gaspassah

Latest Activity

1. DNP required soon?

   gaspassah replied to deadsoul's topic in Doctoral

   from what i understand the dnp will be awarded primarily due to the amount of clinical hours most crna programs are completing. many are just a few hours shy, probably just end up doing a couple months more in clinical, with a few extra classes.

2. cardene

   gaspassah replied to ECU_CRNA2B's topic in CRNA

   i have given it bolus by mixing in the standard fashion then drawing some in a 10 cc syringe to give by 1 ml increments. i will also free flow cardene on regular iv tubing if the patient has an art line. i use it alot for intracranial interventional ...

3. nueroanesthesia monitoring question(S)

   gaspassah replied to ECU_CRNA2B's topic in CRNA

   if doing motor evoked potentials mep's you shouldnt use nmba, the tech is supposed to monitor for the quality of the twitch, not just is there one, it's kinda like measuring tof ratio for us. sseps, some say you can use nmbas some say you cant, usual...

4. Drug dispensing systems

   gaspassah replied to mkmdbm7's topic in CRNA

   i think they are fine, ive used them in the past. only thing is make sure your emergency drugs are in an open drawer for easy access.

5. Process for Adults vs. Children

   gaspassah replied to ExCorporateRN's topic in CRNA

   dont forget that although halothane was used for many years and was a good agent, it sensitizes the heart to catacholamines. if you give local with epi, you can get vtach vfib rather easily. this is one main reason it fell out of favor. d

6. ISCM block for shoulder surgery

   gaspassah replied to catcolalex's topic in CRNA

   it's a great block, i too learned it at the navy when training at kaiser. however noone knows what it is here in miss and trying to get them to learn or try it is like beating your head against the wall. it's much easier than an interscalene imho. d

7. laryngospasm and peds Succs dose.

   gaspassah replied to SRNA312's topic in CRNA

   where i did my anesthesia peds training they didnt want you to use sux on kids for spasms. their treatment was major positive pressure and time, as hypoxia has a muscle relaxant property when it gets low enough. the few i had to handle would usually ...

8. What is important to you re: the circulator in the room???

   gaspassah replied to RNOTODAY's topic in CRNA

   2. OR warm and QUIET during induction and wake-up. this is a biggie for me, and the scrubs banging instrument trays all over the place on the metal carts doesnt help either.

9. Myn in OB

   gaspassah replied to BeatOU's topic in CRNA

   suzanne, i was wondering if you had evidence to support this statement. as a practicing crna i have been under the impression that crna's can work independantly in all 50 states. the only restriction to practice being hospital policy, not state nursi...

10. Interesting OB Case

    gaspassah replied to underdog's topic in CRNA

    never fear!! underdog is here!! for those of you old enough to remember that cartoon, i would reply to this but we already talked about this one, what's up underdogdude? anymore issues in recovery? d

11. Anectine/Propofol for LMA insertion

    gaspassah replied to Zinobile's topic in CRNA

    i dont normally use defasicualting doses. i read somewhere that nmb can cause myalgia just as using sux can, and just surgery can cause it. i also like to see some twitching, just another way to know when the pat is ready. during the end of my tra...

12. Anectine/Propofol for LMA insertion

    gaspassah replied to Zinobile's topic in CRNA

    i first concider the use of an lma to be no different than using a mask. the risks are the same as the airway is not protected. therefore my use of the lma is for spontaneously breathing patients. i never use nmb for lma, we have an attending that wi...

13. Awake Fiberoptic with Ketamine? Any other tricks?

    gaspassah replied to miloisstinky's topic in CRNA

    i dont usually use much more than about 5 mg versed titrated. i usually do the transtracheal nerve block with superior laryngeal nerve block and lido 4% nebs/

14. How would you manage this airway?

    gaspassah replied to MmacFN's topic in CRNA

    in the OR cric... in the field, have someone do a chest compression and intubate the bubble. d

15. Pediatric CRNA

    gaspassah replied to MalibuMel's topic in CRNA

    i do about 1/2 to 2/3 of my work as a peds crna. there are no specialty schools per se. there are specialty rotations at about every school for peds tho. i think to be a peds crna, work somewhere with a peds hospital, or one that does a rather large ...