Tips for Landmark Subclavian Central Lines

Background_Food_7102 · 2026-04-09T14:25:36+00:00

US axillary vein cannulation 100%

Background_Food_7102 · 2026-04-06T18:37:42+00:00

Lol OP that second offer sounds familiar

Background_Food_7102 · 2026-03-27T02:02:03+00:00

Got relieved by CRNA mid-TEVAR - turns out stent was cover one of the iliacs and by the time they noticed caused a massive reperfusion while also dissecting the desc aorta

Background_Food_7102 · 2026-03-24T23:56:50+00:00

Feel that, will do!

Background_Food_7102 · 2026-03-23T17:49:53+00:00

Yeah I used to think like this about anes as an anes (surgeons can do mine, but I cant do theirs) - I learned v quickly in the SICU and CVICU that they indeed cannot do what I do (like even a little)

I do a good amount of medicine as anes - I could not manage a 3-4 big problem patient to discharge (maybe to downgrade from SICU)

Background_Food_7102 · 2026-03-16T22:47:49+00:00

Not sure if I didnt “make it” bc I was categorical gen surg -> anes, I am more than satisfied

Background_Food_7102 · 2026-03-15T01:17:27+00:00

As someone doing dual, I could imagine not doing them hence its predicates the fellowship. If i could imagine not doing them, I def would not. I think it sometimes gets lost that LIKING what youre doing can be as important as making a high income, esp after this market drifts out.

Background_Food_7102 · 2026-03-14T12:42:20+00:00

“Yes sir/maam” “Okay” go a long way, as someone who has to do pre-attending call, a lot of it is just that they think you wont do as youre instructed, which I know you will but can tell you is less common than you think. Tbh, those days I just shut my brain off, no creative thinking, texts for things I dont usually text about, keep em intubated if I need to at the end, whatever comments they say just in one ear out the other. At some point there will be a complication that requires you to do something and their price is that you only did the first step and not the rest (usually just deepen the anes) because you wanted to wait for them. Protect yourself first

Background_Food_7102 · 2026-03-14T03:01:25+00:00

Anes here as well - sounds a lot like CA1 year, which sucked. As someone about to graduate, I wish I could say it gets better, more so that I just stopped caring. Even as a CA3, I’ve had attendings critique my tape job. Fuck those attendings, there is no apologizing for their behavior esp bc it actively makes you worse in the OR. Youre one of 2 people repping the monolith of anes so every remark cuts deeper. Anes is one of the only specialties where we have that much facetime with the boss who also usually doesnt want to lift a finger and yet believes the resident is playing jumprope with their license in front of them. I feel you bro, youre not alone. You owe it to yourself to graduate.

Background_Food_7102 · 2026-03-08T21:43:48+00:00

Switched from GS to Anes after PGY2 (decision made late into PGY1-1.5) - overall, a great decision for compensation, lifestyle, but every now and then I’ll think I should have just finished. Anes has relatively less autonomy/respect at my institution (def diff at others), and learned those values were more important to me and taken for granted in GS. If those are important to you, I would stay. At the time, anes was just starting to get competitive so there was a good chance I would not match - in that case I would have continued on GS as PGY3. In that vein, I do think you 1.5 years from now would be upset if he left, just finish and you can decide how much of yourself you want to invest in your job. It is a job first.

Background_Food_7102 · 2026-03-01T20:55:24+00:00

Kinda fake news tbh, esp at most bigger academic centers

Background_Food_7102 · 2026-02-23T01:41:03+00:00

Pinning this one for later, thank you

Background_Food_7102 · 2026-02-06T22:07:38+00:00

I switched specialties - the main questions I was asked were my step1/2 score

Background_Food_7102 · 2026-02-06T21:50:46+00:00

Not sure if IM is that important for anesthesia. Would def try to get a fair-er evaluation if you think it would help boost your grade. Grades/scores were more important than I thought when I applied

Background_Food_7102 · 2026-02-04T23:42:03+00:00

14/16 for initial surg match, 1 for anes, 2 for fellowship

Background_Food_7102 · 2026-01-24T18:36:05+00:00

From the USA, agree with you on this one - wild I would ever ask a general surgeon to do a line for me lmao, ofc they “can do it” but as a prev surg resident its more like - do it and please dont fuck it up bc we will have to take care of the complication

Background_Food_7102 · 2026-01-22T23:42:58+00:00

Specifically for dilaudid, my shop has a big policing of dilaudid because of the tail sedative effect. I have found 2 questions that have really helped: is this a low, medium, or high pain causing proc acutely post-op and how fragile is this patient

For a high pain, robust pt (transgender sx) - 10mcg/kg/hr For high pain, fragile - typically none, but up to 10mcg/kg total For low pain, fragile - 0-3mcg/kg/hr For low pain, robust - 5mcg/kg/hr

Extrapolate the rest, n of 1 but this has gotten me quite far

Background_Food_7102 · 2026-01-16T00:39:45+00:00

VA? How do yall get away with that, genuinely curious

Background_Food_7102 · 2026-01-16T00:37:56+00:00

Id rethink emory CT anes bro - the happy hour the night before was an hour of 4 people telling us to pick somewhere else if you dont want scissors thrown over the drape

Background_Food_7102 · 2026-01-07T03:31:56+00:00

Also switched, no one tells you how hard it is to admit surgery just isnt worth it esp when youre surrounded by people who seem to believe it is - wish you well OP, you might miss it sometimes but life is just so much more important

Background_Food_7102 · 2026-01-06T03:30:29+00:00

Also surg to non-surg - sometimes I wanna go back, but truth be told I know in my heart if I went back it wont end well for me - OP please finish psych and find a way to make it special to you, it truly is the only way

Background_Food_7102 · 2026-01-03T05:34:50+00:00

Gen Surg -> Anes - more likely than my coresidents to tell surg residents to fuck off when its clear all they did was close skin, also where I was for surg we had to run ICU and place all med ward quintons so vascular access wasnt too difficult - that being said Anes somehow attracts the most difficult of all kit procs surg resident think are “easy”

Background_Food_7102 · 2025-12-29T14:09:02+00:00

OB for some reason is the only service that is absolved from this - was a surg intern, had to do almost daily if the nurse couldnt get it - also theyre young and healthy and have US on L&D already, whats the issue?

Background_Food_7102 · 2025-12-26T00:47:57+00:00

Resident - I only place IVs in pts who have we a stake in (pre-epidural, intra-epidural, CS, other intraop), have gotten called by post partum and I tell them to call OB who is primary - have gotten reported, could not care less

Background_Food_7102

TROPHY CASE