Brenna's Dad

Brenna's Dad

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All Content by Brenna's Dad

  1. Interesting Case

    Brenna's Dad posted a topic in Certified Registered Nurse Anesthetist, CRNA

    We had an interesting case in the OR last week (well, at least I thought it was interesting). Patient with a pacemaker scheduled for a posterior C4-5 fusion. Since I know how we handled it... what...

  2. Less than optimum anesthesia?

    Brenna's Dad replied to UCDSICURN's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm wondering how long the Surgery/ Wound Debriedment

  3. Interesting Case

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

    Interesting responses. Besides everything you have all listed, we were also concerned about the pacemaker and the close proximity of the bovie. We elected to apply a magnet before hand, since the...

  4. Interesting Case

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

    The case was indeed done prone. No Neuro monitoring in

  5. Open Heart unit

    Brenna's Dad replied to Kiwi's topic in Certified Registered Nurse Anesthetist, CRNA

    It sounds like the Open Heart Unit you are interested in is a CVICU by a different name. I'm curious, why is it not technically an

  6. Radius to the 4th power

    Brenna's Dad replied to Tia's topic in Certified Registered Nurse Anesthetist, CRNA

    Ohm's law,

  7. helpful hints on contracts

    Brenna's Dad replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    You also need to consider the following: 1. non-compete clause (duration and geographic boundaries) 2. dismissal without cause (consider what is acceptable to you) 3. due process rights 4....

  8. lets discuss extubation

    Brenna's Dad replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    My student role and the shame (lol) of having to use Narcan prevents me from using high dose narcotics in most of my cases. That's why I usually like to "back-load" my narcotics in the last fifteen...

  9. opinion on clinical practice

    Brenna's Dad replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    Exactly gasspassah, we didn't want to use any agent because of the aspiration risk. When he was squirming, I thought pretty seriously about turning on a little agent, but never did. I also sat him in...

  10. opinion on clinical practice

    Brenna's Dad replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    I had a case which pertains to this topic yesterday. One-and-a-half year-old born with VATERS syndome. No cardiac abnormalities. Transesophargeal fistula repair during first few days of life, multiple...

  11. lets discuss extubation

    Brenna's Dad replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    No, when I crank up my flows at the end, the surgeon is done or almost done and I am blowing off the rest of their gas. I don't wake up on Nitrous for obvious reasons. What I do is titrate in...

  12. lets discuss extubation

    Brenna's Dad replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    Generally, what I do for most of my cases is give my intubation dose of fentanyl, titrate in additional doses based on hemodynamics, respiratory pattern, etc. and then titrate in additional doses to...

  13. CRNAs and SRNAs, what's in your fanny..

    Brenna's Dad replied to TraumaNurse's topic in Certified Registered Nurse Anesthetist, CRNA

    Kestrel, don't worry about Peds. Most SRNA's do NOT have any Peds experience either. They teach you everything you will need to know. I was amazed at how easily I overcame my "Peds shock", although I...

  14. opinion on clinical practice

    Brenna's Dad replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    As we all know, fairly frequently you may be able to intubate without any paralytics at all. The RSI arena is an entirely different ball-of-wax since you are trying to prevent aspiration in the...

  15. What do they do?

    Brenna's Dad replied to zlip14's topic in Certified Registered Nurse Anesthetist, CRNA

    It's likely that the person you think is a Doctor is really a

  16. opinion on clinical practice

    Brenna's Dad replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    It amazes me that some think this is even debatable. So, if I can't ventilate.... I do NOT give a non-depolarizer... The very reason I do try to ventilate before paralysis is BECAUSE I know that I...

  17. CRNAs and SRNAs, what's in your fanny..

    Brenna's Dad replied to TraumaNurse's topic in Certified Registered Nurse Anesthetist, CRNA

    The fanny provided by Organon is somewhere here in my study. Piled underneath papers I'm certain I will one day get around to. In my "purse" at work, I carry around my own PNS in case the one in the...

  18. Opinions regarding induction with parents

    Brenna's Dad posted a topic in Certified Registered Nurse Anesthetist, CRNA

    The pediatric practice question posted by user69, brought up an excellent question. Does anyone bring the parents into the room for induction? What are you opinions regarding this practice? In the...

  19. What to do...

    Brenna's Dad replied to JJRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Yup, you can't argue with the sympathetic and parasympathetic nervous systems. And, yes, although differences of course exist, everyone IS built

  20. HUGE DECISION-- honest opinions please!!!

    Brenna's Dad replied to EmeraldNYL's topic in Certified Registered Nurse Anesthetist, CRNA

    I would NOT want to do a 12 hour shift every two weeks when I was in school. I'm sure many here will agree. As it has been said before, you will regret every second of

  21. CRNAs once again defamed...

    Brenna's Dad replied to dynamiteRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Interestingly stuff, According to this article, http://newyorkmetro.com/nymetro/news/trends/columns/cityside/n_9981/ it seems that a NA administered the anesthetic for Olivia Goldsmith, but an...

  22. The usefullness of MONOSCOPES

    Brenna's Dad replied to trakstar's topic in Certified Registered Nurse Anesthetist, CRNA

    Ya, Baxter does them free of charge for our school. Like everyone else has said, I think they are very helpful. For me anyway, it provides a link to the patient that I don't get by watching the...

  23. Pain Management CRNA

    Brenna's Dad replied to TejasDoc's topic in Certified Registered Nurse Anesthetist, CRNA

    Excellent arguement Hello

  24. Can someone explain this to me: Changing out various airway tubes.

    Brenna's Dad replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    If the distal end of the Combitube is not in the trachea, which in my understanding it usually isn't, then how can you pass a Cook catheter through the fenestrations and into the trachea for the...

  25. Can someone explain this to me: Changing out various airway tubes.

    Brenna's Dad replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    It's my understanding that most of the time, the distal end of the airway is inserted into the esophagus and the patient is ventilated through the fenestrations. If you want to exchange over the...