SedareDolorem

SedareDolorem

Member

  • Content

    19

  • Visitors

    1,136

  • Followers

    0

  • Likes

    0

All Content by SedareDolorem

  1. Intubation Difficulties

    SedareDolorem replied to WES-BSN's topic in Certified Registered Nurse Anesthetist, 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...

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

    SedareDolorem replied to sandman1's topic in Certified Registered Nurse Anesthetist, 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...

  3. Different ways to skin the cat..

    SedareDolorem replied to SedareDolorem's topic in Certified Registered Nurse Anesthetist, 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...

  4. Different ways to skin the cat..

    SedareDolorem posted a topic in Certified Registered Nurse Anesthetist, 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...

  5. Different ways to skin the cat..

    SedareDolorem replied to SedareDolorem's topic in Certified Registered Nurse Anesthetist, 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...

  6. Different ways to skin the cat..

    SedareDolorem replied to SedareDolorem's topic in Certified Registered Nurse Anesthetist, 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...

  7. Male Nursing Shoes?

    SedareDolorem replied to pdpeanut's topic in Men in Nursing

    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...

  8. Male Nursing Shoes?

    SedareDolorem replied to pdpeanut's topic in Men in Nursing

    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...

  9. Male Nursing Shoes?

    SedareDolorem replied to pdpeanut's topic in Men in Nursing

    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...

  10. Male Nursing Shoes?

    SedareDolorem replied to pdpeanut's topic in Men in Nursing

    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...

  11. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in Certified Registered Nurse Anesthetist, 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...

  12. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

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

  13. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in Certified Registered Nurse Anesthetist, 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...

  14. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in Certified Registered Nurse Anesthetist, 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...

  15. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in Certified Registered Nurse Anesthetist, 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...

  16. Clinical Question

    SedareDolorem replied to rn4cicu's topic in Certified Registered Nurse Anesthetist, CRNA

    We also use Iso and Pavulon for our hearts in Umeå.. And lots of fentanyl. Pavulon increased heart rate isnt seen as a problem, we use it as an excuse to NOT give anticholinergics :chuckle /Anders,...

  17. Lap Chole and Narcotics

    SedareDolorem replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    Hmm.. You folks use different units than I´m used to, but.. Generally, for a lap cholecystectomy on a reasonably young patient, I would give 0.1-0.15 mg of fentanyl just before induction. Sevoflurane...