Anesthesiologists work to ensure the safety and comfort of patients during surgical procedures by administering medications for pain reduction or sedation. In addition it's one of the few specialties that is still mostly still dominated by private clinics. By using our Services or clicking I agree, you agree to our use of cookies. There are many disease states that make anesthesia much more dangerous than for a healthy patient, and many of them are much more common than MH. Much like smoking cigarettes, abstaining from marijuana in the weeks before surgery can decrease the likelihood of complications during and after surgery. Some radically different medicines were stored in nearly identical containers. I'm worried about a few things and wonder if you have any input? Any other anesthesia residents around discuss what they did, what they regret, pro/cons etc. Share on LinkedIn. Does that put them at a higher risk for complications in the surgery? I'm personally skeptical about whether this correlation means causation. Yes. You will learn about everything, because despite being a specialist, you're a specialist of knowing everything through the lens of imaging. I've had a great experience so far and am learning a lot, but there is not a day that goes by that I don't thank my lucky stars that I matched into radiology. It is true that there have been some mandated changes in the engineering of anesthesia equipment that prevent dangerous errors. Press question mark to learn the rest of the keyboard shortcuts. Additionally, I noticed the burnout rate is quite high (about the same as EM, which is frankly terrifying). Never had anything more than a local for it. Another thing is: one radiologist I know told me practically 90% of DRs do a fellowship. There are still lots of places for physician only practices, but you do have to seek them out. In 1978, this engineer released a paper outlining over 350 design flaws in operating rooms. A third compound is very critical. Background Balloon‐tipped bronchial blocker catheters are widely used in pediatric thoracic anesthesia to establish single‐lung ventilation. There is some truth to the notion that semi-conscious sedation and full anesthesia are recommended for the convenience of the oral surgeon. There is a big jump when you go from M4 to PGY-1 and that mostly comes in the form of expectations. I do a mix of general and cardiac anesthesia. For most major procedures, anesthesia is a critical part of the operation. Seems like an easy high impact/massively read study possiblity. Don't do EM if you dont like working extremely hard for a shift. I guess it boils down to doing what you love? In other cases, a particular drug might not be contraindicated, but the chosen plan must take into account unique dangers. There are a time and place for these methods. really, with all of the sensors and monitors now, i would say that anesthesia is not very risky, and i would trust my anesthesiologist. EM from what you wrote seems like less of a good fit. General anesthesia usually uses a combination of intravenous drugs and inhaled gasses (anesthetics).General anesthesia is more than just being asleep, though it will likely feel that way to you. These deeper states certainly can speed things up, making the surgica… This is not to say that you should not use these latter two methods. But, it doesn't sound like you enjoy the day-to-day of IM. This can take a few days to pass. Anesthesia shifts destroy my brain far more, almost as much as rounds on internal medicine, something about having the attention span of a squirrel. Speaking of procedures, they're for the most part quick, innovative, and often curative. Cross posting from r/anesthesiology. If I recall they monitor heart function and issue antagonistic stimulants and suppressants to assure that your heart function is working between necessary limits (except for heart surgery duh) while a controlled rate of paralytic is administered. I took it as, "What is more likely to kill you, the surgery or anesthesia?". While general anesthesia is sometimes necessary, ask about other approaches -- like a local or spinal anesthetic. Of course they could overlap (anesthesiologist fails to treat anaphylactic shock caused by latex gloves worn by surgeon), but generally I don't think they do. But, it doesn't sound like you enjoy the day-to-day of IM. even post-op, when someone is on a lot of antibiotics, that can kill of most of the intestinal bacterial flora, which leaves a ripe bowel in which clostridium difficile can grow, leading to colitis and possibly toxic megacolon. As for that standing around, now I know how many things are going on that I have to monitor and take care of. It’s eerie to read the description given by the radiology resident above because I feel nearly the same thing can be said of anesthesia. I guess it matters how you define "danger". Perhaps on a scale of open heart or brain surgery to something like … A patient with increased intracranial pressure due (for instance) to a tumor should not receive ketamine, which increases that pressure further (at least, this is the classical teaching). When I tell people this many think I'm nuts. Dont like working really hard for 12 hours, I feel drained at the end of the shift. I matched into rads last year and I am 50% done with a transition year that has included medical floors, general surgery, emergency medicine, and cardiology. Epidemiological studies are done where the cause of each perioperative death or injury is attributed to a specific cause. Introduction. He was half in the bag and generally unhappy to talk about work, but some well aimed goading got him to reveal the following: Under general anesthesia, anestheticians (?) Whatever you can sense or observe doesn't get written to long term memory (rohypnol or something similar) so you can't remember whatever sensations get through. Im seriously considering the above 4 things but am open. You listed no negatives for radiology, that's a start. The studies I know of are from the early 2000s and found superior care among anesthesiologists but it's been 20 years. Good mix of pharm, path and physio. Of course there are things we have to do to avoid this complication - in some cases we will even put the patient on a heart-lung machine prior to anesthetic induction. No networking or trying to run my own practice. save. Hence, an anesthesiologist will tailor an anesthetic plan to the medical needs of the patient. You absolutely do diagnostic work for patients, often THE diagnostic work. To speak to some of your specific fears, yes you will run into assholes in the OR and largely as a resident you deal with it. I wish you luck, certainly a good spot to be in (having many choices as opposed to none or few), feel free to PM me if you have any other specific questions. No, general anesthesia puts you to sleep, and fast. ... especially in high doses. hide. However, if you want recognition and gratitude from your patients, if you want to be able to diagnose and practice clinical medicine, you might not like anaesthesia. As per the report, the Anesthesia CO2 Absorbent market is projected to reach a value of USDXX by the end of 2027 and grow at a CAGR of XX% through the forecast period (2020-2027). Press J to jump to the feed. Malignant hyperthermia is also known in the veterinary realm; I know of one dog that was saved from malignant hyperthermia by being taken from neuter surgery and put into a snowdrift when they went into uncontrollable overheating. Hello! Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Coronavirus disease‐19 (COVID‐19), caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), remains a public health emergency of international concern with high levels of community transmission and a high mortality rate in high‐risk groups [].The care of patients with COVID‐19 has put a significant strain on intensive care unit (ICU) resources worldwide. If you don’t mind me asking, how do you feel about CRNAs? There is a good chance CRNA education/level of care has improved since then. No insurance bs. Similarly you are a specialist, but you require a broad range of knowledge because patients with every conceivable disease will present for surgery. I am an introvert and I am very happy left alone. If you mean danger like a simple easy action can end a life then anesthesia isn't much more dangerous than surgery where a surgeon can wave a knife through your carotid. Local anesthetic is the "mildest" form of anesthesia used to just numb the area. Acute conditions are rare and often in emergencies. 3 years later, I am so, so glad I chose anaesthesia. I'm an M2 so I haven't rotated in anything but I've shadowed a radiologist and have some rads pubs. I love my job and recently took the next step by working on a "locum tenens" contract basis (1099) instead of full-time (W-2). Good answer. It was my second option as I missed out on my first choice. Local and regional are the two that are often confused with one another. General anesthetics are usually achieved with combinations of drugs, and there are many ways to do this. there was historically a much larger problem with anesthesia being dangerous, as the the signs of things going really poorly (such as poor oxygenation) were the patient showing physical signs (blue or gray skin discoloration). Following this internet discussion thread to figure out difficult questions to my own life. Can message me if you care to answer and sorry if off topic. Some of the bad stuff that you will dodge includes a lot of paperwork and typing, complicated call schedules (most hospitals work a night float or night hawk system), and the dreaded patient interaction. No dealing with multiple consultations and follow up. I imagine the 1000th time you treat a CAP patient, or remove that routine galbladder, or whatever it may be doesn’t seem nearly as exciting as the first 100 times you did it. 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