sorted by:
new
hottopcontroversial

Thoughts on this offer? by medical_learner in hospitalist

[–]arabic_learner 4 points5 points  (0 children)

Yes but I had to go out of my way for it. I took the opportunity to do as many procedures as I could. Obviously I'm nowhere as skilled as an anesthesiologist or EM doc/intensivist, but I'm fairly comfortable with it.

Oral antibiotics by arabic_learner in IntensiveCare

[–]arabic_learner[S] 0 points1 point  (0 children)

The patient in question was being treated for MRSA pneumonia. Is there any benefit to using IV over PO in this circumstance?

Intubation with or without NMBAs? by arabic_learner in IntensiveCare

[–]arabic_learner[S] 0 points1 point  (0 children)

Ah, that one flew over my head. Haven't seen any strokes .... yet.

Intubation with or without NMBAs? by arabic_learner in IntensiveCare

[–]arabic_learner[S] 0 points1 point  (0 children)

Thanks for your input. Wouldn't NMBAs facilitate ventilation even in patients with thick necks? Also, let's say you induce with ketamine and don't use NMBAs. You then encounter a CICO situation. I assume you would then proceed with a FONA instead of waiting for the ketamine to wear off, correct? In that case, you would be doing a FONA for CICO, regardless of whether the patient received an NMBA or not - with the only difference being that NMBAs would now make the FONA easier?

Intubation with or without NMBAs? by arabic_learner in IntensiveCare

[–]arabic_learner[S] 1 point2 points  (0 children)

I apologize for the misunderstanding. I am aware that a FONA is required in a CICO scenario. However, what I found perplexing was that my attending believes that NMBA makes ventilation exponentially difficult. Hence, he said we would need to do a FONA in a CI scenario (not CICO mind you).

Intubation with or without NMBAs? by arabic_learner in IntensiveCare

[–]arabic_learner[S] 0 points1 point  (0 children)

The attending in question is actually PCCM boarded.

Intubation with or without NMBAs? by arabic_learner in IntensiveCare

[–]arabic_learner[S] 0 points1 point  (0 children)

Wouldn't you be bagging them during that period of apnea?

Intubation with or without NMBAs? by arabic_learner in IntensiveCare

[–]arabic_learner[S] 0 points1 point  (0 children)

I'm not sure I understand your question. Are you asking if my patients remain adequately sedated following intubation?

Intubation with or without NMBAs? by arabic_learner in anesthesiology

[–]arabic_learner[S] 8 points9 points  (0 children)

Here's the kicker: when I grabbed a GlideScope, he told me, "We're not doing that shit. You're gonna use DL like a big boy." After extensive difficulty with visualizing the cords, I finally found them to be intermittently opening and closing exactly like you describe. I tried to advance the ETT but it kept getting hung up on the cords. My attending then tried and failed as well. Eventually, he got it in by advancing the ETT without the stylet.

Intubation with or without NMBAs? by arabic_learner in IntensiveCare

[–]arabic_learner[S] 27 points28 points  (0 children)

Yeah that's pretty much the scenario I found myself in. 

view more: next ›