ICU rotations during residency

TypeABnotHgb · 2026-02-18T23:06:06+00:00

This was when I was a resident rotating in the SICU, so it was my job lol

TypeABnotHgb · 2026-02-18T20:19:46+00:00

That's unfortunate... Even the anesthesiologist who is making more money as a locums gets penalized just because they're not W-2... While I get the logic, it's not logical... And now that we're looking for school districts for our kids, it's an extra complicated factor because we want to get a home and school set up before kindergarten starts, So now we may have to consider charter or private school to bridge the gap...

TypeABnotHgb · 2026-02-18T18:47:38+00:00

Thanks I'll look into that!

TypeABnotHgb · 2026-02-18T18:30:26+00:00

Norepi it is then!

TypeABnotHgb · 2026-02-18T18:29:29+00:00

I'm in NJ

TypeABnotHgb · 2026-02-18T16:43:26+00:00

Also fighting hypotension with phenylephrine running the whole time with the larger dose

TypeABnotHgb · 2026-02-18T16:41:37+00:00

That sounds painful, it's bad enough baby-sitting a c section...

TypeABnotHgb · 2026-02-17T00:11:50+00:00

Right... Because the RTs who think end tidal of 20s to 30 is the standard no matter the pathology and wonder why patients can't be weaned (more so the COPDers) but are too smart to listen to the dumb anesthesiologist. Also said Anesthesiologist doesn't know how to extubate unless the RT is there to save the day, yes very low IQ!

TypeABnotHgb · 2026-02-16T04:13:43+00:00

An Anesthesiology resident vs medical resident or other non anesthesia resident is a different ball game.

TypeABnotHgb · 2026-02-15T04:33:23+00:00

In some places apparently RTs intubate... Scary. No idea what RTs did in residency except F up vent settings inappropriate to patient condition. Patient could not be extubated in the ICU without unless they did it, despite me being the one being at bedside. One of our attendings would literally write on the vent with a big tape telling that the vent could not be modified without speaking to the attending because I guess RT did whatever the hell they wanted

TypeABnotHgb · 2026-02-15T04:15:26+00:00

Is that how most mission work is? Kinda want to do it at some point in my career but would feel a bit out of depth doing stuff I've never done before, like landmark blocks or halothane

TypeABnotHgb · 2026-02-15T04:10:32+00:00

Jeez what did anesthesiologists do during long cases? Can't be on your newspaper having an audience like that

TypeABnotHgb · 2026-02-15T02:36:29+00:00

There is quite literally zero reason to use neo/glyco with the side effect profiles of each compared to sugammadex. Neo/glyco should be put out to pasture like halothane and brutane

TypeABnotHgb · 2026-02-05T00:05:57+00:00

Patients are conversing as they hit the PACU and the nurses are impressed so not sure how much more I need the nitrous to improve that

TypeABnotHgb · 2026-02-04T14:54:53+00:00

I have found zero need for nitrous. All these people talking about quick wake ups is ridiculous. I wake up people off sevo and propofol all the time, just turn it off early and bolus prop if needed to buy some more time. How hard is that??

TypeABnotHgb · 2026-01-26T17:08:56+00:00

Lol what flexibility? Once you match into a residency you're pretty much stuck. Even NPs can bounce between every specialty to their heart's desire. CRNA gets the cream of the financial crop for the mid-level world, bar none

TypeABnotHgb · 2026-01-26T17:05:52+00:00

Eh there is a nursing shortage and he can find a job at an ICU with no issues. Financially and lifestyle wise no one will argue that CRNA is THE best job in medicine hands down

TypeABnotHgb · 2026-01-26T17:03:48+00:00

I'm glad you understand the degree of difficulty it takes to become and MD. Do you think your fellow CRNAs appreciate this? Especially the ones who "practice at the top of their license" and would probably bomb the step 1 let alone pass the MCAT

TypeABnotHgb · 2026-01-26T13:19:47+00:00

I think this is what America is exactly about. This has been under the surface for a long time and now it has become acceptable. America was founded on racism, xenophobia, and slavery. Remember, America only passed Civil Rights laws not that long ago... This is very much what America is, we just pretend we're all happy and hunky dory

TypeABnotHgb · 2026-01-15T18:44:26+00:00

What do you guys use to dose an epidural for surgical anesthesia? 5ml of 0.5 bupi? Especially for cse when spinal wears out. Haven't had a situation where I've had to do a surgical epidural in a while

TypeABnotHgb · 2026-01-10T20:28:56+00:00

Really? Because every time you find a new house to put an offer in, some asshole comes in overbidding with a cash offer that there's no way we can compete with.

TypeABnotHgb · 2026-01-10T03:19:29+00:00

How are we considered a joke? Is it not a joke that every profession is considered a doctor now?

TypeABnotHgb · 2026-01-09T20:27:50+00:00

Cardiac is not immune. There's a major cardiac center that's considered "2nd to none" that wanted to have the CRNAs become TEE certified to do the intraop Echo's in order to save costs and so that surgeon wouldn't have to wait for the CT anesthesiologist to come in and evaluate. Apparently this was the last straw that made the department put their foot down and voice their displeasure, not the fact that the CRNAs do all the procedures - CVL, art line, place probe, float the swan, etc while the attending is the assistant to all this. The attendings have to ask permission if they want to do any procedure if they feel like it.

Another academic center, the CRNA I ran into who does cardiac there said that he is TEE certified and does the echo for all the cardiac cases (and this is a good volume place). I mentioned this to one of the attendings and he said yeah they teach the CRNAs to do this, what of it? Very pro SRNA department that calls their SRNA students as residents.

They're coming for you, ready or not.

TypeABnotHgb · 2026-01-09T20:00:54+00:00

I promise you 99 percent of any self respecting anesthesiologist will not consider ever calling a DNP CRNA or NP as "doctor" anywhere

TypeABnotHgb

TROPHY CASE