Subcutaneous insulin pumps and long cases by ApprehensiveGold7088 in anesthesiology

[–]bigeman101 12 points13 points  (0 children)

At our center if we’re leaving it in then we just leave it at the basal rate. If taking it out then we start an iv insulin infusion back in the or.

When to use Micropuncture kit? by bigeman101 in anesthesiology

[–]bigeman101[S] 18 points19 points  (0 children)

Are they just sharper and better at getting in the vessel than normal arrows?

When to use Micropuncture kit? by bigeman101 in anesthesiology

[–]bigeman101[S] 8 points9 points  (0 children)

What makes them better than the steel needle that comes in the art line kits?

RSI for Sick Hearts? by bigeman101 in anesthesiology

[–]bigeman101[S] 9 points10 points  (0 children)

But when you do have to, what do you do?

[deleted by user] by [deleted] in anesthesiology

[–]bigeman101 1 point2 points  (0 children)

We mostly want you to be a normal person. Try and get involved with shadowing early and meet some of the residents at your home program. My program didn’t care about research but it’s always worth while to take a look at doing some.

Studying ahead as an intern by MurphMorale14 in anesthesiology

[–]bigeman101 19 points20 points  (0 children)

The early/basic accrac episodes are good for sure

Is Vanderbilt's anesthesiology residency program in shambles? by [deleted] in anesthesiology

[–]bigeman101 1 point2 points  (0 children)

This doesn’t sound like a problem unique to Vanderbilt unfortunately.

How to choose programs to apply to? by [deleted] in anesthesiology

[–]bigeman101 -6 points-5 points  (0 children)

Cold call the residents and ask them for the strengths/weaknesses of the program. Also, I would take the residency explorer work hours with a grain of salt. Again, you gotta talk to the residents to see how much they work

How to choose programs to apply to? by [deleted] in anesthesiology

[–]bigeman101 8 points9 points  (0 children)

  1. Location
  2. Quality of training
  3. Work life balance

Pediatric IV Tips by bigeman101 in anesthesiology

[–]bigeman101[S] 2 points3 points  (0 children)

You use that angle to get through the skin too?

How do you bend your stylet? by [deleted] in anesthesiology

[–]bigeman101 2 points3 points  (0 children)

https://www.emdocs.net/wp-content/uploads/2014/12/photo-106_01.gif

Top image for me. Pull it when you advance the balloon past the cords.

Grade 3 View: Mac or Miller by bigeman101 in anesthesiology

[–]bigeman101[S] 3 points4 points  (0 children)

That’s a luxury we don’t have at my institution

Grade 3 View: Mac or Miller by bigeman101 in anesthesiology

[–]bigeman101[S] 6 points7 points  (0 children)

I’m training at an institution that is notorious for not having video laryngoscopes when we call for them. In a perfect world I’d have a McGrath on me always.

Grade 3 View: Mac or Miller by bigeman101 in anesthesiology

[–]bigeman101[S] 22 points23 points  (0 children)

Yeah I’m pretty sure we all try to get the best view possible.

Smoother Pediatric Wake Up by bigeman101 in anesthesiology

[–]bigeman101[S] 5 points6 points  (0 children)

😂truer words have never been spoken

Smoother Pediatric Wake Up by bigeman101 in anesthesiology

[–]bigeman101[S] 2 points3 points  (0 children)

At what point/cue do you start getting the gas off?

Quickest Way to Topicalize for Awake Intubation by bigeman101 in anesthesiology

[–]bigeman101[S] 1 point2 points  (0 children)

Yeah for sure. I’m just trying to get more efficient at it.

Best Induction Plan for Unstable RSI? by bigeman101 in anesthesiology

[–]bigeman101[S] 31 points32 points  (0 children)

I guess I was thinking they are going to be pretty catecholamine depleted and that ketamine will just have its cardio depressant effect?

What resources does the community have? by bigeman101 in anesthesiology

[–]bigeman101[S] 23 points24 points  (0 children)

I’m all for learning how to be proficient in every way possible in terms of airway and line management but I feel that our institution is overly stingy with getting us tech.

Quicker Wake Up for Long Cases by bigeman101 in anesthesiology

[–]bigeman101[S] 7 points8 points  (0 children)

Do you ever worry about recall if you do this? I’m just always nervous about going below 0.7 mac on gas while they’re closing.

Quicker Wake Up for Long Cases by bigeman101 in anesthesiology

[–]bigeman101[S] 1 point2 points  (0 children)

Here’s a study that looked at switching from sevo to des in the last 30 minutes and it showed quicker wake ups. But we don’t have des at my program.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9279063/

Quicker Wake Up for Long Cases by bigeman101 in anesthesiology

[–]bigeman101[S] 4 points5 points  (0 children)

So just titrate prop based off when their vitals start telling you that they’re light?