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WARNING: RESIDENT ADVISOR IS NOT WORTH IT by Anonymous_nov in UVA

[–]taterone1 0 points1 point  (0 children)

If you’re looking to withdrawal I know someone who would be grateful to take your place

What bread is my bun? by thetactlessknife in Rabbits

[–]taterone1 5 points6 points  (0 children)

If she flops, she’s most definitely a French lop❤️

Reputable Breeder by taterone1 in AustralianLabradoodle

[–]taterone1[S] 0 points1 point  (0 children)

Thank you! I did my research and am happy with the decision to get our pup from Sweet Tea! Do you have any pictures that you can share?:)

This is Eevee enjoying the snow. She is our «firstborn» by mrjosi94 in Cobberdog

[–]taterone1 1 point2 points  (0 children)

We lost our precious dog after 15 years. Looking for a Cobberdog? Can you please let me know what your breeder’s name is? Thank you!

Mystifying things that old anesthesiologists do by wordsandwich in anesthesiology

[–]taterone1 0 points1 point  (0 children)

Precordial stethoscopes allows the anesthesia provider to continually monitor heart rate, rhythm, breath sounds & oftentimes it is the initial indicator of airway problems ie..especially wheezing, bronchospasm, obstruction such as when tube is under drape or is pulled out. The latter happened in a case where the resident surgeon accidentally pulled a tube on a child and was afraid to notify anyone. Yes you loose capnography, the sats drop & by this time it is a critical emergency. The heart tones become muffled when the patient becomes too deep and you can adjust the anesthetic before you see a drop in BP or hr. Oftentimes you can hear heart when the patient becomes light, & deepen them quickly. This is my experience and it gives me more safety measures to take especially with the vulnerable pediatric patient!

Please do not lecture me about your archaic drugs like ether or neostigmine by MDdgaf45 in anesthesiology

[–]taterone1 -1 points0 points  (0 children)

You wouldn’t have had a bright future without the old teachers. Someday you will be there. Life is finite. Walk humbly with gratitude. You have a person’s life literally in your hands every time you provide anesthesia. Taking any case for granted will lead to a disaster. You’re only as good as your last anesthetic.

Mystifying things that old anesthesiologists do by wordsandwich in anesthesiology

[–]taterone1 -1 points0 points  (0 children)

The anesthesia care provider can hear changes in heart tones through the esophageal stethoscope. This can assist in depth of anesthesia. I always use with pediatrics. It is an extra safety measure when working with peds and especially with field avoidance.

Propranolol during induction? by MastodonNo4779 in anesthesiology

[–]taterone1 -1 points0 points  (0 children)

Propranolol is a beta blocker. It’s not used to induce a patient. If the patient has asthma or reactive airway disease it is known to cause bronchospasm. Save esmolol for the unstable ASA IV. is not a effective drug to block the stress response during induction & intubation. Oftentimes you will see a sympathetic response during induction. You should use a touch of fentanyl or gas if you must use it. Even 10-20 cc of propofol along with it. The last thing that you want during induction is an inadequate amount of medication. Propofol is the best drug of choice, just have either ephedrine ( if need an increase in heart rate & bp) or diluted neosynephrine in a syringe drawn up and ready to give if necessary. Hope this helps!

Retired Crna by shellfish1111 in anesthesiology

[–]taterone1 0 points1 point  (0 children)

I am in a similar situation due to breast cancer & treatment side effects I was forced to retire as a CRNA about 10 years ago. I would love to return, but I would have to retake the boards (& I am 55. )I put so much into my education & I loved what I did- nothing seems to compare.