Clinical Question

[rn4cicu]

I am going to try to start some actual clinical conversation. I am a junior in a front loaded program and we have just started attending the OR on a regular bases (M,T,W). I have a question for practicing CRNA's and I want the opinion of fellow SRNA's. In just the little time I have spent in my clinical setting (Level I Trauma Center) it seems that most all pts get around 150-200mcg of Fentanyl, 100mg of Lidocaine, 150ish mg of Propofol, and around 100mg of Succinylcholine. Do you guys actually weight base your meds or is cookie cut doses what you see practiced the most. Also I have been taught to avoid Isoflurane in cardiac patients because of "cardiac steal" however I had someone tell me in clinical the other day that Isoflurane is the best for cardiac patients but gave no rational......weigh in people>>

[London88]

SedareDolorem

It is good to hear from our colleagues from different parts of the world!

London88

[gaspassah]

the hearts i did we gave 20 cc fentanyl and pavulon, as induction, rarely propofol and some chose to add a little thiopental. fent / pav induction works pretty nice. gotta go slow tho. the fent offsets tach of pav.

d