what would you consider GENERAL anesthesia

nilepoc · Aug 18, 2004

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

Gotosleepy · Aug 18, 2004

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...

jwk · Aug 18, 2004

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.

jwk · Aug 18, 2004

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! :)

gaspassah · Aug 18, 2004

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

jwk · Aug 18, 2004

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

Ah, c'mon, give me a hug!

athomas91 · Aug 18, 2004

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 · Aug 18, 2004

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.

gaspassah · Aug 19, 2004

Ah, c'mon, give me a hug!

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

jwk · Aug 19, 2004

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

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

gaspassah · Aug 19, 2004

agreed!

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