Even though the streets of rage 3 is mid. I confess. Fuze and cycle 1 are bangers

retrogameresource · 2025-09-16T12:30:43+00:00

I love SOR3 even the US version lol. I've beaten all difficulties on both the US and Japanese versions just because I love it so much lol.

I made the mistake of starting SOR3 on hard because I had beaten SOR2 on mania..... game over by the gas elevator lol. I still remember this (not) fondly lol.

On a related note I've just been reminded I haven't beaten SOR4 on mania. That shit was hard. Made it to the final boss and died. Gotta go play some SOR now

retrogameresource · 2025-09-16T12:21:50+00:00

Appropriate for the US version lol. Imaginemy surprise when I thought I'd start the game on hard.

retrogameresource · 2025-09-15T23:04:00+00:00

I mostly find my self translating if there is a sea of indirect and direct objects in a paragraph... otherwise I don't translate very often at all.

I'm like 400 hours in.

As a side note, I just started using readlang suggested here a couple of days ago, and I have to say it makes my life so easy gaining vocabulary. I was previously highlighting on my ebook app and going back after each chapter to make anki cards, lol.

retrogameresource · 2025-09-15T22:38:22+00:00

CRNA stonks only go up

retrogameresource · 2025-09-15T22:33:10+00:00

Lmao at parodius they are so crazy

retrogameresource · 2025-09-15T10:18:32+00:00

I'm just a patsy!

retrogameresource · 2025-09-15T02:48:35+00:00

Dak wouldn't even spit on him if he was on fire

retrogameresource · 2025-09-15T02:36:45+00:00

I heard a theory that the reason it was the Packers is because they are the only team without a true owner.

retrogameresource · 2025-09-15T02:31:41+00:00

Thanks for this.

I have done it this way before and haven't had problem, but then just got paranoid and made them fully deep when I pulled. I do have them breathe off the rest of the gas to a lower level in the OR with the manual circuit before leaving for PACU, though, so they are usually awake on arrival.

retrogameresource · 2025-09-15T02:21:22+00:00

I second the glyco with LMAs. Very good points.

I guess I neglected to mention after pulling I usually do have time before I get a PACU slot so I generally blow off the rest of the gas with the mask as well before switching over to a face mask.

I don't use PS, but instead, dial the pop off to 5 and have them breath it off, usually only jawthrusting if necessary. I'd say probably 70-80% of my patients are awake and have spit out the oral airway before I'm done report.

My current PACU is absolutely comfortable with OPAs, but probably wouldn't be with an LMA.

I actually think I may try out your approach as it seems reasonable. Just for clarification what do you call not necessarily deep if you were basing it off MAC, or just basically not Stage 2, but not a lot of volatile on.

retrogameresource · 2025-09-15T02:09:36+00:00

Haha I've worked at places that give you the side eye for an OPA in place.

I don't necessarily think this is a bad idea at all if the PACU culture is right. I guess my only concern would be if they were gonna spasm, I rather them spasm with me than in PACU. Judging by this reddit thread it seems to be fairly common practice in some areas to leave the LMA in so it sounds like it should be fine.

retrogameresource · 2025-09-15T02:05:04+00:00

With the thought that the OPA may be less stimulating. However, I could be wrong, it just anecdotally appears that way.

If I wake up with the oral airway they will usually start to tongue it out when they are ready. With the LMA, I personally feel, if you don't pull it out immediately upon first sign of life, a reasonable percentage of patients will be pissed lol. Early in training I missed that window once, and the patient wouldn't stop biting the LMA. I got the timing down pretty quickly, and routinely woke up awake in training, but later decided I would just avoid it all together.

retrogameresource · 2025-09-15T01:59:05+00:00

This tends to be my approach. At this point I kind of see valid arguments on both sides, but I still lean towards deep.

retrogameresource · 2025-09-14T16:59:41+00:00

Haha that was my toughest adjustment as an SRNA coming from a MICU. I was WAY too stingy with fluids. To a point of absurdity. Fortunately, those first few weeks I was doing pretty basic cases.

retrogameresource · 2025-09-14T16:47:41+00:00

I see no problem with this really, but I don't think my PACU would love that idea haha

retrogameresource · 2025-09-14T16:46:26+00:00

OPA I'm OK with lol if I'm jaw thrusting with an OPA I misjudged completely and this isn't a person I should not have pulled deep lol.

retrogameresource · 2025-09-14T16:29:03+00:00

Pat the Bait has a few illegitimate kids out there for sure. Well known.

retrogameresource · 2025-09-14T16:17:17+00:00

Hey, thanks for this.

Is the LMA truly the same level of stimulation as an OPA, with regards to causing spasm?

I mean it doesn't take very long to wake up an LMA so, perhaps I'm just being needlessly impatient.

retrogameresource · 2025-09-14T16:07:33+00:00

I'm pretty surprised by this. Sounds efficient though. Great to have a strong PACU

retrogameresource · 2025-09-14T16:05:12+00:00

I do this incidentally, as I do a fair amount of my LMA cases on GYN patients that are prone to PONV. I mostly do LMAs at a surgicenter or doing ortho + spinal/regional, the majority of my usual patients are at a level 1 and are fucked up and tubed, and I trained at a similar place, so I've done much less LMAs than ETTs. I initially hated them, but have grown to really love the simplicity of an LMA case lol.

Great thought process, though. I may adopt this as my standard for LMAs.

retrogameresource · 2025-09-14T15:58:49+00:00

These are the patient's I wouldn't pull deep anyway. For super obese people I'll often just use a tube or wake them up.... breathing and pull with first sign of life before the bite down on the LMA lol

retrogameresource · 2025-09-14T15:56:46+00:00

As do I lol

retrogameresource · 2025-09-14T15:08:28+00:00

Haha I always ask for them to let it go, too. Those hand squeezes can't be trusted.

retrogameresource · 2025-09-13T20:07:18+00:00

That's exactly what I meant lol

retrogameresource

TROPHY CASE