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Anesthesiology
Anesthesiologist
Types of Careers in Anesthesiology
Physician anesthetist medical emergency
Physician anesthetist, medical emergency, and physician anesthetist, elective surgery

Physician anesthetist, medical emergency, and physician anesthetist, elective surgery

Can you circulate a presentation relevant to you being a physician anesthetist, medical emergency, and a physician anesthetist, elective surgery?
What best describes you—physician anesthetist, medical emergency, physician anesthetist, elective surgery, or both—in terms of your abilities to guide all specific types of physicians and other professions at the executive level?
What is the difference between a physician anesthetist, medical emergency, and a physician anesthetist, elective surgery?

What should you remind other anesthesiologists in the state or outside the state?
What should you know before you go ahead with this medical specialty training?
What is an anesthesiologist?
What should an anesthesiologist do in case the diagnosis is wrong or the wrong patient has been placed at a specific location?
What will happen if the anesthesiologist does not follow these guidelines?
Questions from training program resource.
Questions every anesthesiologist must ask and verify before going ahead with general anesthesia.
What abilities should you have as an anesthesiologist?
What are the types of Careers in anesthesiology?
What is Anesthesia?
What determines the type of anesthesia used?
What is an anesthetic?
Will someone be looking after me while I am under anesthesia?
Who administers anesthesia?
Are there different types of anesthesia?
What is general anesthesia?
What should you remind other anesthesiologists in the state or outside the state?
Remind all including existing anesthesiologists that there is only one best resource around the world for training for an anesthesiologist. Take a look at this:
www.qureshiuniversity.com/anesthesiologist.html. These guidelines have been established by Doctor Asif Qureshi.

If you add one question with answer to existing guidelines, your name will be displayed at this resource with appreciation and with recommendations for credits to the state department of health.

What should you know before you go ahead with this medical specialty training?
You are first a physician before you are any other entity in this professional field.
Many physicians are required in every state. Few of this type of medical specialists are required in the state or outside the state.
Training for this specialty proceeds like this: first, a requirement for a state department of health and hospital is displayed; than training occurs. You have to be a highly competent physician who can reach correct diagnoses and treatment of human beings in various healthcare settings.

What is an anesthesiologist?
An anesthesiologist is a doctor (MD or DO) who practices anesthesia. Anesthesiologists are physicians specializing in perioperative care, development of an anesthetic plan, and the administration of anesthetics and postoperative care.

Anesthesiologists also supervise critical care units of human health care in the state or outside the state.

What should an anesthesiologist do in case the diagnosis is wrong or the wrong patient has been placed at a specific location?
Record the wrong diagnosis truthfully.
Report that the wrong patient has been placed.
The anesthesiologist should recommend cancellation of the procedure.

What will happen if the anesthesiologist does not follow these guidelines?
The anesthesiologist should be charged with felony/criminal charges.

Questions from training program resource.

What state department of health has nominated the physician to be an anesthesiologist?
Have all questions been answered before imparting training for this physician to be an anesthesiologist?
In what precise state and location in a specific hospital will this anesthesiologist work?
What is the profile of existing physicians and staff at this location?
What real-world human health care experience should a physician who needs to be trained as an anesthesiologist have?
In what location will the individual work in this hospital in the state relevant to various operating room locations?
How many total operating room locations are there in the hospital?
How is performance measured?
Will the physician have to work in the operating room or intensive care unit?
Can anyone be harmed by this type of endeavor?

Once these questions are answered, then training should occur as per the requirement.

Questions every anesthesiologist must ask and verify before going ahead with general anesthesia.

What is the profile (name, date of birth, mailing address, language spoken, prominent mark, attendant with contact details, primary care physician, diagnosis) of the patient?
Did you verify the identity of the patient?
How did you verify the identity of the patient?
What is the diagnosis of the patient?
Who verified the diagnosis of the patient?
Is the diagnosis for this patient correct?
What is the recommended treatment (medication, procedure)?
Why general anesthesia is required for this patient?
What exact type of procedure is required?
How will the procedure help or alleviate the symptoms and signs, or cure the patient?
Is emergency general anesthesia or nonemergency general anesthesia required for the patient?


Ending questions.

Was the general anesthesia for this patient justified?
Yes/No.

Did any harm occur during the process of procedure or general anesthesia?
Yes/No

What abilities should you have as an anesthesiologist?
You should know everything about general anesthesia.
You should know everything about the critical care unit (CCU).
Pre-anesthesia consultation
Post-anesthesia care unit (PACU)
Postoperative care
Postoperative follow-up
Rapid sequence intubation
Mechanical ventilation - critical care medicine
Weaning from mechanical ventilation
Negligent death in the intensive care unit


What are the types of Careers in anesthesiology?
Anesthesiologist
Anesthesiologist’s assistant
Anesthesia technician
Certified anesthesia technician
Certified anesthesia technologist

Anesthesiology
Types of Careers in Anesthesiology

Anesthesiologist

An anesthesiologist is a physician; a highly trained medical specialist who makes anesthesia related medical decisions and is responsible for the safety and well being of the patient. This includes maintaining the patient in a state of controlled unconsciousness, providing pain relief and monitoring the patient's critical life functions as they are affected throughout surgical, obstetrical or other medical procedures.

The anesthesiologist's role extends beyond the operating room. The anesthesiologist is responsible for the preoperative assessment of the patient, making medical judgments about the best anesthesia plan for that individual based on his or her current health, what medications they are taking, the type of surgery, etc. The anesthesiologist is also responsible for the well being of the patient postoperatively while the person emerges from the effects of the anesthesia. Additionally anesthesiologists help stabilize critically ill or injured patients, in intensive care units. They are often involved in the management of acute postoperative pain, chronic and cancer pain; in cardiac and respiratory resuscitation; in blood transfusion therapies; and in respiratory therapy.

As long as there is a demand for surgery and relief from pain, there will be a need for qualified anesthesiologists. The number of surgeries has been on the rise, totaling more than 40 million a year, almost evenly split between hospitals and outpatient facilities.

Anesthesiologist Assistant

Anesthesiologist Assistants (AAs) are highly skilled health professionals who work under the direction of licensed anesthesiologists to implement anesthesia care plans. AAs work exclusively within the anesthesia care team environment as described by the American Society of Anesthesiologists. An AA may not practice outside the field of anesthesia or apart from the supervision of an anesthesiologist.

The specific job descriptions and duties of AAs may differ according to local practice. State law or board of medicine regulations or guidelines may further define the job descriptions of AAs. The constant ingredient, no matter what the local regulation, is that AAs always practice under the medical direction of a qualified anesthesiologist.

Anesthesiologist assistants and certified registered nurse anesthetists are both defined as "non-physician anesthetists" within the Centers for Medicare and Medicaid Services section of the Code of Federal Regulations.

The professional organization for AAs is the American Academy of Anesthesiologist Assistants (AAAA) www.anesthetist.org.

Anesthesia Technician

An Anesthesia Technician (AT) is not a doctor or a nurse. The role of the AT is to support the work done by the professional anesthesia personnel. ATs are responsible for managing the anesthesia equipment and for its proper maintenance.

Depending on individual expertise and training, the task of the AT, Certified Anesthesia Technician (Cer.A.T.) and Certified Anesthesia Technologist (Cer.A.T.T.) may include equipment maintenance and servicing such as cleaning, sterilizing, assembling, calibrating and testing, troubleshooting, requisitioning and recording of inspections and maintenance. They may operate a variety of mechanical, pneumatic and electronic equipment used to monitor, evaluate and manage the patient undergoing anesthesia.

The scope of practice and duties assigned to an AT will vary from state to state and from one facility to another. Most ATs are employed at larger acute care hospitals, particularly in trauma, transplant, and teaching facilities, but can also be found in outpatient surgery clinics.

Technical Skills

Must be able to operate, maintain and repair biomedical equipment and anesthetic devices such as ventilators and catheters.

Certified Anesthesia Technician

The Certified Anesthesia Technician (Cer.A.T.) is a technician who has successfully completed the examination requirements established by the ASATT. The Cer.A.T. is an allied healthcare professional who is an essential member of the anesthesia patient care team, as observed by the American Society of Anesthesiologists (ASA), the American Association of Nurse Anesthetists (AANA) and the Association of periOperative Registered Nurses (AORN). The Cer.A.T. performs duties under the supervision of the licensed anesthesia care providers.

Certified Anesthesia Technologist

A Certified Anesthesia Technologist (Cer.A.T.T.) is a technician who has successfully completed both the Certified Anesthesia Technician and Technologist Examinations per the requirements established by the ASATT. The Cer.A.T.T. is distinguished from the Cer.A.T. by additional levels of training and experience.

What do anesthesiologists do?
Anesthesiologists help ensure the safety of patients undergoing surgery. The anesthesiologist provides care for the patient to prevent the pain and distress they would otherwise experience. This may involve general anesthesia (“putting the patient to sleep”), sedation (intravenous medications to make the patient calm and/or unaware) or regional anesthesia (injections of local anesthetic near nerves to “numb up” the part of the body being operated on (i.e. nerve blocks or spinal/epidural injections)).

Can’t the anesthesiologist just do the injection (or put the patient to sleep) and then leave?
No. That would be unsafe. The anesthesiologist, or someone working with him or her (a resident, a fellow, or a nurse anesthetist) must remain with the patient. This is needed so that the patient status can be monitored (heart rate, blood pressure, breathing, level of awareness during sedation), and changes made as needed (so as to prevent or manage major problems that could arise during the surgery).

Here are further guidelines.
What is Anesthesia?
Anesthesia is freedom from pain. Each year, millions of people in the United States undergo some form of medical treatment requiring anesthesia. Anesthesia, in the hands of qualified professionals like

Anesthesia is a way to control pain during a surgery or procedure by using medicine called anesthetics. It can help control your breathing, blood pressure, blood flow, and heart rate and rhythm.

Anesthesia may be used to:
Relax you.
Block pain.
Make you sleepy or forgetful.
Make you unconscious for your surgery.

Other medicines may be used along with anesthesia, such as ones to help you relax or to reverse the effects of anesthesia.

What determines the type of anesthesia used?
The type of anesthesia used depends on several things:

Your past and current health. This includes other surgeries you have had and the health problems you have, such as heart disease or diabetes. Tell your doctor if you or any family members have had an allergic reaction to anesthetics or other medicines.
The type of surgery. For example, you may need general anesthesia to ensure your comfort and safety during certain types of surgery.
The results of tests, such as blood tests or an electrocardiogram (EKG, ECG).

Your doctor or nurse may prefer one type of anesthesia over another for your surgery. In some cases, your doctor or nurse may let you choose which type to have. Sometimes, such as in an emergency, you don't get to choose.

Anesthetic

What is an anesthetic?
An anesthetic is a medicine that helps block pain. It may help a person relax, become sleepy or forgetful, and/or become unconscious for surgery.

Anesthesia specialists use these medicines and close monitoring to help keep people safe and comfortable during surgery and other medical procedures.

There are three main types:

Local anesthetics numb a small part of the body, such as the nose or mouth. They are given as a shot. Or they are applied topically.

Regional anesthetics numb a larger part of the body. They are given as a shot around major nerves or the spinal cord. General anesthetics make a person unconscious. They are given as a gas or as a shot directly into the bloodstream (IV, through a vein).

Some topical anesthetics are over-the-counter medicines. These medicines can be used as home treatment for minor injuries.

Will someone be looking after me while I am under anesthesia?
At least one member of the anesthesia team will be with you at all times while you are in the operating room under anesthesia. They will be monitoring your blood pressure, heart rhythm and rate, and the oxygen levels in your blood.

Are there different types of anesthesia?

There are three basic types of anesthesia: General anesthesia produces a loss of sensation throughout the entire body.

Regional anesthesia produces a loss of sensation to a specific region of the body.

Local anesthesia produces a loss of sensation to a small specific area of the body.

A preoperative interview with your anesthesia professional will determine which anesthetic is best for you.

Nitrous Oxide and the Inhalation Anesthetics
Inhalation Anesthetics

Who administers anesthesia?
What is general anesthesia?
Here are further guidelines.
Before Your Surgery
During Your Surgery
After Your Surgery
Negligent death in the intensive care unit
How do you investigate a negligent death in the intensive care unit?
Let's investigate this.
On October 20, 2014, a policeman injured in a stone pelting died at SKIMS, Soura, in Kashmir, Asia. Waseem Ahmad Bhat was injured in a stone pelting incident at Duck Park, Fore Shore Road, Nigeen Hazratbal, on July 29, 2014, when locals clashed with a police party.

Where had the physicians been educated who did the assessment and treated the injured on the spot, in the intensive care unit, and during the stay in hospital?
Their educational resource needs to be reminded they did not teach them to do a proper assessment of patients in various healthcare settings.

Questions that need to be answered.

What exactly happened on July 29, 2014, at Duck Park, Fore Shore Road, Nigeen Hazratbal, Srinagar, Kashmir, in which policeman Waseem Ahmad Bhat was injured – minute by minute, second by second?
How many total police officers were present at that point and how many stone pelters were there?
What were the issues?
What is the profile of the physicians who treated him from July 29 to October 20, 2014?
What physicians assessed Waseem Ahmad Bhat on the spot on July 29, 2014?
What physicians assessed Waseem Ahmad Bhat on arrival at the SKIMS intensive care unit on July 29, 2014?
What was the condition of Waseem Ahmad Bhat when the injury occurred?
What was the condition of Waseem Ahmad Bhat when he was received in the intensive care unit?
What treatment was given from July 29 to October 20, 2014 to Waseem Ahmad Bhat?
What senior physicians supervised the treatment?
Who was supervising the intensive care unit at SKIMS Srinagar, Kashmir, from 1994 to 2014?
How did this individual or individuals supervise the intensive care unit at SKIMS Srinagar, Kashmir, from 1994 to 2014 and how did this individual contribute intellectually to enhance the intensive care unit, Kashmir?


State police empowered by other departments in the state and outside the state should get answers to these questions.
Termination of services with further punishments of physicians and those who harmed must go ahead.

Place two police officers around the clock at SKIMS Intensive care unit with everyday reporting. Computerize all the intensive care records under supervision of state police and the court.
Last Updated: July 7, 2016