Nice_Category

Nice_Category t1_iutkiqc wrote

So I do surgical neurophysiology/neuromonitoring for brain and spine procedures and nearly all of my cases are with CRNAs. Typically, the anesthesiologist will come in with the patient (along with the CRNA) and assist with getting the patient to sleep and intubated, then positioned onto the operating table. After that they leave and go assist with other cases or do whatever it is they do, leaving the CRNA in the OR to administer the case. 99% of cases have no issues, and the anesthesiologist may pop his head in a few times throughout the case to see if the CRNA needs anything. Another CRNA may stop by to give a break. Then, at wake up after the case is finished, you might see the anesthesiologist, but maybe not. That's a typical case.

If ANYTHING goes wrong, they call the anesthesiologist immediately while trying to correct the issue. This could be something like an irregular BP, suspected issues with a leak in the airway, IV or art line issues, or something as serious as pulmonary edima during extubation.

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Nice_Category t1_iur6a43 wrote

Not MDs, but CRNA school is a PhD equivalent now. They are typically very well trained and know what they're doing. I'd be fine having a CRNA watching over me during surgery.

I also work in surgery and very closely with anesthesia and the surgeon. Just like anything, there are certain surgeons, anesthesiologists, and CRNAs I wouldn't want on my surgical team. But I wouldn't disqualify a CRNA because of their title. They are highly trained.

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