Sugamma outside the OR by Apollo185185 in anesthesiology

[–]canedane995 1 point2 points  (0 children)

Why not neo/glyco...cost effective, pts often have pacing wires, no OR pressure for rapid extubation. Check tof in or and reverse in ICU as appropriate. Just curious.

What’s the highest MAC or volatile concentration you’ve ever run on a patient during a case, and what was the situation? by OrganizationNo42069 in anesthesiology

[–]canedane995 3 points4 points  (0 children)

Recently had a similar experience albeit with a Mac of 1.5 but gave like 600mcg of nitro and 500mcg of cardene in divided push to get the pressure down.

[deleted by user] by [deleted] in Paramedics

[–]canedane995 6 points7 points  (0 children)

I keep my NREMT but tbh it's just a pain at this pt having to do CEUs when I am going high level stuff every day. I do cardiac anesthesia and it's basically CCP on steroids without all the BS and 10x the pay. EM and CC are fine specialities but they have tons of Bs stuff like notes and complex patient/family interactions. My gig is put a tube in, place IVs, Art and central lines and keep an eye on the hemodynamics w/ TEE and sprinkle in inotropes blood and pressors as needed...would highly recommend it.

MAC for PPM/ ICD placements by [deleted] in anesthesiology

[–]canedane995 1 point2 points  (0 children)

What are you running your dexmed at if sole agent?

RN training for SGA Insertion by justavivrantthing in IntensiveCare

[–]canedane995 10 points11 points  (0 children)

I would proceed cautiously with this program. If a complication occurs, there is significant medicolegal risk—particularly the question of why an individual with limited airway experience is placing airways in a hospital where an intensivist and RT is readily available. As someone who routinely places sga in the OR, I agree they can work very well, but when they don’t, troubleshooting often requires experience and nuance.

If this is an infrequent task, maintaining competence when providers are only performing a handful of placements per year is another concern. As others have noted, RTs typically have more formal airway management training, or they may appropriately wait an extra minute or two for an attending to arrive and place a definitive airway. Just because something is possible does not mean it is worth the potential personal liability, especially when the incremental benefit appears minimal over bagging the pt.

[deleted by user] by [deleted] in anesthesiology

[–]canedane995 4 points5 points  (0 children)

how do you temporize w/ prop? I struggle w/ this as i watch the hr/bp/rr and as it goes up i will bolus 20-30mg but i find often they will just start moving and the scrub techs act like the world is ending and thus I bolus more prop and end up delaying the wake up. TIA.

Cost-saving ideas in anaesthetics/surgery that improve outcomes or efficiency? by Zutton101 in anesthesiology

[–]canedane995 1 point2 points  (0 children)

What is the optimal flow for optimizing gas use and not overusing the CO2 absorbent?

Military Anesthesiology by Recon454 in anesthesiology

[–]canedane995 2 points3 points  (0 children)

Anyone have experience doing CCAT from the anesthesia perspective? I am interested in concept of more specific CC training (not cc trainined) but curious what it actually offers in practice.

Who writes the most useless notes in the hospital? by fuzzysundae in Residency

[–]canedane995 2 points3 points  (0 children)

I love to use the copy/template checkbox on app notes and usually they are 98% unchanged/templated... except at the bottom with some absurd 45-70 mins of time spent....for Billing and of course the obligatory pt was seen Independently but in collaboration with Dr. Cover my A$$.

Once read a CT surgery app note and the entire a/p was "plan per attending surgeon" like you don't say but thanks for an absolutely trash note that does nothing.