[nilepoc]

Did you, or do you have to complete an original research project in your program?

A friend of mine in another program only has to do a lit review. I have to do a full blown research project. I am just curious, what are other programs requiring.

I am qactually quite happy to learn this whole process. I am hoping it will make me a more aware practitioner through understanding the research process, and being more critical of what I read.

[WntrMute2]

Original research required here too. I'm evaluating the ability of endotracheal administered lidocaine to supress cough on emergance. Seems like it should have been studied before but it hasn't been using a standard ETT.

[Qwiigley]

Original research in my program. I would love to hear about other ideas for a research project. What are others doing for their reseach? Let me know!!!

[Rhon1991]

Dave,
Just curious, why would it be beneficial not to cough on emergence? laryngospasm? or triggering nausea? Thanks

[WntrMute2]

Coughing leads to desaturation, breath holding and delays coordination of breathing. pts usually need to follow commands before extubating-coughing makes that tough. (not all pts need to follow commands). Coughing increases ICP, IOP, intra-abdominal pressure and intrathoracic pressure. These can disrupt surgical repairs especially in the abdomen, eye, and ear. Coughing distresses the patient and increases time to extubation. Nuff said.

[Rhon1991]

wo. good thing to suppress then! Sounds like a very interesting and applicable intervention to study.

[Brenna's Dad]

Research project.

The last class did a drug study showing that a certain cheaper anti-nausea (sorry can't remember which) was just as effective as the more expensive and widely use drug (Zofran??).

[WntrMute2]

One of the MDs at my hospital uses a "taming" dose of Succinylcholine just prior to administering the full intubating dose. I searched for info on that topic and got very little. Might make a good study.

[Brenna's Dad]

That's strange.

I've heard of giving a pre-fasciculating dose of a non-depolarizing muscle relaxant prior to giving succinylcholine, but never a taming dose.

I can't imagine what the purpose would be.

[WntrMute2]

Suprisingly, it works just as a defasciculating dose of NDNMBs. He uses it regularly with similar results. What he does is administer 1/2 cc of SCH as the induction agent goes in. Then administers the rest as normal. I would estimate that 80% or so don't fasciculate at all. Pretty slick.