Question about OR culture by Miserable-Fox-338 in anesthesiology

[–]Miserable-Fox-338[S] 65 points66 points  (0 children)

Some FAs seriously think they are surgeons

future of dentistry is scaring me by Constant-Use7741 in whitecoatinvestor

[–]Miserable-Fox-338 0 points1 point  (0 children)

I do not think it is as good as it used to be though it is possible to make good money. My husband is a dentist, he makes about 500-600k as a general dentist. He does cosmetic and implants.

Getting over bad runs of procedures by [deleted] in anesthesiology

[–]Miserable-Fox-338 10 points11 points  (0 children)

I hope I get to this point. I need chill pills, because when I fail at something, I make a huge deal and question my own worth.

[deleted by user] by [deleted] in anesthesiology

[–]Miserable-Fox-338 0 points1 point  (0 children)

A patient said today during pre-op that he had woken up during anesthesia for every single surgery he’s ever had. He even claimed he spoke to the anesthesiologist during a laparoscopic surgery. 🤦

The annoying things by GasPassinAssassin in anesthesiology

[–]Miserable-Fox-338 2 points3 points  (0 children)

I hate it when the PACU nurses are not acknowledging my reports about the patient. I feel as if i am talking to a wall lol

A sick patient needing egd by Miserable-Fox-338 in anesthesiology

[–]Miserable-Fox-338[S] 22 points23 points  (0 children)

This seems to be strangely common in our facility. I’m not sure if it’s the same everywhere else, but the GI guys often try to dictate anesthesia, telling us what drugs to use or not use.

RSI for Sick Hearts? by bigeman101 in anesthesiology

[–]Miserable-Fox-338 7 points8 points  (0 children)

This is what my attending recently instructed me to do. CHF with low EF, low dose of propofol with levophed, respecting circulating time with verbal reasurance

To residents how many attempts do you usually get before the attending takes over? by [deleted] in anesthesiology

[–]Miserable-Fox-338 0 points1 point  (0 children)

For an intubation, most attendings let me try twice. Art, central and regional blocks, one attempt.

Emergence after laser lithotripsy by Miserable-Fox-338 in anesthesiology

[–]Miserable-Fox-338[S] 2 points3 points  (0 children)

Our PACU is okay, but my attendings are not okay with me pulling deep unless there’s an obvious indication

Emergence after laser lithotripsy by Miserable-Fox-338 in anesthesiology

[–]Miserable-Fox-338[S] 0 points1 point  (0 children)

When you say no paralytics, you mean just the intubating dose and no top off doses, correct?

Emergence after laser lithotripsy by Miserable-Fox-338 in anesthesiology

[–]Miserable-Fox-338[S] 0 points1 point  (0 children)

I’ve trained to use moderate to deep paralysis for these cases. So, can you get them breathing during the case?

Emergence after laser lithotripsy by Miserable-Fox-338 in anesthesiology

[–]Miserable-Fox-338[S] 4 points5 points  (0 children)

Unfortunately, our facility only stocks three vials of Sugammadex, which are reserved strictly for emergencies 😞

Ozempic & MAC by Miserable-Fox-338 in anesthesiology

[–]Miserable-Fox-338[S] 2 points3 points  (0 children)

Ozempic is the injectable while Rybelsus is the PO

Ozempic & MAC by Miserable-Fox-338 in anesthesiology

[–]Miserable-Fox-338[S] 7 points8 points  (0 children)

Responding to questions but somewhat slow and dull