blog Introduction Evaluating left ventricular (LV) systolic function is a cornerstone of hemodynamic monitoring in perioperative care and the ICU. While qualitative “eyeballing” is valuable for rapid assessment, quantitative measurements provide the objectivity needed for clinical decision-making and longitudinal tracking of a patient’s status. This article explores the primary quantitative methods used to […]
Read MoreRadius Anesthesia Electroencephalography (EEG) remains the most direct bedside signal of cerebral function available to anesthesiologists and is central to some depth-of-anesthesia monitoring, delirium risk stratification, and tailored dosing strategies. Recent advances in signal processing and machine learning have already improved the sensitivity and robustness of depth-of-anesthesia estimators, but persistent challenges—high dimensionality, nonstationary noise, small […]
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