gotosleep

Latest Activity

1. Ephedrine for prevention/treatment of PONV?

   gotosleep replied to stevierae's topic in CRNA

   I've seen it done in training once. The MDA doing it couldn't give a scientific rationale as to why she thought it worked. I presume it's parasympatheticolytic action may be the rationale. Personally,I don't buy it. There are a number of better drugs...

2. SSEP Monitoring

   gotosleep replied to rn29306's topic in CRNA

3. SSEP Monitoring

   gotosleep replied to rn29306's topic in CRNA

   I don't understand why they insist that you do not use muscle relaxants. That doesn't make sense to me. It's SSEP not MEP............

4. Physostigmine + Neostigmine

   gotosleep replied to devine1's topic in CRNA

   doesn't make any sense...another example of voodoo anesthesia. sad.

5. Low dose sux, subtherapeutic or good idea?

   gotosleep replied to miloisstinky's topic in CRNA

   i'm aware of that. there is a reason the RECOMMENDED dose is 1mg-1.5mg/kg for RSI though.

6. Low dose sux, subtherapeutic or good idea?

   gotosleep replied to miloisstinky's topic in CRNA

   20-40mg is just absurd. what is the point of this? Either you give the drug or you don't. I can imagine the plaintiff's expert having a lot of fun with you after your patient aspirates.

7. Cutting Balloon cuffs

   gotosleep replied to jewelcutt's topic in CRNA

   well....your first problem is that you should be extubating your patients in the OR. :) secondly, i wouldn't give a damm what the PACU nurse thought about how I extubated my patient.

8. opinions

   gotosleep replied to confusionabounds's topic in CRNA

   true....but some people dislike the coagulation abnormalities associated with this product.

9. opinions

   gotosleep replied to confusionabounds's topic in CRNA

   colloids are expensive and usually unnecessary.

10. opinions

    gotosleep replied to confusionabounds's topic in CRNA

    Phenylephrine infusion. you can avoid the precipitous bradycardia and increase in SVR with careful titration. I always get a giggle out of watching people give ephedrine to a beta blocked patient. It seems counter-productive in my opinion considerin...

11. Intrathecal anesthesia in Von Willebrand patient

    gotosleep replied to SchiwartRN's topic in CRNA

    sonya, historically anesthesia providers avoid using any kind of regional anesthesia in patients with Von Willebrand disease. I know that some providers are putting epidurals in parturients with normal bleeding times. i think however, the consensus i...

12. info needed from current crna's, please....Is it boring????

    gotosleep replied to tamm1's topic in CRNA

    i wasn't offended.

13. What is beyond the CRNA position?

    gotosleep replied to Terpole's topic in CRNA

    go to http://www.gaswork.com... I know of several positions in Illinois alone offering over 200K.

14. info needed from current crna's, please....Is it boring????

    gotosleep replied to tamm1's topic in CRNA

    couldn't you present your questions in a more tactful manner? christ...I can't believe anyone even bothered to respond to this.

15. Studying for the Certifying Exam

    gotosleep replied to sonessrna's topic in CRNA

    sweat book at least once maybe twice. memory master/cards at least twice. return to problem areas frequently. avoid marathon study sessions....study in blocks of 45 min to a hour to avoid fatique.