"Overview of Anesthesia" featuring Dr. Dinner (AnesthesiaMD)

[travelplus1]

Can I have Dinner before Lol?

[grendel130]

How does a patient make sure that his anesthesia is done by an anesthesiologist (MD) not by a nurse (CRNA)? Is writing this on the consent sufficient?

[youknowhow123]

@grendel130 You're surgeon will DEFINITELY see you before you go into surgery (so will the anaesthesiologist / nurse anaesthetist) but you can ask him if it can be done by the anaesthetist MD not by the nurse, if there is an anaesthetist available then I don't see why he would not oblige.

[gt0520b]

He says general anesthesia implie 5 specific states: 1. unconciousness, 2. where they don't move, 3. don't feel pain,

4. no recollection (memory), and 5. tranquilized autonomic system. Why does he mention these as distinct characteristics of anesthesia when it seems as though points 3. and 4. are a consequence of 1, not distinct states themselves.

[leviathan85]

Hi gt,

Being unconscious does not mean you cannot move nor feel pain. These are in fact separate processes in the brain. Even when you sleep at night, you are unconscious, yet you roll around and if someone applied a painful stimulus you would either wake up, or possibly perceive it in your dreams.

[summitk2]

@gt0520b These ARE distinct states; when you get down to the physiological effects of each state, they are very different from each other.

[natesipes]

Nurse anesthetists have been giving anesthesia in US for over 150 years. Safely give 30 million anesthetics per year.

Look up their credentials. You'll see they have rather extensive training. Unfortunately results with anesthesiologists can also be tragic. As with every other profession, be it mechanic, hairdresser, dentist, lawyer, neurosurgeon, etc.. there are always bad apples.

[wakasabi01]

really???...150 years?..wow..i thought CRNA's were just recently "trained" because anesthesiologists were getting "extinct"...

my mistake...

[natesipes]

Yeah, these women called nuns, don't know if you've heard of them, provided the first anesthetic. Your sarcasm is appreciated, your ignorance isn't.

[leviathan85]

Nurse who gives anesthesia are usually trained well for routine cases, but only routine. When you cut corners you usually don't see the effects until it's too late. Although I respect nurses, If I need surgery, I want an MD watching over me.

[youknowhow123]

@natesipes Nonsense, absolute nonsense...

[08mike11]

Yes but They work directly under anesthesiologists in in most cases, CRNAs do MORE administering of anesthesia than the actually anesthesiologist. The MDs usually see more of the administration side of the deal while CRNAs tend to do more of the "work". I don't know where you get your info from but it is flawed.

[youknowhow123]

@08mike11 are you US? If so in the vast majority of states the CRNA does not need to be under the supervision of the MD anaesthesiologist.... so i don't really know what you are talking about :s

[Mariogirl16]

bah they couldn't sedate me "safely" for my wisdom teeth today so now I have to go under general. I'm so nervousss.

[newburn15]

i would hate to have surgey it is so scary if i hate to have it i would cry

[XxJilliannxX]

its not so bad ive had bout like 5 if u ever have to have one just relax before u know it ur awake again

[Terminator860]

i was put to sleep today the poor surgeon took 30 mins to get a vein as i'm a heroin addict. i was so relieved when he got one.

[keybrand]

ur cool

[ingnir]

how do you know it took 30 mins if you were asleep?

[phillipngyn]

you don't know how to read time before and after?

[ingnir]

I thought I did

[tobigforyou]

that's a dangerous job