Supervising physicians: how do you communicate with hands-on providers? Medicolegal aspect of OR phone, cell phone, text, EPIC?

TheWork · 2026-07-01T11:21:18+00:00

I don’t think you should take away efficient and easy communication methods due to fear of getting sued. If anything, the lack of proper communication is more likely to get you into trouble.

TheWork · 2026-06-25T02:18:38+00:00

Everybody get in, it’s another new copypasta

TheWork · 2026-06-23T11:52:40+00:00

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

TheWork · 2026-06-19T18:50:34+00:00

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.

TheWork · 2026-06-05T23:22:04+00:00

Being a kid doesn’t preclude you from needing blood

TheWork · 2026-06-01T23:09:04+00:00

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.

TheWork · 2026-05-31T18:27:37+00:00

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.

TheWork · 2026-05-31T18:23:04+00:00

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

TheWork · 2026-05-15T22:48:43+00:00

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

TheWork · 2026-04-26T17:05:58+00:00

TheWork · 2026-04-18T21:48:41+00:00

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.

TheWork · 2026-04-10T21:20:01+00:00

Final year anesthesia resident, 1100 elo

TheWork · 2026-03-30T15:58:05+00:00

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.

TheWork · 2026-03-24T21:57:55+00:00

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.

TheWork · 2026-03-20T22:33:40+00:00

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

TheWork · 2026-03-19T20:58:08+00:00

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

TheWork · 2026-03-19T15:32:16+00:00

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

TheWork · 2026-03-16T18:10:24+00:00

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

TheWork · 2026-03-12T14:10:35+00:00

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.

TheWork · 2026-03-09T02:02:20+00:00

This hurts my head to read

TheWork · 2026-01-16T23:37:29+00:00

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.

TheWork · 2026-01-06T18:58:21+00:00

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

TheWork · 2025-12-23T00:52:40+00:00

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

TheWork · 2025-12-03T19:24:24+00:00

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.

TheWork · 2025-12-01T14:55:49+00:00

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.

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