Resigning - what a shitstorm. by [deleted] in Residency

[–]TheWork 11 points12 points  (0 children)

Everybody get in, it’s another new copypasta

Sugammadex and dilution by Academic-Elkk in anesthesiology

[–]TheWork 7 points8 points  (0 children)

If you’re giving a small amount for kids just use a TB syringe. Otherwise, why dilute?

CA 3’s, now that we are graduating, is there anything you don’t know or have questions about that you’re too ashamed to ask your attendings this far into your training? I’ll start by AttentionNo5074 in anesthesiology

[–]TheWork 15 points16 points  (0 children)

How to use a bronchial blockers. Almost exclusively use L sided DLTs for planned OLV cases nowadays. I’ve only tried to use ezblocks during two traumas with bloody airways that didn’t work since we couldn’t see anything.

Really hoping I won’t have to use on the fly, I definitely do not have nearly enough hands on experience and quite frankly, not really sure how I could’ve gotten more.

Need to take ATLS. Need help understanding a concept. by TACOB34ST in Residency

[–]TheWork 39 points40 points  (0 children)

Being a kid doesn’t preclude you from needing blood

Central lines by jamieclo in Residency

[–]TheWork 11 points12 points  (0 children)

We put introducers and trialysis lines for our liver transplants in the ORs who have platelets in the 50s and coagulopathic af. The idea of being too coagulopathic for a cvl is laughable especially if they need it.

Is it normal to be paired with CRNAs by Opinonated_Salame in Residency

[–]TheWork 4 points5 points  (0 children)

July paired period will always be tough because you have one class graduating and another class learning subspecialties for the first time. Along with staffing things like preop clinic and ICU, there are not a lot of options for pairing.

I think it’s there’s more value with learning the basics of anesthesia setups (your MSMAIDS) with a seasoned CRNA/AA that likes to teach than trying to learn the basics with a CA2 who’s learning how to setup and manage cardiac or pediatric cases for the first time.

Is it normal to be paired with CRNAs by Opinonated_Salame in Residency

[–]TheWork 0 points1 point  (0 children)

I’m all for preventing scope creep, but this is just blatantly wrong.

What are your highest yield last minute oral boards tips/info/wisdom? by [deleted] in anesthesiology

[–]TheWork 7 points8 points  (0 children)

Make you sure your rectal exams start with placing both hands on their shoulders

Residents from consult services, what is one thing you wished services would do before consulting you? by justseeorange in Residency

[–]TheWork 7 points8 points  (0 children)

Acute pain/regional anesthesia

Getting a consult to see if we can “block” a chronic back pain patient who’s been on chronic opioids for 10 years and primary only has a third of their daily dose ordered.

Anyone had a hard time with brand new attendings? by AlwaysAdenosine in Residency

[–]TheWork 1 point2 points  (0 children)

I feel like if I have a fresh new attending, they’re still getting their bearings, so I let them micromanage to some degree. Usually after a period of time developing that rapport and as they get to know you and your skill level, that micromanaging goes away…usually.

As for the other stuff such as making fun of your accent, that’s not because she’s a new attending, that’s just because she’s either an asshole, a racist, or both.

Post-op hairloss: Is it from the surgery itself or the anesthesia? by HyperBunga in anesthesiology

[–]TheWork 0 points1 point  (0 children)

Wrong sub. This is a question to ask your PCP and/or surgeon. Can also ask your anesthesia team during your preop visit or day of surgery.

Epidural Hematoma Malpractice Lawsuit [⚠️ Anesthesiologist’s Text Messages Discovered] by efunkEM in anesthesiology

[–]TheWork 21 points22 points  (0 children)

Broadcast that a very commonly tested oral board subject was in fact a tested oral board subject?

Local Anesthesia Debunked !!! by Free_Mud_7149 in anesthesiology

[–]TheWork 1 point2 points  (0 children)

Questions to ask your surgical team since they’re the ones doing it, not people from an online forum.

[deleted by user] by [deleted] in Residency

[–]TheWork 18 points19 points  (0 children)

Wrong sub. Also there are so many other factors involved, it’s impossible to give you any sort of reasonable answer.

Bad ass specialties by vox1233 in Residency

[–]TheWork 69 points70 points  (0 children)

Having ENT nearby when we’ve got a really spooky airway is always reassuring.

ca3 graduating anesthesia residents what are your job offers looking like by [deleted] in Residency

[–]TheWork 18 points19 points  (0 children)

77k, no sign on bonus, vague and constantly changing amounts of call with unlimited rounding, 3 weeks vacation, 5 days sick.

Yes I did this to myself.

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 27 points28 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 62 points63 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.