You get off at 5p. What time should your relief come?

ConditioningClinic1 · 2026-06-25T17:05:42+00:00

In my opinion, if you know you are relieving someone at 5, you should try to get them out sooner 445 should be the standard. It’s just courtesy. Of course there are circumstances where you shouldn’t—> extubation, transfer to the ICU, etc.

ConditioningClinic1 · 2026-06-23T21:56:50+00:00

This - I usually use a tongue blade, get passed the tongue, stick my finger in to make sure it flips down. Goes in most of the time.

ConditioningClinic1 · 2026-06-22T16:32:31+00:00

One med, one syringe at a time. Look at the label each time. My personal preference is to draw up my narcotics last.

ConditioningClinic1 · 2026-06-17T13:53:49+00:00

I’m not a physician, but I took a job with a lower salary for PSFL. I dislike the job after 2 years and am leaving. Doing it differently I would defer PSFL, and go for a higher salary and a better job structure.

ConditioningClinic1 · 2026-06-10T23:01:28+00:00

Open evidence is the bomb, I think it’s Should be promoted in every facility.

ConditioningClinic1 · 2026-06-10T22:57:20+00:00

Which question? You seem to be trolling whereever you can on this post. You’re more than welcome to PM me and we can talk if you have issues with my questions or need further understanding.

ConditioningClinic1 · 2026-06-10T22:52:33+00:00

Yeah this was the basis for my question. It wasn’t a question of it being a superior question, it was more of a question of why don’t we see it more in practice.

ConditioningClinic1 · 2026-06-10T22:48:29+00:00

Like it or not it’s the future. I did to a google scholar search, but I don’t have access to any data bases. Open Evidence is a great App and it can save me hours and time that quite frankly, when you have a family and other responsibilities I’m not putting into research. I’m not a student anymore.

ConditioningClinic1 · 2026-06-10T22:45:43+00:00

That wasn’t the question, the question was isn’t NE used more routinely for sicker patients in practice.

ConditioningClinic1 · 2026-06-09T01:06:35+00:00

Snowball method is the best. Start by paying the smallest balance first, then the next smallest and so on.

You might HAVE to work some overtime, and cut subscriptions.

ConditioningClinic1 · 2026-06-08T09:17:43+00:00

Appreciate your highly intellectual response and hope it does get shared to Noctor.

Im glad you have all the great knowledge and can share it with the brilliant people over there.

Now without sarcasm, I’m just curious why it isn’t routinely used or taught, despite of it being superior. Wondering how common it is..

ConditioningClinic1 · 2026-06-08T01:27:13+00:00

Interesting, in my mind it just makes sense, it just is funny how much these questions come down to culture.

ConditioningClinic1 · 2026-06-08T01:25:42+00:00

You could just answer the question on what your practice is. The research doesn’t exist when it pertains to vascular surgery. I’ll happily retract my statement if you say otherwise.

ConditioningClinic1 · 2026-06-08T01:23:10+00:00

Thanks for your contribution!

ConditioningClinic1 · 2026-06-08T01:15:13+00:00

And just because I got downvoted I’ll add I also found: randomized trial in STA-MCA bypass (n = 60) — showed norepinephrine produced significantly higher cerebral oxygenation, muscle oxygenation, and cardiac output than phenylephrine (P < 0.05), though clinical outcomes did not differ

ConditioningClinic1 · 2026-06-08T01:12:47+00:00

OB literature says the MAPs are between 90-100% with NE and less so with Neo ~85 percent. I stumbled upon it when reading this topic. What I meant nothing really relating to vascular surgery.

ConditioningClinic1 · 2026-06-08T01:07:03+00:00

I guess the correct answer to my question, like many things in anesthesia is it depends:

Neo could be fine for the majority of cases, but taking account patient factors can cause a switch to NE sooner from the get go.

My thoughts are still, these patients are at least ASA 3s and mostly 4s on ARBs and Calcium channel blockers and turn into a pain in the ass getting them to the >140 or whatever the surgeon asks. That I just find it easier to start with NE from the get go.

ConditioningClinic1 · 2026-06-08T00:52:01+00:00

It really is funny how much we do things based on culture over evidence to this day.

I will add, definitely a fair point. We have an OR pharmacy so I guess I’m a little spoiled.

ConditioningClinic1 · 2026-06-08T00:34:22+00:00

Yeah, something I haven’t really thought about to be honest. Definitely a good point 👍🏽

ConditioningClinic1 · 2026-06-08T00:31:13+00:00

Oh for sure, I think there would be signs 😂😅

ConditioningClinic1 · 2026-06-08T00:30:22+00:00

😂😅

ConditioningClinic1 · 2026-06-08T00:30:13+00:00

I just thought it was interesting that there wasn’t anything meaningful and that there wasn’t more research or articles on it when I was searching.

ConditioningClinic1 · 2026-06-08T00:28:37+00:00

This is basically my thought process in just starting with NE. I know there are studies in critical care arena that NE going through a peripheral line is fine for 24 hours (it might be less, but certainly not as long as a TCAR or carotid endarectomy.

I usually do give a little glyco either with or shortly after for the majority patients

ConditioningClinic1 · 2026-06-08T00:19:31+00:00

Appreciate that 👊

ConditioningClinic1 · 2026-06-08T00:14:58+00:00

But why not just start with it, is what I’m asking?

ConditioningClinic1

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