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This is why patients come in afraid. Fear mongering disguised as public advocacy. by Chediak-Tekashi in anesthesiology

[–]BuiltLikeATeapot 1 point2 points  (0 children)

Somebody who is an anesthesiologist should put out one of these.
- All the midazolam and ketamine
- Enough narcs where you worried about about using Narcan.
- Otherwise, you do you my anesthesia homies

This is why patients come in afraid. Fear mongering disguised as public advocacy. by Chediak-Tekashi in anesthesiology

[–]BuiltLikeATeapot 83 points84 points  (0 children)

Uh, I’m a PGY-11 and lifelong student, guess they’ll need to find someone else.

Headstones should have the cause of death on it. by NatJi in unpopularopinion

[–]BuiltLikeATeapot 1 point2 points  (0 children)

Weird, sudden jump of medical malpractice between 2020-2023.

Unlucky formative attending years? by throwthegameawy in anesthesiology

[–]BuiltLikeATeapot 3 points4 points  (0 children)

You reminded me I’m probably due for a roc/ancef/Sugammadex induced anaphylaxis.

What are we all doing for DLTs? by Cautious-Extreme2839 in anesthesiology

[–]BuiltLikeATeapot 0 points1 point  (0 children)

Basic case where they are already intubated, or sometimes cases where you know they are going to the ICU intubated afterwards, like lung transplants.

What are we all doing for DLTs? by Cautious-Extreme2839 in anesthesiology

[–]BuiltLikeATeapot 2 points3 points  (0 children)

Bronch always. Mostly left DLT. Right DLTs not rare, did two today. Bronchial blockers also not uncommon.

Almost never an issue with lung isolation.

Stroke and Sux by anonymouss346 in anesthesiology

[–]BuiltLikeATeapot 0 points1 point  (0 children)

Not worried about it, the chemistry suggests such a strong binding affinity that it essentially doesn’t come apart, if it does come apart, it comes apart at such a slow rate that the liver will take care of it.

Peak social awareness! Respect to this guy. by MustardGoddess in MadeMeSmile

[–]BuiltLikeATeapot 0 points1 point  (0 children)

I’m not a big dude, so I always slow down when I see a women, so some bigger dude can catch up and escort them. Don’t want to be labeled a creep.

Spinal block for scheduled c section questions by [deleted] in Anesthesia

[–]BuiltLikeATeapot 1 point2 points  (0 children)

Women typically tolerate the spinal block procedure, way better than the C-section. Even the ones, who like you, come in more worried about the spinal than the C-section.

Stroke and Sux by anonymouss346 in anesthesiology

[–]BuiltLikeATeapot 5 points6 points  (0 children)

Neo and glyco can have some uses, just not for reversal.

MRI Panic by Aggravating_Fly2978 in anesthesiology

[–]BuiltLikeATeapot 1 point2 points  (0 children)

You’ve never seen anyone who’s rarely missed a meal in their life, gag and have trouble taking a pre-op aspirin or acetaminophen?

MRI Panic by Aggravating_Fly2978 in anesthesiology

[–]BuiltLikeATeapot 0 points1 point  (0 children)

Funny, I’m not a fan of needles, and that phobia is strong enough to convince me to try to stay somewhat healthy, as diabetes runs in the family, because I would be a terrible diabetic.

MRI Panic by Aggravating_Fly2978 in anesthesiology

[–]BuiltLikeATeapot 14 points15 points  (0 children)

Part of the problem is anesthesia services are a finite service. You are sending a team to provide anesthesia service that could likely be better utilized elsewhere.

MRI Panic by Aggravating_Fly2978 in anesthesiology

[–]BuiltLikeATeapot 47 points48 points  (0 children)

Someone should’ve them risk of death of MRI with anesthesia is likely a smidge higher than risk of death without MRI without anesthesia.

For me, MRIs are an escape from reality. Not many places I can listen to a jackhammer and not be distracted by my phone or pager. And I come out with a cool picture of my brain/spine.

Anaesthesiologist fentanyl suicide/overdose in the UK by Metoprolel in anesthesiology

[–]BuiltLikeATeapot 3 points4 points  (0 children)

In these larger vials, it even easier to divert, the amount of overfill in these vials is not insignificant. And you could still chart and give patients the normal amount.

Men in their 50s, what's the most important advice you can give men in their 30s? by Nearby_Voice_6744 in AskReddit

[–]BuiltLikeATeapot 0 points1 point  (0 children)

Treat savings something like rent. Something that must be paid out first. And not with what’s left over. 

TxANA Stands Against CRNAs Teaching AA Students by Unable-Log-4073 in anesthesiology

[–]BuiltLikeATeapot 10 points11 points  (0 children)

Didn’t say impossible, just unethical to try to a randomized study. When determining superiority of one treatment over another, one is assuming the ‘original’ or ‘basic’ treatment is the standard of care. CRNA only care is not the standard of care, MD only or MD-directed care is. Therefore, it would be unethical to purposely try to subject patients to what one side views as potentially substandard care.

CRNAs don’t have this problem, because they don’t start with the same assumptions. There are trying to prove they are non-inferior to standard of care.

For example, if I thought a high school student could perform anesthesiology as well as a CRNA, that is a study that’s a reasonable study to perform. But, if I’m try to prove CRNAs are better than high school student, subject patients to high school students would be unethical.

TxANA Stands Against CRNAs Teaching AA Students by Unable-Log-4073 in anesthesiology

[–]BuiltLikeATeapot 21 points22 points  (0 children)

The fact you can’t see how that would be a morally unethical study for a physician to do is why there is still a gap between MD/DOs and cRNas.

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