SedareDolorem

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1. Intubation Difficulties

   SedareDolorem replied to WES-BSN's topic in CRNA

   Your problem sounds familiar :-) Ill begin with apologizing for my poor english :) Prepare for the intubation by elevating the op table until you get a comfortable working position. Preoxygenate thoroughly - that will help you work a little more calm...

2. colloids. 1:1 or 2:1?

   SedareDolorem replied to sandman1's topic in CRNA

   Well folks. If I start with a normovolemic patient, I´ll use colloid 1:1, and crystalloid 3:1. At least in theory. Because at the op floor, I´ll tend to go more after clinical signs. When my medulla oblongata tells me that the patient reacts like he/...

3. Different ways to skin the cat..

   SedareDolorem replied to SedareDolorem's topic in CRNA

   I don´t think that "lawyers opinion" is a valid medical parameter anywhere in the civilized world, Athomas :chuckle Patients are individuals, and so are anesthesia providers. Experienced anesthesia workers finds their own "style", based on knowledge...

4. Different ways to skin the cat..

   SedareDolorem replied to SedareDolorem's topic in CRNA

   When I awake my patients, I´ll go from full MAC to 0.5% rapidly. When the patient reach 0.5% sevo, they are still in full surgical anesthesia (small centered pupils etc). Extubating then is in my opinion pretty much the same (stimulationwise) as extu...

5. Different ways to skin the cat..

   SedareDolorem replied to SedareDolorem's topic in CRNA

   Over here, we usually call pre excitation extubation "deep", post excitation extubation "shallow" (or at least the swedish equivalent of that word). If "deep" means full MAC, then I never extubate deep. So you made a good point there. /Anders Kohkoi...

6. Different ways to skin the cat..

   SedareDolorem posted a topic in CRNA

   One of my nurse anesthesist colleagues doubles as a scrub nurse sometimes. Being an anesthesia competent scrub nurse has an interesting bonus - in that position she can observe the different ways we nurse anesthesists work and deal with the situation...

7. Male Nursing Shoes?

   SedareDolorem replied to pdpeanut's topic in Men

   hrrmmppff :imbar yeah, i can see the picture before me.. like a pan pizza, diameter about five meters across, clad in blue scrubs and a pair of black crocs peekin out from under the edge.. if you look closely at the center of that pizza, the two rou...

8. Male Nursing Shoes?

   SedareDolorem replied to pdpeanut's topic in Men

   I had Birks before when I worked psychiatry. A lot of walking and some running too. Im heavy, so the corksoles started to crack around the edges, leaving a small trail of crumbles behind me wherever I went .. After wearing out (to disintegration) tw...

9. Male Nursing Shoes?

   SedareDolorem replied to pdpeanut's topic in Men

   Hmm.. Damn.. Not very thrustworthy for a nurse to stumble on the units like that, is it? :chuckle I meant to write 1.97 meters. The same as 197 cm. Trust me, Im a nurse! *Smile* /Anders, Nurse Anesthesist, Sweden

10. Male Nursing Shoes?

    SedareDolorem replied to pdpeanut's topic in Men

    Crocs are the shoes to wear! Im male, 1.97 cm tall and a weight of 135 kg (and Im an european too, and dont give a rats *** about your american units ) - and for those of you who dont care to convert that to feets, inches and lb´s, its sufficient to...

11. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in CRNA

    Well, not necessary! If you keep opiate levels low, you´ll use more gas to keep intraop stress levels down. If you in that situation give fentanyl you´ll surely have a blood pressure drop. But the drop in BT isnt a direct farmacological effect of fen...

12. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in CRNA

    Keep your naloxone handy! :) /Anders, Nurse Anesthesist, Sweden

13. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in CRNA

    Hmm.. I accidentally double posted what I wrote above, and couldnt find a delete button to remove the doubled message completely. So I edited it instead, and try to use this mess for something fun instead.. Do you folks know what its called when two ...

14. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in CRNA

    When I did neuroanesthesia about eight years ago, we did acousticus neurinomas. Loong operations that sometimes took a whole day. The neurosurgeons wanted the patients awake and communicable immediately after surgery to be able to assess them. Back t...

15. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in CRNA

    High dosage of opiates have its benefits as well as its drawbacks. With a PACU filled with well trained nurses capable of quickly discover and treat resp insuff - good. Especially if going home the same day isnt an option for the patient. I have also...