I can count all of the clinical topics on this page on one hand, so here's to getting things back into the right direction...
During induction in a patient you believe you can intubate based on airway assessment, who attempts to ventilate prior to pushing the paralytics?
If you answered yes, what are your next moves after if you can not ventilate despite your best efforts?
If you answered no, what is your reasoning and are you concerned with so-called "burning your bridges"?
Is this decision affected by your choice of depolarizing vs. non-depolarizing NMBs?
I'm well aware of what the books suggest, and this is something I've worked out in my mind. However, this is one area where I see a wide discrepancy in practice, and although there is no one right answer as long as you maintain patient safety, I am simply curious as to what everyone else here is thinking as they render their patients unconscious and susceptible.
I love it!!!!!:rotfl: I am a student "pinball dancer"!!!!! Where did you get that animation?!?!
Its on the pulldown by the font color...........hehehehe (been there did the dance............ I guarantee you will laugh at yourself later on in your career).
Have a good one.
Mike
(PS does that make me a "pinball wizard" now?) LOL
Ditto, as others have mentioned. I always attempt to ventilate prior to pusing muscle relaxants, unless I am doing a RSI (if modified, I will attempt to ventilate with just a few, small slow breaths). If for some reason, I cannot ventilate, I will first try putting in an oral airway and then attempt again. Repositioning the patients head and making sure the patient is in the sniffing position also helps. I have also put some of my larger patients in slight reverse trendelenberg, this will enable movement of some of their redundant tissue.
miloisstinky
103 Posts
MWBEAH
I love it!!!!!:rotfl: I am a student "pinball dancer"!!!!! Where did you get that animation?!?!