"He claims to have done a fellowship in pediatric anesthesia yet he’s to afraid to do anesthesia for a tonsillectomy for a child under three years of age. On healthy adults, he has cancelled cases for people whose first blood pressure after he puts them to sleep (with too much medicine) was in the 50s. That’s low, sure, but to cancel an otherwise healthy patient for that reason is ridiculous. An average CRNA calmly deals with such circumstances on a routine basis. His gun shy nature reflects a boob who is salaried and who can’t manage anything off pure first year resident level aberrations. Imagine how he performs during an emergency bleed in the middle of a case, or in the ER or ICU. Incompetence or cowardice? In his field, what’s the difference?
He shows up in scrubs in preop at 06:58 to see his 07:00 patient before following the patient into the OR having done no preparation, not even turning the anesthesia machine on until the patient is on the table. He spends 20 minutes drawing up meds while the patient lies there staring at the ceiling. So he is effectively billing the patient for more time than he should and holding up the operation while the hospital bean counters foolishly remain blind to his game. But the records don’t reveal this nonsense; they only show that the patient was in the room at 6:59 am. He’s an expert at exploiting the rules this way.
Watch this guy closely. He is not guided by Right and Wrong. He is guided by the principle of “What can I get away with?” and “Will I get caught?” Make him pee in a cup on a random basis. Don’t let him work around controlled substances without tight supervision. Warn the women staff about him and encourage them to report him on first offense; let the “warning shot” be fired by the OR director LONG AGO. And don’t trust his word on anything to do with things that will bring him money."
Anesthesiology is the practice of medicine dealing with the safety and comfort of patients during medical procedures, especially surgery. While many people think of anesthesiology as strictly providing pain control, anesthesiologists are also responsible for monitoring and supporting the health of patients during surgery. By paying attention to a patient's vital signs, an anesthesiologist can both judge how effective the anesthesia is working and intervene if there are problems.
In many cases, an anesthesiologist evaluates patients before surgery, manages their health during surgery, and treats their pain after surgery. They may offer general anesthesia (where a patient is 'put under'), local anesthesia to numb a certain area, or sedatives to calm anxiety before a medical procedure. Some anesthesiologists use their training in pain relief to help patients who suffer from chronic or cancer pain.
During a surgical procedure, anesthesiologists monitor the health of their patients. Among other vital signs, they may be watching:
Level of consciousness
If there is a sudden problem during surgery, the anesthesiologist is generally one of the first to know. They act quickly to correct the problem and keep the patient safe through surgery.
More than just the doctor who puts you to sleep, anesthesiologists are highly trained physicians who work to keep you safe and comfortable.