Quality of care varies everywhere.
I used to “take pride” in my ability to do a 400 lb ruptured type A with a difficult airway by myself at night. Now I realize this is incredibly stupid and another experienced set of hands is better for everyone including the patient.
As for simpler cases - from a public health standpoint CRNAs are “good enough”. You’re insane to argue otherwise. Again quality varies but if you maintain competence standards and knowledge and clinical pathway standards it will be good enough. Video laryngoscopy will become standard, drugs will get safer, intra-OR command centers with full remote monitoring of all cases and AI assisted case guidance will be more widespread. Physicians will be overkill for sitting the stool.
here’s a glimpse of what’s coming
Washington University in St. Louis is studying the Anesthesia Control Tower, a telemedicine-based intraoperative clinical support system.
theanesthesiaconsultant.com