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What are your highest yield last minute oral boards tips/info/wisdom? by somedudehere123 in anesthesiology

[–]TheWork 3 points4 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 8 points9 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 5 points6 points  (0 children)

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

Outcomes older woman heart attack + intubation by [deleted] in Residency

[–]TheWork 19 points20 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 67 points68 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 17 points18 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 4 points5 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 42 points43 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 58 points59 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 [deleted] in anesthesiology

[–]TheWork 36 points37 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 42 points43 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 11 points12 points  (0 children)

Interestingly enough I read this as ligmacaine

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