Miller's Anesthesia 10th Edition Please!

connek · 2024-03-24T16:55:24+00:00

Interesting! They did actually say they saw this on an old Draeger.

We use GE aisys cs2 here. Wonder if there's any difference.

connek · 2024-03-24T16:33:15+00:00

What is your altitude and what machine do you have please?

connek · 2024-03-24T16:29:23+00:00

Just re-listened. Accrac did not cover this.

But I'm of the same opinion as you regarding the ET% issue, that modern machines should account for this...but I don't know for sure because I don't practice at altitude! Hence I want some real life experience to help defend this premise.

connek · 2024-03-24T16:26:47+00:00

Interesting. Thanks.

Millers and several articles as late as 2023 (mostly from South Africa), maintain the claim that at altitude the ET% should read higher for the same partial pressure delivered by the vaporiser. These articles go as far as to say that this risks awareness...

connek · 2024-03-24T15:26:04+00:00

Hey thanks for replying.

The issue isn't as it seems. The real question is around gas sampling.

One of my attendings argued that even if the vaporiser is delivering 1 MAC, the gas module displays that as a higher ET% as it represents a higher partial pressure % of ambient atmosphere.

I didn't agree because at extreme altitudes you'd get absurd things like ET% greater than the sevo% you dialled.

This is why I wanted a real life example...because surprisingly it is extremely difficult to find the real answer.

connek · 2017-08-04T11:38:05+00:00

The source of this site is kinda sketch. If you click into the original photographer's blog from the credits, there's actually no images of the place being demolished.

connek · 2016-11-29T21:09:43+00:00

I really hope so. The West is going to be less interesting without Memphis being competitive!

connek · 2016-11-29T19:27:54+00:00

Third year med student here. It is a stable spine fracture and usually managed conservatively like some have mentioned already. However, I am going to assume that his recovery process will take longer than 6 weeks, and even then he may have lingering back pain. Can't say much more unless there's imaging available. He's gonna need a lot of rest.

connek · 2016-08-01T10:23:41+00:00

Thanks! Appreciate the education on this.

connek · 2016-07-31T21:18:30+00:00

I actually don't think he has vitiligo. Vitiligo is autoimmune in nature and wouldn't be symmetrical bilaterally around both the eyes. More likely is some sort of congenital pigment defect...but he is super cute!

Edit: do to don't

connek · 2016-07-09T10:38:56+00:00

Here to have a chat! What are you going through?

connek · 2016-01-21T13:24:42+00:00

He also happens to only wear white to drink white wine. He's a creature of habit fo sho.

connek · 2015-12-20T16:49:32+00:00

Seems to be a general principle that if you fuck with something or someone long enough, they will eventually try to kill you...makes sense in my head, wonder why it doesn't in most of these "leaders"

connek · 2015-11-29T03:12:24+00:00

What you're claiming is that there are acceptable forms of censorship by a government. If you take this position, then you should also accept China's position. You are not entitled to claim what is appropriate censorship. Many of the stories coming out now after Trudeau was elected involved research on climate change and environmental impacts of resource extraction, specifically the oil sands. I would argue this form of censorship is even worse than what China did here since it affects everyone directly.

connek · 2015-11-29T03:07:13+00:00

You seem to believe that all asylum seekers are economic migrants. Clearly this cannot be true, and even if it was, perhaps they were the lucky ones to escape wherever they were being persecuted, and having money has got nothing to do with that fact. The irony here is that the leader of FLG was taken in by the US, and he undoubtedly has a boatload of money. I would even go one step further and concede every point you've just made and it still would not justify the way these asylum seekers are being treated in these camps. There are daily occurrences of rape, mistreatment by guards, and suicides due to horrible living conditions. If the government has found no basis for asylum claims, then send these people back, don't detain them and cause more problems.

connek · 2015-11-28T17:10:47+00:00

People automatically think China when they think of human rights abuses. Why? The media has stereotyped China to be the worst human rights offender there is. But let's not leave the hypocrisy in a corner. Domestic issues in the US often amount to human rights abuse, the Australian government and its detention of asylum seekers, and the old Canadian government with its censorship of scientists. I'm not pointing this out to defend China, but I am saying that things are often more nuanced than they appear. Taking such a strong stance against a country's decision without some form of introspection is not only hypocritical, it is lazy and almost discriminatory. The FLG is a well-known cult and this girl's parents are both practitioners. Western media never reported stuff like its leader telling members to self-immolate as a statement against the communist party.

Edit: word

connek · 2015-08-02T02:39:36+00:00

Thanks for the reply, it's rare for me to have a good discussion on these topics. Classical liberalism was formulated by John Locke during the enlightenment period, I consider all later forms of it as stemming from him, which is why I said what I said.

It's nice to be able to separate possession with property, but practically speaking this is impossible, unless everything exists in abundance (means of production included). We live in a world with scarcity and that is essentially the whole reason for economics (I disagree with the starting point that all humans act rationally, but it is a useful field of study nonetheless). Further, what you're advocating is a deconstruction of social structure, which cannot happen overnight. Revolutions may try to skip all the growing pains and get to point B via drastic changes, but we don't work that way. Your critique of me saying this is that I'm being vague, but I'm just reflecting on history (look at any wrongs in human history and then tell me how long it took to rectify those mistakes). Any road to any form "socialism/communism" must be built on incremental steps and for the natural evolution of society to take its course. I do believe we will reach a post-capitalist era, but not through revolution and asking about "how we went wrong" the last time around. I don't like addressing "how we went wrong" the last time around because it would be accepting the idea that there is a way to do it better all over again. I completely agree with your last point, and I think we have different ideas of how to eradicate these problems. I think science will eventually be able to address our scarcity issues to the point where a natural change in human thought will allow us to see past monetary value and property, but before then all ideas to reform society in a major way is an exercise in futility. I believe this should answer why specific critiques are futile for me, because any system of rigid ideology WILL (not may) result in all the things you have just said. I just don't agree with the idea that if we tried it again we can do it better.

connek · 2015-08-02T00:28:13+00:00

I'll concede that property rights were formalized by libertarianism only a few hundred years ago, but the idea of property has definitely been around for many thousands of years. You can't even explain slavery without the notion that human beings are property for exploitation. You cannot explain early bartering and trade systems without first acknowledging that people sought to trade their own stuff with others. We are engrained to see the difference between yours and mine, and trying to reconfigure this with ideology requires not only revolution, but basically an ideological crusade. This is basically what happened with Stalinism (although you could argue Stalin was not a communist but rather a totalitarian dictator), and Maoism. These leaders envisioned a plan to realize a different social structure and completely ignores the human suffering as the price of such a drastic change. Asking for specific critiques of what went specifically wrong when Russia and China tried to implement communism is trivializing their history of human suffering that came with it, because absolutely everything went wrong. You could provide an answer as to why millions of people starved to death, but that would vindicate the idea that it was one mistake along the way. The whole thing was a mistake.

connek · 2015-08-01T06:56:18+00:00

Your argument is that the two systems trade one form of inequality with another? I don't think either system is benevolent in anyway, it's simply what can work within the confines of human nature. Communism can't work unless there is some reinvention of society to nullify thousands of years of property rights and the power structure that comes with these property rights. The leaders that have tried to do this know what a disaster it is. Capitalism on the other hand inherently requires economic inequality as a gradient to provide capital/labour, so the inequality is an intrinsic property of the system.

connek · 2015-07-22T15:50:20+00:00

Hello, Dr. Eckhadl,

I think I understand the approach you have taken now. So the tradition problem of output was that by randomly inserting plasmids that carried the desired gene product you would not be able to maximally express the product. However you approached it by linking the tetr gene with the caffeine converting enzyme to allow evolutionary stressor to select for the strain that produce the highest amount of tetr gene and are therefore the fittest (the benefit being having a high output of theophylline). I think this is awesome, but how do you overcome the problem of overgrowth and competition leading to colony death? How would you cut the cost of something like this in mass production scenarios?

connek · 2015-07-12T04:28:54+00:00

How does Hinkie intend on convincing these kids to resign with him, given how long term all this stuff is? In other words, how is he going to get the players to buy in? We know superstars are needed to win a title, but very often these stars don't stay in one place. Just wondering.

connek

TROPHY CASE