JoeCRNA

Latest Activity

1. Tee

   JoeCRNA replied to ILoveIceCream's topic in CRNA

   There are a variety of practice settings available. I encourage you to check out the AANA website, they provide great resources and LINKS to some really excellent CRNA specific information.

2. Tee

   JoeCRNA replied to ILoveIceCream's topic in CRNA

   It all depends on the practice. In my current practice I do thoracic cases such as lobectomies and wedge resections that require double lumen endotracheal tubes that allow you to isolate a lung to ventilate while dropping the other for surgical inte...

3. Tee

   JoeCRNA replied to ILoveIceCream's topic in CRNA

   TEE can be performed intraop by CRNAs, especially those who provide anesthesia for thoracic cases.

4. North CO anesthesia??

   JoeCRNA replied to mammothsnw's topic in CRNA

   Excellent, glad to have been shocked and proven wrong. Now where is the awe? What is the practice like.......

5. North CO anesthesia??

   JoeCRNA replied to mammothsnw's topic in CRNA

   I would be shocked if PVH uses CRNAs, Such a desirable place to live is likely to be dominated by anesthesiologists.

6. Let's talk about... spinals

   JoeCRNA replied to Qwiigley's topic in CRNA

   I tend to do things quite similarly; however, I use a little ketamine 10-20 mg (typically 10mg) in addition to some versed and occasionally propofol for premedication. I have found this combination has minimal respiratory depression and is tolerated...

7. Update: Epidurals and c-sec

   JoeCRNA replied to Qwiigley's topic in CRNA

   I most frequently use 10-20cc 2% lido with epi, a little bicarb for speed, and 100 mcg of fentanyl to improve the quality of the block. If hypotension presents itself, I tend to reach for neo first and then ephedrine, if not responsive to the neo. ...

8. Epidurals/Tatoos

   JoeCRNA replied to bagladyrn's topic in CRNA

   Some advice for a new CRNA, being a licensed advanced practitioner "I was taught..." is not a good enough rationale for anything. The standard of care, the evidence shows, etc. are rationales. We are not minions to our teachers (whether they be MD...

9. Use of Diprovan in your ER

   JoeCRNA replied to TRAMA1RN's topic in Emergency

   Sounds COWBOY to me...

10. Took boards today!

    JoeCRNA replied to EmeraldNYL's topic in CRNA

    Having read your progress through school, I am sure that you did well on your exam and will soon be a full fledged member of a great profession. Like another poster, I too found out that I passed via the AANA credential verification page; however...

11. Room air general

    JoeCRNA replied to willti1's topic in CRNA

    Room air General is frequently synonymous with a Big MAC which is essentially General anesthesia with a natural airway and intravenous "sedation."

12. Epidurals/Tatoos

    JoeCRNA replied to bagladyrn's topic in CRNA

    As a matter of practice, I do not place epidurals through tattoo ink. The verdict remains out and although the risk is probably small, why take a chance...especially with an elective procedure. However, there is typically an interspace that is not in...

13. ER Only Background for CRNA??

    JoeCRNA replied to edrn21's topic in SRNA

    No, I actually meant retention as a double entendre. But, thanks for the assumption.

14. ER Only Background for CRNA??

    JoeCRNA replied to edrn21's topic in SRNA

    Re: ICU or ER permalink I personally came from an ER background and to this day find the skill set I learned in the ER to be invaluable. Rapid assessment, quick thinking, improvisation, a cool head under fire, being able to roll with the pu...

15. ICU or ER

    JoeCRNA replied to Apple30's topic in SRNA

    I personally came from an ER background and to this day find the skill set I learned in the ER to be invaluable. Rapid assessment, quick thinking, improvisation, a cool head under fire, being able to roll with the punches, prioritization, decision ...