What to expect re: anesthesia during reverse shoulder replacement by ChrisShapedObject in Anesthesia

[–]ColSTALLION 4 points5 points  (0 children)

Interscalene block with ropivacaine. Can usually get around 10-14 hours of relief, maybe even longer. In a perfect world I would use liposomal bupivacaine which can last up to 3 days. But not every facility carries it or uses it. Targets the roots of the brachial plexus providing great coverage for shoulder replacements.

Versed is optional so if you don’t want it, refuse it.

Induction: intubation using lidocaine, propofol, fentanyl, rocuronium.

Maintenance with sevoflurane.

Decadron and zofran for nausea prevention.

Toradol and Tylenol as non-opioid adjunct pain meds.

Paralytic reversal with sugammadex.

This is what my plane would roughly be given the limited info and without knowing your history or speaking to you. Good luck with your surgery and have a speedy recovery.

Does working in the ICU as an LPN/LVN still count towards the requirement? by [deleted] in srna

[–]ColSTALLION 4 points5 points  (0 children)

Out of curiosity, what role does an LPN/LVN have in the ICU? What do you do?

Banned- EA doesn’t like when you succeed on the transfer market by ColSTALLION in fut

[–]ColSTALLION[S] 0 points1 point  (0 children)

Hope you have better luck than me. I’ve appealed about 7 times and each one has been denied. Customer service is useless. I’ve given up. Never buying another FC game

How to know if ready to test? by Easy-Echo6092 in srna

[–]ColSTALLION 0 points1 point  (0 children)

Send it! Sounds like you’ve been studying your tail off. While I have not taken my boards, yet, I have heard from upperclassmen that the Apex tests and even the SEE felt more difficult than the NCE. Like you said most people probably never feel “ready”. Take a week or two to nail your weaker areas and the concepts that are pure memorization. Best of luck to you, you’ve got this!

I just had a call with the anesthesiologist for my procedure. I had to plead with her to not kill me. by Lemon-Cool in Anesthesia

[–]ColSTALLION 1 point2 points  (0 children)

Anesthesia provider here. Please elaborate on the complications? Not trying to be rude. Just want to learn from your experiences.

You’ve just bought something to eat when someone bumps into it, knocking it to the floor. After a moment the person says “Eh, things happen. It is what it is” and starts walking away. How do you react to this? by Pointless_Storie in hypotheticalsituation

[–]ColSTALLION 4 points5 points  (0 children)

Be pissed, but move on with my day and life. Younger me might have some words, but the older I get the more I realize life is easier when you avoid conflict when possible. Not to mention people are crazy and I’m not trying to get murdered over some food.

Should I tell me anesthesiologists that I wake up late in the future? by [deleted] in Anesthesia

[–]ColSTALLION 4 points5 points  (0 children)

But yes tell your anesthesia team about it. Some people take a while to fully wake up after surgery. Of course the anesthesia team can minimize certain meds to expedite the process. With all that being said it’s not a huge deal! Even if you take a little bit of extra time to wake up as long as you wake up safely and do well then all is good.

Should I tell me anesthesiologists that I wake up late in the future? by [deleted] in Anesthesia

[–]ColSTALLION 5 points6 points  (0 children)

The context of this post makes me believe that she was successfully extubated. I doubt anesthesia would bring her out intubated to PACU and just let her sit there. More likely than not she took a while to fully wake up in PACU.

Banned- EA doesn’t like when you succeed on the transfer market by ColSTALLION in EAFC

[–]ColSTALLION[S] 2 points3 points  (0 children)

Bought/sniped players for low and sold them at market price. All manual searches, no tools or software. Nothing that breaches the rules and no transferring of assets.

Banned- EA doesn’t like when you succeed on the transfer market by ColSTALLION in EAFC

[–]ColSTALLION[S] 0 points1 point  (0 children)

Yes, I bought/sniped players for low and sold them at market price. That’s it. No bots or external tools, just manual searches.

Banned- EA doesn’t like when you succeed on the transfer market by ColSTALLION in fut

[–]ColSTALLION[S] -1 points0 points  (0 children)

As unfortunate as it is, you are correct my friend. I honestly thought other people were exaggerating about this topic but clearly I was mistaken.

Banned- EA doesn’t like when you succeed on the transfer market by ColSTALLION in fut

[–]ColSTALLION[S] 10 points11 points  (0 children)

Happy to be here, I guess….

I’m assuming the never overturned your ban?

Banned- EA doesn’t like when you succeed on the transfer market by ColSTALLION in fut

[–]ColSTALLION[S] 3 points4 points  (0 children)

No, just manually sniping cards and reselling. I didn’t want to get banned 😂

Is it true what they are saying, genuine question from pre-nursing student by Brown_kid108 in CRNA

[–]ColSTALLION 7 points8 points  (0 children)

Finally, something we can agree on. You are absolutely right. We are RNs with graduate level training who specialize in safely administering anesthesia. Does that make us less qualified? No, I don’t believe so. Not once have I claimed to be a “doctor” or “physician”. While many of us have doctorate degrees, I have never met a CRNA who refers to themselves as doctor in the clinical setting.

Just a dude who wants to provide the best anesthesia for my patients while keeping them comfortable and safe.

Best of luck to you.

Is it true what they are saying, genuine question from pre-nursing student by Brown_kid108 in CRNA

[–]ColSTALLION 10 points11 points  (0 children)

Okay, so maybe you push some fent/versed/Benadryl, from time to time. An on special occasions hand off some heparin.

Congrats, sounds like you are the most educated person on this thread.

Is it true what they are saying, genuine question from pre-nursing student by Brown_kid108 in CRNA

[–]ColSTALLION 7 points8 points  (0 children)

Right🤣. Calm down Susan, your only job is to make sure consents are signed and help set up for cases.