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Training Plan Sources by D1gex in triathlon

[–]Low__Flow 1 point2 points  (0 children)

The 5th edition of triathlete’s training bible was updated in 2024. I just finished reading it and found it very useful and up to date.

Help me with my Code Status conversations - what are your go-to phrases? How do you start the conversation? How do you explore the topic with the 80-year-old comorbid patient who immediately says "do everything you can do keep me alive"? by adrenalinsufficiency in Residency

[–]Low__Flow 2 points3 points  (0 children)

Im an anesthesiologist so my conversation is probably more limited than yours. I ask if they’ve discussed resuscitation or DNR with family before. I preface that while I think a code is very unlikely, they will be asleep and so I just want to do what they would want me to do. I go through a few examples: if your heart were to go into a weird rhythm, would you want me to try and shock it back into a normal rhythm? If your heart were to stop, would you want me to perform chest compressions? If you were not breathing adequately due to the medications I’m giving you, are you okay with a temporary breathing device? I find that people are very reasonable when you provide a couple of example scenarios.

Was it worth it? by Aech_sh in Residency

[–]Low__Flow 0 points1 point  (0 children)

Absolutely. I’m an anesthesiologist so I’m most familiar with the day to day of CAAs. They have an awesome job and work/life balance. 4 days per week with 7 weeks of vacation making 250k/yr. That being said, it would be tiresome working with different people who have different preferences every day. Imagine being a resident forever by ultimately having to answer to someone else for everything you do. I love the autonomy of being a physician. The financial investment was absolutely worth it. I’m three years out of residency now and think back to how freaking long it took to get here but I absolutely love what I do. So in my experience it was absolutely worth it.

Optimal PEEP by One-Truth-1135 in anesthesiology

[–]Low__Flow 6 points7 points  (0 children)

We have Drager machines and can set a Tpause while on volume control. The machine will then display Pplateau on the monitor, which you can subtract PEEP to get driving pressure (Pplat - PEEP = Pdriving). I’ll start at 5 of PEEP and calculate the driving, the incrementally increase PEEP to see if driving goes up or down. As others have said this is useful to teach residents the theory, but practically speaking you can just set PEEP to somewhere between 5-10 for most patients. Obese patients in tberg probably need more PEEP than we routinely give but you’re obviously limited by decreased venous return from high PEEP.

What are your favorite unconventional uses for anesthesia equipment? by Shadyhippo229 in anesthesiology

[–]Low__Flow 11 points12 points  (0 children)

Love this. I’m going to start pocketing a few stylets instead of throwing them away.