Since no one took me up on it last year, I will offer it here.... I want to know whether keeping the endotracheal cuff pressure less than 30 cm H2O during surgery results in a decreased incidence of...
In training we were frequently called up to the ICU to place A lines in edematous impossible pts. Excellent experience!! Although we sometimes tried the Doppler to locate the pulse, I never really...
First off, the drug is astramorph. Second, although I used to push epidural narcotics back in my glory days as a med-surg nurse, knowing what I know now, I have to say it wasn't a very good idea. Just...
If you have serious fade with tetany, it may be best to leave the tube in. In the afore mentioned case, I would probably max out my Neostigmine dose, which I consider to be 0.6 mg/kg, and then apply a...
I didn't train with the BIS, but have begun using it in my new practice. I must echo what many have said here. I just don't trust it. I would estimate that I get erroneous readings more than 10% of...
In school, we were taught to give 5cc of LA for a 5 foot woman and then 1 cc per 2 inches of high thereafter. It wasn't long before this recipe got me into a little bit of trouble with high blocks in...
I gave the patient 15 mg of esmolol, bringing her HR back into the 130s. Ten minutes later she was again in the 180s complaining of feeling unwell, dizzy, and slightly SOB. I was hesitant to...
Pt in her early 20s had a history of "fast heart rates", not formally diagnosed by a physician. Becomes mildly symptomatic when it occurs at home... sits down until it goes away. During c-section...
I also am afraid to admit that I do not miss much of anything about bedside nursing. I use my nurisng experience to quickly establish trust and rapport with the patient and all those long hard years...
It's a different kind of stress. Less physical labour to be sure... but more stressful in the reality that the patient's life is truly in your hands. Anesthesia is the big time. There's no one else...