Brenna's Dad

Latest Activity

1. Need help with a research project!!

   Brenna's Dad replied to mummer43's topic in CRNA

   Since no one took me up on it last year, I will offer it here.... I want to know whether keeping the endotracheal cuff pressure less than 30 cm H2O during surgery results in a decreased incidence of sore throat. Of course, you will have to control fo...

2. Ultrasound for art lines

   Brenna's Dad replied to PICC ACE's topic in CRNA

   In training we were frequently called up to the ICU to place A lines in edematous impossible pts. Excellent experience!! Although we sometimes tried the Doppler to locate the pulse, I never really felt this was helpful. US probably would have been. I...

3. Clinical Question

   Brenna's Dad replied to bwt02's topic in CRNA

   Yes, sorry 0.06mg/kg. Thank you.

4. astromorph injection ?

   Brenna's Dad replied to lisa41rn's topic in CRNA

   First off, the drug is astramorph. Second, although I used to push epidural narcotics back in my glory days as a med-surg nurse, knowing what I know now, I have to say it wasn't a very good idea. Just way too many potential complications.

5. Md's Against Crna's?

   Brenna's Dad replied to LLL123's topic in CRNA

   I'm sorry, but this topic is lame and very much overdone.

6. Clinical Question

   Brenna's Dad replied to bwt02's topic in CRNA

   If you have serious fade with tetany, it may be best to leave the tube in. In the afore mentioned case, I would probably max out my Neostigmine dose, which I consider to be 0.6 mg/kg, and then apply a little tincture of time. As we all know, we are ...

7. BIS Monitor

   Brenna's Dad replied to sandman1914's topic in CRNA

   Exactly Big Dave...so what's the point?

8. BIS Monitor

   Brenna's Dad replied to sandman1914's topic in CRNA

   I didn't train with the BIS, but have begun using it in my new practice. I must echo what many have said here. I just don't trust it. I would estimate that I get erroneous readings more than 10% of the time. By erroneous, I mean the BIS just isn't r...

9. Beta Blockade during C-section

   Brenna's Dad replied to Brenna's Dad's topic in CRNA

   I don't think the question was whether Neo caused fetal comprise, but that it decreased uterine artery blood flow.

10. Local Anesthetics in Labor Epidurals

    Brenna's Dad replied to heartICU's topic in CRNA

    In school, we were taught to give 5cc of LA for a 5 foot woman and then 1 cc per 2 inches of high thereafter. It wasn't long before this recipe got me into a little bit of trouble with high blocks in tall women. Nothing too serious, just low BP and h...

11. Beta Blockade during C-section

    Brenna's Dad replied to Brenna's Dad's topic in CRNA

    I gave the patient 15 mg of esmolol, bringing her HR back into the 130s. Ten minutes later she was again in the 180s complaining of feeling unwell, dizzy, and slightly SOB. I was hesitant to administer a further dose of esmolol since I had learned i...

12. Beta Blockade during C-section

    Brenna's Dad replied to Brenna's Dad's topic in CRNA

    Sensory block was T4. Initial pressure was 130's. Can anyone come up with a good idea not to use Esmolol?

13. Beta Blockade during C-section

    Brenna's Dad posted a topic in CRNA

    Pt in her early 20s had a history of "fast heart rates", not formally diagnosed by a physician. Becomes mildly symptomatic when it occurs at home... sits down until it goes away. During c-section with SAB becomes tachycardic with HRs in the 180s. BP...

14. What Do You Miss About Bedside Nursing?

    Brenna's Dad replied to chattypattyCRNA2B's topic in CRNA

    I also am afraid to admit that I do not miss much of anything about bedside nursing. I use my nurisng experience to quickly establish trust and rapport with the patient and all those long hard years in ICU have paid off as I lateralize all those skil...

15. Are you happy with your job?

    Brenna's Dad replied to OURN83's topic in CRNA

    It's a different kind of stress. Less physical labour to be sure... but more stressful in the reality that the patient's life is truly in your hands. Anesthesia is the big time. There's no one else to pass the buck to, no one else that is going to b...