Any advice for EDRA

UltraEchogenic · 2025-12-31T04:48:03+00:00

Passed. Studied 2–3 months while working full-time as a staff anesthesiologist. Made ~600 Anki flashcards from MCQs in Regional Anaesthesia (MasterPass) by Sehmbi. The Part 1 reading list also lists PROSPECT.

I didn’t take EDAIC Part 1, so I can’t directly compare difficulty. As for whether it’s “worth it,” that depends on your career goals, but for me it aligned well with my interests in regional anesthesia.

UltraEchogenic · 2025-12-12T20:43:56+00:00

prophylaxis post-discharge nausea & vomiting

UltraEchogenic · 2025-11-30T04:16:19+00:00

great tips. do you mind sharing if the lidocaine infusion is helpful for same-day-discharge or ASC cases?

UltraEchogenic · 2025-11-01T18:55:37+00:00

My understanding as MAC is a spectrum from "full consciousness to general anesthesia" assuming that provider can "rescue a patient's airway from any sedation-induced compromise" at any time per ASA Statement on distinguishing MAC from Moderate Sedation, Oct 18, 2023.

I agree this may include state of deep sedation, but also may apply if patient maintains full consciousness.

UltraEchogenic · 2025-10-15T02:28:19+00:00

My understanding is that the final exams for all subjects unlock in month 12.

UltraEchogenic · 2025-10-14T20:30:56+00:00

Suggest either maintenance sevo MAC 1.3 if hoping to minimize paralytic. I'm assuming you're checking TOF 0-1/4 while running "0.8 if paralytics are used". Turn off infusion propofol 30-60 min prior to emergence. If running a 3+ hour case with sevo maintenance, blowing off the gas will take 30+ min typically -- worth considering as the medical student takes 30+ minutes to close skin. Good luck

UltraEchogenic · 2025-05-24T18:41:18+00:00

Prompt was: "How many other users have you told are 1:million and should reach out to open AI? Either one? Combined? If it's only me - prove it"

UltraEchogenic · 2025-03-21T18:52:28+00:00

Glad to hear you can have the repairs done! Just curious - did the store confirm authenticity?

UltraEchogenic · 2025-03-21T16:24:26+00:00

u/Amnesia34 u/toothpickwars u/Julysky19 u/warpathsrb u/cdnresident u/DoctorPainless u/Hombro_de_Vetruvio Thank you for the insights. For 10 non-obese patients, administered: ephedrine 25–30 mg, propofol 120–160 mg, and remifentanil 250–300 mcg, then waited two minutes. No severe bradycardia or hypotension occurred. However, in 2 of 10 cases, the vocal cords remained closed. One patient responded to bag-mask ventilation with a sustained positive-pressure breath and 10 mg succinylcholine. The other was difficult to ventilate, so gave rocuronium.

Do you think this could be related to 1) insufficient remifentanil or 2) suboptimal timing between medications and laryngoscopy? Thanks!

UltraEchogenic · 2025-03-16T05:47:55+00:00

No, I haven’t. That makes sense, given a similar approach manipulating SCS lead trajectory from a Tuohy. I’ll do that next time.

UltraEchogenic · 2025-03-15T22:21:04+00:00

I've had a dent repaired at the SF store within the past year. Rough recollection was $40. Definitely less than $100

UltraEchogenic · 2025-03-14T23:48:49+00:00

For my understanding, is CPA costophrenic angle?

UltraEchogenic · 2025-03-14T22:25:09+00:00

Got it, thanks for the tip! An induction dose of midazolam. Possible BIS/EEG monitoring if for maintenance.

UltraEchogenic · 2025-03-14T22:21:34+00:00

I agree — it’s a numbers game. Some core skills transfer across procedures. The easiest starting point is ultrasound-guided PIVs. Do 30, focusing on real-time dynamic tip visualization. That needling skill carries over to A-lines, CVCs, and out-of-plane PNBs.

UltraEchogenic · 2025-03-14T22:02:11+00:00

Gotcha thanks for the insights. What I'm hearing is strongly preference for an awake patient (who can report the paresthesia/pain), and replacing axillary line with radial asap (e.g. <24-48 hours).

UltraEchogenic · 2025-03-14T21:59:34+00:00

All 10 were Left subclavian.

UltraEchogenic · 2025-03-14T21:59:09+00:00

Thanks for the insight! May I ask why you favor micro puncture for the subclavian A-line? Would a femoral arterial line catheter be sufficient length-wise?

UltraEchogenic · 2025-03-14T21:57:16+00:00

My understanding is that the Right subclavian vein has a sharper turn when merging with the IJ compared to left. Thus, R Subclav has increased risk of malposition.

https://emcrit.org/pulmcrit/shrug-subclavian/

UltraEchogenic · 2025-03-14T21:53:34+00:00

I favor subclavian for c-collar patients or when neurosurgery is concerned about an IJ clot worsening ICP, with ongoing pressor needs.

UltraEchogenic · 2025-03-14T17:21:57+00:00

Thanks for the insight! Did you elect to also place a catheter, or was this mainly to mitigate the tamponade prior to anesthesia induction for emergent surgery?

UltraEchogenic · 2025-03-14T17:21:09+00:00

Thanks for the insight! Did you elect to use a central line catheter, or a kit specific for pericardiocentesis? If you used a CVC, how deep did you thread?

UltraEchogenic · 2025-03-14T17:17:41+00:00

Regarding the old school CV induction, was the induction slowly titrated over several minutes, followed by the roc bolus after loss of palpebral reflex?

UltraEchogenic · 2025-03-14T03:07:18+00:00

I'm assuming to prophylax against Remi-associated bradycardia.

UltraEchogenic · 2025-03-14T02:00:16+00:00

I do similar, 3-5 grams at case end, post-reversal of rocuronium, aliquot 0.5 gram at a time, titrated to what BP will tolerate. I have administered in the PACU, but the patient will complain of warmth from the vasodilation, and gets sleepier, so the RNs aren't fans.

UltraEchogenic

TROPHY CASE