2 responses

  1. L T
    February 26, 2013

    Wow, there are a lot of inaccuracies here, please consider re-writing. In response to the below, CRNA’s perform the pre-op interview, administer all anesthetics and determine their dosing, induce/intubate the patient, monitor intra- and post-operatively, identify risks to the patient, and in many states can work independently from any physician at all. CRNA’s perform all of these mentioned tasks daily. It has been proven CRNAs are just as safe as providers as MDAs (MD Anesthesiologists) and CRNA’s administer approximately 70% of all anesthesia in the United States and they do so safely, effectively, and affordability. In larger hospitals, MDA’s and CRNA’s work collaboratively and in some states “supervision” is mandated, and in other states “supervision” is not a requirement. Collaboration, and not “supervision” is the key here, although as stated, the terminology used is per state. In rural America, CRNA’s perform an even greater percentage of care alone/independently, where access to any anesthesia services may be limited. I strongly request that this page be revised after more careful and accurate research.

    “The anesthesiologist is responsible for doing the pre-op interview to spot for any preexisting illnesses in the patient. He…determines the dose of anesthesia .. direct supervision of the anesthesiologist, the CRNA will have to induce the drug(s) himself and carefully monitor the condition of the patient throughout the operation. He can also adjust the amount of anesthesia given whenever it becomes necessary. For the postoperative phase, the CRNA has the bigger task of tending to the patient’s needs, which runs up to the recovery phase.

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  2. Kim
    May 25, 2015

    I agree please consider rewriting this article. While some of the information is correct you also are misrepresenting and actually are diminishing the roles of CRNA’s. In NYC yes the MD and CRNA work together to determine the course of anesthesia BUT CRNA’s do pre-ops and determine their own doses of medication. Although I am still in training this is apparent to me when I’m in the OR. My attending anesthesiologist will ask me what doses I plan on giving and not telling me and me following blindly. I appreciate the article for the background information but I suggest really finding out the scope and practice of CRNA’s.

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