Is it safe to use a CRNA instead of an anesthesiologist?

Question

I have a lower FL amd neck lift scheduled for Jan 7, and just found out my PS uses a CRNA and not a full on anesthesiologist. I’m kind of uneasy about this and wanted to get some expert opinions. The surgery suite is in her office. Thanks!

Stephen Prendiville, MD · Answer

Yes, it is entirely safe to use a CRNA for a facelift,  I have used both CRNA's and Anesthesiologists over my career; for healthy patients, there should be no issues.  For medically complicated patients that belong in a hospital, an Anesthesiologist is mandatory. However, this should not be an issue for outpatient elective surgeries.  I have a team of 5 CRNA's that are excellent that I have worked with over the last 10 years without any major medical issues and a very low incidence of postoperative nausea.

Waylon Zeng, MD · Answer

Hi there, thank you for your question! I can definitely understand your concern with regards to choosing a qualified anesthetist. CRNAs as well as anesthesiologists are widely utilized in many office-based surgery suites as well as surgery center and hospital ORs. I have worked with CRNAs who regularly work in cardiac operating rooms doing open heart surgery as well as anesthesiologists just out of training. The best way to address your concern would be to speak with your surgeon to express your concern as well as ask for the experience of the anesthetist. Thorough communication is key to address your concerns!

Zoran Potparic, MD · Answer

In our practice CRNA providers have shown reliability and safety regarding both twilight and general anesthesia. Careful selection of patients, preoperative clearance by primary care physician and other specialist as needed are part of preoperative evaluation. Providing that anesthesia provider is someone who works with your surgeon for long time you should feel safe. Good luck.

Is it safe to use a CRNA instead of an anesthesiologist?

Answers (3)

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