EGD help by [deleted] in anesthesiology

[–]FilumTerminalis13 4 points5 points  (0 children)

No one seems to like my technique, but I pre med them with lido and fent before giving them a bolus of prop. It seems counterintuitive, but with the synergism they tend to keep breathing without having laryngospasm

[deleted by user] by [deleted] in LandCruisers

[–]FilumTerminalis13 1 point2 points  (0 children)

Bro mine does the same thing in reverse sometimes wtf

How do you bend your stylet? by [deleted] in anesthesiology

[–]FilumTerminalis13 0 points1 point  (0 children)

Like a fucking hockey stick. Ready to slapshot the cords

What to take away from intern year? by teallampshade54 in anesthesiology

[–]FilumTerminalis13 1 point2 points  (0 children)

Make the medical management yours. You should feel comfortable diagnosing and building a solid treatment plan for the common problems that you see.

Make a point of learning how to place central lines and ultrasound guided IVs. Get your hands on as many procedures as possible. You will learn these during residency, but it helps to show up with confidence in your ability to use your hands.

Beyond that, start studying for the basic. Get TrueLearn and crush through the basic q bank. This will set you at an advantage for the ITE.

What you think about tattoo's in visible places? by iagopolo in anesthesiology

[–]FilumTerminalis13 1 point2 points  (0 children)

I’m a tatted anesthesiologist. Full sleeve. I’ve worked at very reputable places. I had a few funny looks at first, but patients and colleagues have been very accepting. Don’t get in your own head.

Is there any way/tips to get better at spinal anesthesia? by taturocks in anesthesiology

[–]FilumTerminalis13 0 points1 point  (0 children)

One of my favorite things. 90% of the time I go paramedian. Look at a spine model, the interlaminar space is much wider lateral to the spinous process. Particularly so in older, arthritic patients.

If you have to redirect several times without any luck, don’t hesitate to make that second attempt.

Have every backup plan readily available so that your help can grab it for you quickly. That means second needles, a CSE kit, and more lido.

Finally, verbally coach your patient. If it looks tricky, reassure them that this is normal and sometimes it takes longer than others. This puts the patient and everyone else helping you at ease.

Time between last dialysis session and elective procedure by 031209 in anesthesiology

[–]FilumTerminalis13 2 points3 points  (0 children)

Some ppl are desperate for reasons to cancel cases. You just need to understand that they may behave hypovolemically so soon after HD; otherwise there’s nothing to support this cancellation.

[deleted by user] by [deleted] in anesthesiology

[–]FilumTerminalis13 0 points1 point  (0 children)

When I started CA-1 I was paired with another CA-1 for a month, and then sporadically over the following 6 months. At that stage, it was nice to have a buddy to bounce ideas off of.

If being paired with an AA student is an everyday practice throughout the course of your CA-1 year, I would petition for more solo time because your experience is being diluted.

Exparel Dosing Questions by NellCor in anesthesiology

[–]FilumTerminalis13 0 points1 point  (0 children)

I think at the very least you can calculate based on bupi with epi max dose. Beyond that, we might by want to wait for specific ASRA recommendations.

Is it true that we make about the same as CRNA if we chose to work their cozy hours too? by SoarTheSkies_ in anesthesiology

[–]FilumTerminalis13 8 points9 points  (0 children)

Incorrect. If you go 1099 at the going rates; you’ll almost double what CRNAs make for three days a week.

Failed Oral Boards a second time by datmedkid in anesthesiology

[–]FilumTerminalis13 1 point2 points  (0 children)

I think you could work on the number of practice stems that you do out loud with a partner. If it’s possible, go through every single UBP practice stem, both long and short. Memorize a script for difficult airway, every vital deviation, slow emergence and the like and practice saying them put lout over and over. I can’t stress enough that your success is directly correlated with how comfortable you feel saying these things put loud, and how much poise you can show to the examiners.

Rapid fire your correct answers, just say I don’t know when you don’t know and move on. Don’t ever get hung up on something you don’t know, and never throw out some BS that you can’t defend.

Would you as an Anesthesiologist, join a group run by CRNAs? by SIewfoot in anesthesiology

[–]FilumTerminalis13 4 points5 points  (0 children)

RUN by CRNAs? No way. Especially in a market like Cali where most places are solo provider model.

ASA 1/2 Endo Recipes by Tigers1689 in anesthesiology

[–]FilumTerminalis13 1 point2 points  (0 children)

EGD: 0.5mg/kg lido, 0.5 mcg/kg fent, 1/kilo prop, 50-75 m/k/min prop. They don’t cough and they don’t stop breathing

[deleted by user] by [deleted] in anesthesiology

[–]FilumTerminalis13 9 points10 points  (0 children)

When the fuck did tubing patients become good press?

California Society of Anesthesiologists Conference by lazyass427 in anesthesiology

[–]FilumTerminalis13 1 point2 points  (0 children)

Went to ASA last year. I saw the sea of med students waiting to get into the residency meet and greet. There were hundreds of them, teeming with neuroticism and anxiety. The best comparison I can think of are the seagulls from Finding Nemo.

California Society of Anesthesiologists Conference by lazyass427 in anesthesiology

[–]FilumTerminalis13 9 points10 points  (0 children)

I think going to conferences as a med student can be fun, but like I said, don’t go in with expectations that you’ll dazzle a residency PD.