paindoc

paindoc

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All Content by paindoc

  1. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Proof is defined by both basic science and clinical science. There are many papers in the clincal realm that specify propofol does not trigger MH. The basic science paper proves what the clinical...

  2. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    In determining whether dantrolene should be stocked, perhaps it would be advantageous to examine a risk analysis based on the specific agents used. For example, propofol has now been proven not to...

  3. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    My experience shows CRNAs are more likely to be involved in office anesthesia than MDs but perhaps this is a regional difference. A series of calls to surgeons I know that perform office procedures...

  4. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Neither MDs nor CRNAs should have waited an hour before transferring the patient. Now back to basics.....can you give me stats on the percentage of OFFICE ANESTHESIA provided by MDs? I happen to...

  5. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    The ability to read is a valuable commodity in the practice of anesthesia and in all walks of life. The ability to be truthful and accurate in restating what was read is equally valuable....

  6. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Correct, thank you! I was an anesthesiologist for many years and taught residents in an anesthesiology residency program, and was also in private practice. Doctors offices only uncommonly have MD...

  7. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Any anesthesia technician, whether they be CRNA or MD, should have recognized the issue and started immediate treatment. Anesthesiologists are not my "brethren"- I have never been a member of the...

  8. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Hmmmm....if that is the only cost of Dantrolene, then it makes little sense not to stock it in an ASC. A physicians office, where triggering agents are rarely used with versed/fentanyl sedation or...

  9. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Fortunately, the irresponsible and financially impossible recommendations of an association with an axe to grind is not what drives medical care in this country. Prudent and acceptable dantrolene...

  10. How Breast Surgery Killed A Florida Teen

    paindoc replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Inhalational general anesthesia is not typically administered by a surgeon....usually in an office setting, this type of anesthetic involves a CRNA. Non-inhalational anesthetics usually do not...

  11. Scope of Practice

    paindoc posted a topic in Certified Registered Nurse Anesthetist, CRNA

    How is scope of practice defined for CRNAs? Is it based on training in CRNA school? Based on common usage of techniques by

  12. Scope of Practice

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

    Of course you haven't seen any evidence to curtail these course offerings since you are not either a program director or course director. I can assure you that behind the scenes it is exactly these...

  13. Scope of Practice

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

    Stanman and Skipaway, don't be so naive that you believe organized medicine is not outraged by fly by night organizations teaching MDs an entire medical specialty in a weekend or procedures in the...

  14. Scope of Practice

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

    Pain medicine is a medical specialty encompassing many techniques, diagnostic skill sets, therapeutic options, and research into the advancement of the field. Robotic surgery is a single technique...

  15. Scope of Practice

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

    Actually I said INTERVENTIONAL pain procedures are not being taught in CRNA school. If you had fluoroscopically guided injection training in CRNA school, pray tell us where so I can contact the...

  16. Scope of Practice

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

    Au contrare...I do have such proof. Having queried every CRNA school in the country and having responses from their program directors is proof enough. The only formal training available is well,...

  17. Scope of Practice

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

    Oh, you underestimate the avarice of the hospitals and the overconfidence of the weekend warrior trained CRNAs. It is already happening in several states. It is a repugnant practice that is an...

  18. Scope of Practice

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

    CRNAs have extensive pharmacology training in IV drugs used for anesthesia and a peripheral working knowledge of other drugs that may interact with anesthesia. They are completely untrained during...

  19. Scope of Practice

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

    Nearly all are in rural areas at this time, so most are without a pain physician available, supervising, or for

  20. Scope of Practice

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

    I disagree. The lack of education of CRNAs providing interventional or comprehensive pain management is exactly the issue. While there are similarities between anesthesiology and nurse administered...

  21. Scope of Practice

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

    Family physicians without fellowship training in pain medicine have no business performing interventional pain procedures. They are far better at medication management for chronic pain than CRNAs...

  22. Let's talk about... spinals

    paindoc replied to Qwiigley's topic in Certified Registered Nurse Anesthetist, CRNA

    I haven't done these for years, but used to use hypobaric tetracaine (powder mixed in sterile water) with the affected hip up, 22ga Quincke tip needle, with fentanyl 12mcg. We had post op nausea when...

  23. Scope of Practice

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

    CRNAs or MDs without extensive pain training are not qualified to perform lumbar, thoracic, cervical discography, radiofrequency neurolysis of the DRG or medial branches, cryoneurolysis of the DRG or...

  24. Scope of Practice

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

    Actually, there ARE CRNAs of which I am aware that have started interventional pain practices without any training whatsoever and started performing spine surgery after one weekend course. The straw...

  25. Scope of Practice

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

    Mine was a serious question based on real life serious situations of CRNAs already performing surgery on patients. The skills acquired in CRNA school have nothing to do with interventional pain...