Tenesma

Tenesma

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All Content by Tenesma

  1. Residual NMBA in cellsaver

    Tenesma replied to g8rlimey's topic in Certified Registered Nurse Anesthetist, CRNA

    why is a sux drip unethical??? in an environment where your surgeons are extremely fast and you have a high caseload, thus requiring a rapid turnover rate - how else would you provide the muscle...

  2. Residual NMBA in cellsaver

    Tenesma replied to g8rlimey's topic in Certified Registered Nurse Anesthetist, CRNA

    regarding neostigmine - the reason why this is important to keep in mind is because of the trouble you can sometimes run into... here are a few scenarios: 1) running a succinylcholine drip for a...

  3. SRNAs/CRNAs-Ketamine coming into vogue?

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

    ketamine was all the excitement when it came out - the perfect anesthetic drug... that soon lost its steam.... primarily because of the psych. issues involved (even despite benzo pre-treatment) that...

  4. Residual NMBA in cellsaver

    Tenesma replied to g8rlimey's topic in Certified Registered Nurse Anesthetist, CRNA

    the cell-saver collects aspirated blood - so if the patient suddenly loses a decent amount of blood then chances are they lost some unmetabolized paralytic - and usually in cases with high blood loss...

  5. Residual NMBA in cellsaver

    Tenesma replied to g8rlimey's topic in Certified Registered Nurse Anesthetist, CRNA

    this is an excellent point.... and many forget about this.... as a general rule for me, i only use cell-saver during the case or towards the end of the case - and if i am not extubating it is a moot...

  6. scary.....

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

    depends on how awake they are... depending on situation i will give 3-10mg of

  7. scary.....

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

    a small dose does a great trick on post-op

  8. Antacids

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

    i will re=phrase... you don't treat aspirations until they progress to aspiration pneumonias... then you do treat... (unless of course the aspiration event is in an immunocompromised patient then you...

  9. scary.....

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

    "easy" :) i was being

  10. Antacids

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

    this is a good discussion.... a few points 33% of aspirations happen at induction 33% of aspirations happen at emergence (we often forget about that one) you don't treat aspiration pneumonias with...

  11. scary.....

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

    propofol - while short onset and short duration of action, it still hangs around your body. Elimination is triphasic, with the distribution half-life being 2-10 minutes; the second phase half-life...

  12. scary.....

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

    the problem with propofol is that it truly is a GENERAL anesthetic... by definition a MAC is light sedation with the patient able to follow simple commands. Propofol abolishes most airway...

  13. scary.....

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

    the required anesthesia exposure for an oral surgeon is exactly 3 months.... the good news is that if they knock out any teeth with their intubation, they can fix

  14. Crna = Mda?!

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

    just a quick note about studentdoctor.net... most of the people posting on the anesthesia forum (despite it being a "graduate" forum) are medical STUDENTS... they know about as much about Anesthesia...

  15. Crna = Mda?!

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

    i don't want to get picky - or pedantic... as a resident we are in the OR from 6:30 am to 6pm every day (monday through friday) then we take call once to twice per week (which usually adds another 12...

  16. Crna = Mda?!

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

    i just got back from vacation - and i am surprised to see a brouhaha about this posting from another forum site (the "dreaded" sd.net :) ) first of all - if you look back at all of my postings i have...

  17. Question-Open Heart Anesthesia??

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

    i think it would be dangerous to expedite extubation beyond what we do around the country at this point... and the thought of switching to an even shorter acting narcotic or using benzodiazepine...

  18. cricoid pressure techniques

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

    if he had received sedation then you might have lost his airway - keeping him awake you can make sure that he maintains his airway for you until you secure it... safest

  19. cricoid pressure techniques

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

    it is impossible to apply the required force on the cricoid with your fingers/palm splayed out in that way - especially in a fat patient, it would become even more difficult.... The Sellick maneuver...

  20. Plasmanate or 5% Albumin postop

    Tenesma replied to helix's topic in MICU, SICU

    there are no good studies showing that albumin causes less fluid

  21. Plasmanate or 5% Albumin postop

    Tenesma replied to helix's topic in MICU, SICU

    this is a touchy topic - primarily because some people believe one is better than the other (colloid vs. crystalloid) - so far in most meta-analyses there is no difference in outcome betwee using...

  22. is being a crna a boring job ???

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

    it looks boring because you see the anesthesia provider most of the time doing nothing (beyond intubation/extubation and critical moments) ---- but in fact the anesthetist is running through his/her...

  23. futurenurseanesthetist

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

    the joke that you missed is regarding my name presumably (plural of tenesmus) ... that's right: go ahead and look its definition

  24. futurenurseanesthetist

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

    and angelsuzie - nurses aren't the only people cleaning patients - pretty much any body involved w/ patient care (except for maybe nutrition and psych) cleans patients in some way or another... by the...

  25. AA vs. CRNA - Let's Discuss.

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

    just a quick note from a lounge lizard (i am an mda): i work 80hrs per week minimum - i get a total of 45 minutes to 50 minutes per day of free time (mainly for toilet/water/lunch breaks) --- i wish i...