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ANESTHESIOLOGIST

Anesthesiologists are perioperative physicians ("peri-" meaning "all-around") who provide medical care to patients before, during, and after their surgical experience. This includes a preoperative medical evaluation of each patient before surgery, consultation and planning of the surgery with the surgical team, creating a plan for the anesthesia tailored to each individual patient, airway management, intraoperative life support and provision of pain control, intraoperative diagnostic evaluations as needed, and critical postoperative life support. This also includes medical management of preexisting medical conditions, care and management of medical or surgical complications, provision of pain management, and intensive care management as the situation warrants. Management, direction of, and performance of cardiac and pulmonary resuscitation, advanced life support, pain control, and stabilizing and preparing patients for emergency surgery are mandatory, essential, and critical skills which anesthesiologists have been trained to employ.

Historically in the United States there has been a shortage of anesthesiologists. In order to better serve the population, residency positions in anesthesiology for physicians have been steadily increasing the past several years. In addition, physicians supervise ACTs, or Anesthesia Care Teams, which are composed of a supervising physician with several certified registered nurse anesthetists (CRNA's) or anesthesiology assistants (AA's), working together to provide healthcare to the population. In other areas of the country, anesthesiologists work in what is deemed a "solo" or "MD/DO only" practice, during which they provide anesthesia in a "one on one" relationship with the patient.

As perioperative physicians, anesthesiologists also work in ICU's, PACU's, Pain Clinics, infusion centers, and ambulatory surgical centers.

Definition provided by Wikipedia

NURSE ANESTHETIST (CRNA)

A nurse anesthetist (AE) is a registered nurse and advanced practice nurse who has acquired additional education and training to administer anesthesia . The title, Certified Registered Nurse Anesthetist (CRNA), reflects the nurse's qualifications and abilities.

Nurse anesthetists must first complete a four-year baccalaureate degree in nursing or a science related subject. They must be a licensed registered nurse. Then, the AANA requires a minimum of one year of full-time nursing experience in an acute care setting, such as medical intensive care unit or surgical intensive care unit. However, many programs require greater than one year experience. Because most programs have far more qualified applicants than available spaces, successful candidates usually have several years of experience in nursing in addition to specialized education in nursing or other health disciplines. Following appropriate experience, applicants enroll in an accredited program of anesthesia education for an additional two to three years. Programs are highly competitive. These college or university based programs combine intensive theory, didactic education, and clinical practice. Most CRNAs graduate with a master's degree in either anesthesia or nursing. Upon completion of their education, they must pass a mandatory national certification examination. The certification and recertification process is governed by the National Board on Certification and Recertification of Nurse Anesthetists (NBCRNA). The NBCRNA exist as an autonomous not-for-profit incorporated organization to prevent any conflict of interest with the AANA. This provides assurance to the public that CRNA candidates have met unbiased certification requirements that have exceeded benchmark qualifications and knowledge of anesthesia. CRNAs also have continuing education requirements and recertification every two years thereafter, plus any additional requirements of the state in which they practice.

Definition provided by Wikipedia