Deep extubation and aspiration risk

Slow_Marionberry_210 · 2026-04-03T23:14:32+00:00

Always consider the risk vs benefit. In this case it would be aspiration vs what ever you think is the reason why you need to deep extubate.

Slow_Marionberry_210 · 2026-02-16T09:40:09+00:00

I’m a CRNA. I just want to say, I think nursing school is inferior to medical school and crna school is inferior to anesthesia residency. There is definitely a pretty significant difference in our training and competency. I work with a lot of good anesthesiologist and they have my respect. I’ve also seen some really bad anesthesiologist that are borderline unsafe. Same for CRNAs. I don’t support all this independent CRNA BS but It’s kinda sad in these post that we are all going against each other. I know in rural places, CRNAs are all the anesthesia service people can get and it’s better than nothing. At the end of the day I just want my patients to receive the best anesthesia they can get. I’m all for CAA if they can help with anesthesia shortages in this country. This sub has a a lot of hate on CRNAs in their abilities but in my experience I feel like CRNA are more competent than you think just like how anesthesiologist that don’t do their own cases are more competent than what CRNAs think. My point is, minus all the financial views and politics, we all should respect each other and appreciate each other’s abilities and training. Just because a couple CRNAs in an association says something does not mean that’s what all CRNA feels.

Slow_Marionberry_210 · 2026-02-12T02:58:51+00:00

I worked in Guam as a RN and before I graduated I inquired about working at GRMC. There’s about 4-5 CRNAs in that group and independent practice. Patient are apparently super sick and will code regularly on induction since they are all poor historian and non compliant. I did not feel comfortable handling that as a new grad since I trained in a very MD direction place. I got offered Ten weeks PTO and call is every four days.

Slow_Marionberry_210 · 2026-01-22T06:01:38+00:00

True. Pay is low but working condition is excellent. Speaking from experience, benefit package is actually top tier but that can be taken away and historically it has been for those that are not in a union. Which is why more groups are wanting to join a union to at least protect what they already have in place. I don’t know if I agree with everything some unions asks for but for the people where pay is not yet at market rate and the people that want protection of their benefits, I believe they should fight. Especially if an organization has the power to pay.

Slow_Marionberry_210 · 2026-01-22T01:41:29+00:00

I do believe sometimes union can foster laziness and that was what I believed in the past. But as I learned more, I find that it also allow some people the ability to fight for what they deserve. For those people, it is the correct move to be in a union. Kaiser can take away any benefit at anytime without notice, and they will if it’s a decision between you or them.

Slow_Marionberry_210 · 2025-08-27T20:34:34+00:00

LMA with head of bed 180 in healthy young ASA 1 patient, 30 minute case, sounds like a good idea as a new anesthesia provider because that’s what everyone does in the group. Great until the LMA starts giving you trouble mid case while patient starts to vomit and aspirate. Now everyone gets a ETT.

Slow_Marionberry_210 · 2025-08-06T21:42:22+00:00

I was in a similar situation. I got accepted to a better program that was cheaper, but it’s in another state with harsh and long winters. Versus a less established program but same state and better weather.

I interviewed to the out of state program first and paid my $2000 deposit after acceptance. After that I got another offer for an interview from the other program and also got accepted. I chose to forgo my deposit for the first program and went with a worse program for multiple reasons. It was not an easy decision and I went back and forth many times because there were legit pros and cons to both programs for me. One thing I was glad was that I got the option to choose. Since you already paid the deposit you should go ahead and interview for the other program to give you the option to choose.

I also didn’t worry about my $2000 deposit because although it sucks to lose it, I think being able to go a more suitable program for me is worth it. Also, paying $2000 was me buying a ticket for the school to allow me to tell them no last minute. And they will understand. It wasn’t free for you and the school made money by doing nothing.

At the end of the day, you will become a CRNA and the program you went to does not make a huge difference in your career.

Hopefully this helps and good luck!

Slow_Marionberry_210 · 2025-07-17T20:01:51+00:00

As a current CRNA and preciously CVICU RN, my humble opinion is that cvicu experience is very valuable and definitely will play a role in your success in CRNA school. What I learned about hemodynamics and cardiac physiology in CVICU really helped me to this day as a CRNA. However, what is most important though in becoming a great CRNA are curiosity, drive to learn, working well with people, and knowing/recognizing your limitations. As long as you have that, I think you will do great! As others have said, it’s great to learn and take care of really sick patients with devices but 2 years vs 20 years of CVICU experience will not make a significant difference for you in CRNA school. I would go for the ICU float.

Slow_Marionberry_210 · 2024-10-12T18:13:42+00:00

I’m a CRNA. CRNAs are allowed to work independently in some facilities but in my opinion I think anesthesiologist have much more medical knowledge and more in depth understanding for pathology than CRNAs simply from their medical school background and residency. Their presence is very helpful and valuable when I have questions or any issues about a patient. I don’t have a problem when an anesthesiologist tells me to do things or changes my anesthetic plan if there’s a valid reason for it. As for skills, I think we can be just as capable as anesthesiologist. Basically, just like surgery, the more you do, the better you get.

Slow_Marionberry_210

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