Oldsalt

Latest Activity

1. Scope of Practice

   Oldsalt replied to paindoc's topic in CRNA

   To be polite - that is inaccurate...identifying conditions or states based on their presentation is something that a good educated clinician does all the time....you have to make differential diagnosis all the time to accordance with surgical conditi...

2. Scope of Practice

   Oldsalt replied to paindoc's topic in CRNA

   This question cannot be answered in this type of forum for the basic fact of origin of differing definitions. AANA's argument is based on the historic origins in the US of anesthesia providers, its rural provider percentages, and that anesthesia d...

3. Can a CRNA become a............

   Oldsalt replied to hocke5716's topic in CRNA

   I'm in agreement...I too would highly recommend to shadow both an anesthetists and anesthesiologist. Ask them point blank your concerns and questions. Then balance out the pros and cons against one path vs the other and make your choice. Do not le...

4. MAC how Deep is your Depth?

   Oldsalt replied to Oldsalt's topic in CRNA

   Thank you for your comment. No - no perfect formula - no such animal - but again - its foundational knowledge (the depth - no pun here intended) by which critical thinking can be based. Training - is the key - how much "foundation" are we talking abo...

5. MAC how Deep is your Depth?

   Oldsalt replied to Oldsalt's topic in CRNA

   Thanks for your post. Absolutely - In terms of those fundamentals - how do you adjust for age variations, temp, and MAC multiples? Example: Say youre doing a LE Vasc. Case (Fem-Pop - something to that nature) - on a 86 yo, 68KG, - good EF (>5...

6. MAC how Deep is your Depth?

   Oldsalt replied to Oldsalt's topic in CRNA

   Thanks for your question. MAC is defined as minimum alveolar concentration to achieve specific end points (Awake levels, Movement, BAR) - first described by Eger over 40 years ago - it was initially used as a point that defined movement but as more...

7. MAC how Deep is your Depth?

   Oldsalt replied to Oldsalt's topic in CRNA

   Let me apologize - since my original post was a bit overstated and over the top... The question that I wanted to ask - is how much application of fundamental understanding should we demand of ourselves and our partners? For the rest is superfluous...

8. only top 4 percent?

   Oldsalt replied to hbgwan's topic in CRNA

   Yes - but it is not those I was referring too - there were 3 other attributes (inference to clinical judgment - yes?). I have met very poor clinicians and very excellent intelligent clinicians - ---the former is the obvious choice...The jeopardy con...

9. MAC how Deep is your Depth?

   Oldsalt replied to Oldsalt's topic in CRNA

   Thanks your your reply. What numbers and research are you basing 50%? If you are using age old MAC numbers - do you know that they apply to an average age of 40 (meta analysis research - but you know that right?) - hence the spread.. Additionally - ...

10. All CRNAs need to READ this

    Oldsalt replied to janecristensen's topic in CRNA

    I neither feel threatened nor upset by your post - but would like to take the time to thank you for it. It has provided a degree of insight that many have found uncomfortable. Many have questioned your intent & truthfulness. I do not. For th...

11. only top 4 percent?

    Oldsalt replied to hbgwan's topic in CRNA

    Seriously, If it were my mother, father, son or daughter - give me the top 1% every time - I want the guy that knows everything, that is cool, calm, collected, and intelligent. I certainly hope that the schools should be very fastidious about who is ...

12. MAC how Deep is your Depth?

    Oldsalt posted a topic in CRNA

    What is the general understanding and use of the information that folks are getting about MAC these days? What I mean is ......what type of education about patient specific adjustments are students being educated on about MAC? i.e. For it has been e...

13. CRNA PHD Anyone?

    Oldsalt replied to Oldsalt's topic in CRNA

    .... The possession of knowledge does not kill the sense of wonder and mystery. There is always more mystery.....Anais Nin Oh most certain - that there are no absolutes (other than the proverbial two) but my emphasis is on broad foundational knowl...

14. CRNA PHD Anyone?

    Oldsalt replied to Oldsalt's topic in CRNA

    Thanks for the response. Let me be the devils advocate.... I agree on some levels - but the argument was similar when anaesthetists were practicing at diploma levels when the transition to Masters was proposed..do you remember that? ...the other th...

15. CRNA PHD Anyone?

    Oldsalt posted a topic in CRNA

    A Colleague and long friend of mine is on the task force researching the feasibility of all CRNA's programs to require a doctorate degree for entrance to CRNA practice. Though I am all for being well educated, I must pause to think on the rationale o...