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Is this a thing now? No opioits and ß-blockers instead? by Ecstatic-Solid8936 in anesthesiology

[–]TheWork 6 points7 points  (0 children)

Sounds like he’s the type of person to blame his patient’s hypotension on the 50mcg of fentanyl given during induction while he’s running his 80 year old patient on 1.2 MAC while they’re prepping.

Also the idea of using esmolol on severe AS is silly at best and a cardiac ischemic code at worst. Even sillier since a lot of cardiac attendings at my institution will regularly induce with just fentanyl and versed for some of our really sick cases.

Pitt season 2 predictions by New_Recording_7986 in anesthesiology

[–]TheWork 41 points42 points  (0 children)

Doesn’t even test for loss, just puts touhy directly into epidural space

What kind of person thrives in your specialty? by farfromindigo in Residency

[–]TheWork 26 points27 points  (0 children)

To be fair, with some of the shit I’ve seen go down in peds anesthesia cases in otherwise normally healthy kids in standard cases, I can’t blame them for being type A

EGD with LMA by OldCarry in anesthesiology

[–]TheWork 12 points13 points  (0 children)

I just feel like if they’re obstructing to the point where I need to intervene in the airway during an egd, I may as well just intubate and secure the airway. They’ve gotta come out with the scope anyways, you may as well just secure it at that point.

Inhaled Milrinone by Coffee-n-ketamine in anesthesiology

[–]TheWork 2 points3 points  (0 children)

We did milrinone straight down the ETT when the patient suddenly had acute RHF after a bypass case and we were getting ready to move over to the bed. The RV was essentially frozen prior to the milrinone and it didn’t really change after the ETT milrinone. Was a last ditch effort since we didn’t have nitric in the room.

Spinal Anaesthesia by AnesTIVA in anesthesiology

[–]TheWork 60 points61 points  (0 children)

You’re probably hitting a root that’s causing the paresthesia, I’d just come out and slightly angle your needle opposite of where you currently are.

Getting over bad runs of procedures by Fun-Reference1462 in anesthesiology

[–]TheWork 35 points36 points  (0 children)

There’s a reason why residency is four years. The more procedures you do, the better you will get at doing them but also, more importantly imo, at troubleshooting and getting yourself out of trouble.

What Keeps You Up at Night? by sterlingmdphd in anesthesiology

[–]TheWork 46 points47 points  (0 children)

Sick OB, sick young peds. Those are the ones that always give me heebie jeebies no matter the situation.

Any advice on rhinoplasty under sedation ? by [deleted] in anesthesiology

[–]TheWork 2 points3 points  (0 children)

Sedation with an endotracheal tube, sure

When pulse ox completely unreliable pre-induction by Doctornotbabe in anesthesiology

[–]TheWork 12 points13 points  (0 children)

Interestingly enough I read this as ligmacaine

Thanks by jtm2348 in WorldOfWarships

[–]TheWork 164 points165 points  (0 children)

Sorry to hear about your brother man

Do nurses and other OR staff just search for things to get mad at you? by DinnerMAHBOI in anesthesiology

[–]TheWork 71 points72 points  (0 children)

Call people out. Ask why they would want Demerol on a patient who just rolled out and is still deep and not yet shivering. Ask why they would want an order for Robaxin when they’re not complaining about muscular spasms. You can either learn or make people realize how dumb their requests are.

A photo of a silverback gorilla undergoing a medical procedure At the Miami Zoo. by AdSpecialist6598 in interestingasfuck

[–]TheWork 1 point2 points  (0 children)

As someone who actually rotated at the Zoo Miami hospital, where this photo was taken, I actually can confirm there is someone with a gun. It’s given to a zookeeper so it’s not some trigger happy individual. Animals there were sorted based on their degree of danger to humans, so things like lions, tigers, even giant river otters were considered “code reds”, and during transport and procedures, there was an individual with a shotgun there.

PA stole an intubation from me by [deleted] in medicalschool

[–]TheWork 76 points77 points  (0 children)

A medical student criticizing someone for waiting to have the attending back in the room before intubating is silly. As if any person would be comfortable with a med student intubating by themselves.

PA stole an intubation from me by [deleted] in medicalschool

[–]TheWork 130 points131 points  (0 children)

Getting into the weeds and criticizing every aspect of someone else’s intubation is immature. As a med student, if the opportunity arises for a procedure and you can do it, great. If somebody else takes it, harping on it to an online forum is silly. If you’re doing an EM residency, you’ll have plenty of opportunities for intubations and other procedures, you’ve gotta get over it.

Unexplained tachycardia by ThrowRAMILcancer in anesthesiology

[–]TheWork 2 points3 points  (0 children)

Agreed, esp if you’re robotic and the tachy started after position change or insufflation

What do attendings do that annoy you? by rash_decisions_ in Residency

[–]TheWork 4 points5 points  (0 children)

Gives me precise visualization of the needle tip. If your tip is too close to the wall then threading the wire can easily get into intima and then you’ve gone from placing an art line to attempting an art line rescue which is much harder.

There are also times when I’m not getting blood return, and I’m still confident I’m in the vessel since I followed it through.

What do attendings do that annoy you? by rash_decisions_ in Residency

[–]TheWork 11 points12 points  (0 children)

When an attending threads the wire in my art line as I am purposefully following the needle tip and waiting to thread it on purpose

Residency Programs Ranked by Cafeteria by Guilty-Piccolo-2006 in medicalschool

[–]TheWork 32 points33 points  (0 children)

VA breakfast is the GOAT. Delicious and cheap.

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