When Veterans are aging, they might suffer from more severe multiple medical problems than average
civilian population which need more attention and service from physician anesthesiologists to deal with the
potential complications during operations. I have personally lead anesthesia team to save lives from life
threatening conditions such as malignant hyperthermia, pneumothorax, massive bleeding, pulmonary
emboli etc. More evidences show intraoperative complications make significant impact on patients' long
term survival and well-beings.
CRNAs are simply not qualified and not eligible to treat complex medical conditions; they will compromise
the quality and safety of healthcare in VAMC if they were allowed to practice alone without
anesthesiologists' supervision. The future policy should not jeopardize the value of anesthesia care to our
Veterans when they are going through the most dangerous period of surgery.￣
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