what would you consider GENERAL anesthesia

I say, general and not as freaky as the time I was with a CRNA who showed me how to run sevo through a nasal cannula. It is not hard to do, which scares me.

Anyway, he was using sevo with the nasal cannula on a strabismus repair, so the surgeon was getting a nice long whiff of gas. The patient was mildly rousable but I bet a BIS reading would have indicated general anesthesia was being given. (BTW I am not sold on BIS as yet) I politely excused myself from the room, and never worked with him again.

Craig

i like the old definition of MAC... if there is a fire during a MAC, the patient should be able to get up off the OR table and run with you to the nearest exit...

3% DES??? masking them... with a propofol infusion.... you gotta be kidding...

ok - this didn't happen to me - but i find it a very relevent question for discussion.....

scenario: doing a MAC case w/ an ankle block - after sedation - ankle block began by SRNA - SRNA looks up and CRNA is mask ventilating patient w/ 3% Desflurane...

SRNA states - whacha doin???

CRNA - just giving a little sedation with gas....

the conversation ensued....SRNA marked on chart - general mask/MAC/regional and was told it wasn't general because it was 1/2 MAC and pt was "responsive"

so - where do you draw the line?? i would have considered this general

and ... isn't it a little risky to use Des that way due to the airway irritation??

this whole time pt was still receiving a propofol infusion....

what say you??

General - your mentor is an idiot.

I say, general and not as freaky as the time I was with a CRNA who showed me how to run sevo through a nasal cannula. It is not hard to do, which scares me.

Anyway, he was using sevo with the nasal cannula on a strabismus repair, so the surgeon was getting a nice long whiff of gas. The patient was mildly rousable but I bet a BIS reading would have indicated general anesthesia was being given. (BTW I am not sold on BIS as yet) I politely excused myself from the room, and never worked with him again.

Craig

Real smart - why does this CRNA think there are scavenging systems?

You guys scare me! :)

i like the old definition of MAC... if there is a fire during a MAC, the patient should be able to get up off the OR table and run with you to the nearest exit...

i like it!

General - your mentor is an idiot.

funny!!

You guys scare me

eeeaassssy big fella...dont get me started :rotfl:

yeah i have to agree, you mentor/preceptor/professional role model is a little bit scary.

chalk that one up to "i learned what NOT to do today"

d

eeeaassssy big fella...dont get me started :rotfl:

Ah, c'mon, give me a hug!

jwk...

it wasn't MY mentor...and my friend who was with that person is well aware that this person is only a mentor of what not to do....

and i hate to tell you...but bad practitioners come in all categories.

jwk...

it wasn't MY mentor...and my friend who was with that person is well aware that this person is only a mentor of what not to do....

I like that - a mentor of what NOT to do.

And yes, they do exist in all forms of healthcare providers.

Ah, c'mon, give me a hug!

how about a firm handshake and eye to eye contact. :chuckle

how about a firm handshake and eye to eye contact. :chuckle

That, and maybe an "agree to disagree" about our professional differences?

agreed!

well jwk, we've made more progress in the last 2 days than i ever expected.

This group therapy is working wonders!!! :chuckle

Keep up the good work!