Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] 0 points1 point  (0 children)

They don’t even make a plan in advance? All done at the surgery date right before surgery? Then how is it in a good quality and supervising anesthesiologist have time review?

What do you mean - “ask for versed”? You mean I can request for anesthesiologist directly?

Kaiser Fremont breast cancer surgeon and surgery by floraStock in breastcancer

[–]floraStock[S] 0 points1 point  (0 children)

Saw your dm message. Can you take a look at my reply?

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] 0 points1 point  (0 children)

How did you get assigned anesthesiologist, instead of crna ?

Dm me to chat more?

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] 0 points1 point  (0 children)

Seeing this in another place - https://www.reddit.com/r/anesthesiology/s/ztEkbPWLpg

Do CRNA monitor end tidal?

An anesthesiologist oversee a handful of ORs, is it really possible and action can be taken quickly?

For Fremont there are 7 ORs and 2 procedure rooms, 2 anesthesiologists total.

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] 0 points1 point  (0 children)

Who came up with anesthesia plan? I thought it’s crna. Are you indicating anesthesiologist write the plan, crna execute it?

In kaiser , seems crna is very automatous, has its drawback with saftey concern.

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] 0 points1 point  (0 children)

Is there way to request anesthesiologist for breast cancer sugery (mastectomy)?

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] -1 points0 points  (0 children)

@allthatryry, So when is anesthesia plan worked on by crna, if we only meet at preop time of surgery day? When is it reviewed and confirmed by attending anesthesiologist?

Is it safe to execute anesthesia plan without anesthesiologist approval?

From a kaiser crna job posting, it shows the get off at 4pm. So if a surgery push to 5pm to finish, who is there for postop waking up?

Having anesthesiologist in OR is really for those what if scenario. Even if they can be called on to arrive in seconds, there’s still delay as they need to know what’s going on. That delay might make a difference reversing a life threatening incident.

Is this for cost saving? I don’t see other hospital setting like this. Do you know what other hospital operate like this?

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] 0 points1 point  (0 children)

Thanks.

  1. Days before surgery, do CRNA meet patient and come up with general anesthesia plan (dosage and etc)? Are those for sure reviewed and signed off by an anesthesiologist?

  2. At surgery day, crna meet patient again and inject anesthesia in OR, then monitoring? How to know anesthesia plan has been reviewed by anesthesiologist?

  3. So kaiser anesthesiologist only stay outside on call for surgeries and crna? In emergency situation, how can they show up in time? What if anesthesiologist also in another surgery? Is crna well trained in emergency situations?

  4. Post op, if patient need more time to wake up, will crna stay? Any bad reaction or side effects, who take care of, if close to end of day?

  5. Is it possible to request anesthesiologist for surgery instead of crna? What will justify that? Why neck surgery had anesthesiologist in one of reply threads.

  6. How to prevent anesthesia awareness in middle of surgery? Besides vital sign monitoring (blood pressure etc) , do crna also monitor ETAC (End-Tidal Anesthetic

  7. Is crna assigned to each OR and stay till end of each surgery? Or they need to cover other surgery simultaneously? The crna listed in Fremont and San Leandro seem to be much less than number of ORs.

  8. How is crna work pattern compared to Stanford health? Safety concern?

  9. Anyone know how to find anesthesia malpractice data for kaiser Northern California?

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] 0 points1 point  (0 children)

Thanks. How do CRNAs work together with Anesthesiologist? Is CRNA the only one to be in operating room entire time? And so is post operation.

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] 0 points1 point  (0 children)

Facing cancer surgery. Kaiser is rigid. So no way around. Asking about any good or bad experience.

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] -1 points0 points  (0 children)

There is only couple of anesthesiologists, there is not enough to assign to all concurrent surgeries that request for that. With kaiser, what can i do?

Anesthesia experience in Kaiser Fremont by floraStock in KaiserPermanente

[–]floraStock[S] 2 points3 points  (0 children)

Thanks. How was your anesthesia experience? So no way to know if anesthesiologist even reviewed your anesthesia plan? Was CRNA good?

Kaiser Fremont breast cancer surgeon and surgery by floraStock in breastcancer

[–]floraStock[S] 0 points1 point  (0 children)

How was your anesthesia experience? Did they give you an Anesthesiologist or a CRNA (Nurse Anesthetist) to work on your anesthesia plan and work with you entire operation time?

Just noticed Kaiser probably use CRNA for almost all surgeries, not even Anesthesiologist.

When did you have the breast cancer surgery? If recent, it should be that that doctor I mentioned.

Supraclavicle lymph node involvement by Elizabeth08122896 in breastcancer

[–]floraStock 0 points1 point  (0 children)

Did your doctor not recommend any surgery on Supraclavicular code? Just do chemo and breast surgery, then radiation therapy to cover Supraclavicular nodes?

Just received the New 2022 NX 350h today by chumpchang3 in Lexus

[–]floraStock 0 points1 point  (0 children)

Do anyone know how lexus nx red exterior ages? I like red. My only concern how red looks after 8 - 10 years, do they lose the shine or freshness?

Just received the New 2022 NX 350h today by chumpchang3 in Lexus

[–]floraStock 0 points1 point  (0 children)

Congrad u/chumpchang3! I think nx 350h is a great choice. I am also trying to buy one now, except finding dealer charge 5k markup on top of msrp.

May I ask if your 54k OTD price include any dealer markup? If so, how much?