Editorial  |   September 2014
Pilots and Safe Outpatient Anesthesia Care
Author Affiliations
  • N. Martin Giesecke, M.D.
Article Information
Ambulatory Anesthesia / Editorial
Editorial   |   September 2014
Pilots and Safe Outpatient Anesthesia Care
ASA Monitor 09 2014, Vol.78, 4-5.
ASA Monitor 09 2014, Vol.78, 4-5.
Likely, you’ve read about my first job after residency – a solo private practice in Victoria, Texas. When Susan and I moved there in 1989, Victoria was a city of around 50,000 citizens. About eight other physician anesthesiologists shared call with me, and we covered a varied group of private practice surgeons, working at three hospitals and one independent outpatient surgery center. Twenty-five years ago, even that outpatient surgery center had a physician anesthesiologist as its medical director. I’ll come back to that.
As mentioned above, the physician anesthesiologists provided care for the patients of many different surgeons. After I had been there a while, my practice took on a comfortable routine. On Mondays, I provided anesthesia for the patients of a general surgeon. Before completing his schedule, we might have worked at all four of the facilities mentioned above. Tuesdays saw me providing anesthesia for the cardiac surgeons. I was doing peribulbar blocks for an ophthalmologist and his patients on Wednesdays. On Thursdays, at least initially, I covered obstetrical anesthesia. Fridays, my patients were those of an oral surgeon. Since the oral surgeon usually only had one or two cases, the rest of my day was filled with caring for the patients of any other surgeon who wished to schedule with me.
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