Tenesma

Tenesma

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All Content by Tenesma

  1. R on T phenomenon

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

    for the OP 1) r on t is often misread - and actually isn't really r on t. 2) your MD was mistaken: all symptoms of arrhythmia should be evaluated (Chest pain, syncope/pre-syncope, headache, nausea,...

  2. crnas in labor and delivery??

    Tenesma replied to cutiejen2's topic in Certified Registered Nurse Anesthetist, CRNA

    doing intra-uterine fetal surgery on OB is cool

  3. Central lines for a lefty?

    Tenesma replied to charles-thor's topic in Certified Registered Nurse Anesthetist, CRNA

    actually to be a good line person i believe you have to learn to do it lefty style and righty style... lefty style for the left neck/subclavian and righty style for the right neck/subclavian.......

  4. Amidate and Propofol for MAC?

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

    loisane you misunderstand my point.... this has nothing to do with non-anesthesia provider sedation. I was trying to point out that what we often call MAC is really a GA without airway

  5. Amidate and Propofol for MAC?

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

    i think it is not a clean technique to rely on polypharmacy to reach a goal - as you now confound different half-lives etc.... would you use propofol, etomidate, versed and thiopental mixed up for an...

  6. CRNA Induction Sequence List

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

    as a former MGH resident and attending, I can say that there is NO SUCH requirement.... I therefore disagree with Fawg and agree with everybody else... There are a set list of ASA required monitors...

  7. What is up with CRNA/AA/MDA politics.

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

    i don't know if i can speak for all physicians, but CRNAs are not considered equal to other non-specialized nurses.... they are considered to be superior to non-specialized nurses (extra education,...

  8. What is up with CRNA/AA/MDA politics.

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

    thanks loisane - but i was being facetious... (i was hoping to prove alan's point that MDs are useless :) ) here is the reason why the bases get more ventilation: The base of the lung is at a less...

  9. What is up with CRNA/AA/MDA politics.

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

    mechanical aspects of anesthesia: intubation, extubation, IVs, a-lines, central lines, epidurals, spinals, regional blocks, nerve block catheters.... i wasn't aware that these were skills that...

  10. What is up with CRNA/AA/MDA politics.

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

    deepz... you are right... as residents we got 2 15 minute breaks and 1 30 minute lunch break every day - and on call we got a 30 minute break every 6 hours (on average)... so you are right, you can...

  11. Earpiece question.

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

    or be lazy and place a precordial doppler on the chest and turn up the sound - that way everybody can hear all those crazy

  12. What is up with CRNA/AA/MDA politics.

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

    alan almost all professional exams provide sample questions (believe it or not, that applies for the certification of CRNAs as well - just look at the brochure by the council on CRNA examination) i...

  13. What is up with CRNA/AA/MDA politics.

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

    first of all nobody can perform 300,000 anesthetics... but my math is correct: monday: 7am - 6pm 11 hours tuesday: 7am - 6pm 11 hours wednesday: 7am - 6pm 11 hours thursday: 7am-6pm 11 hours friday:...

  14. What is up with CRNA/AA/MDA politics.

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

    brenna's dad - i can't answer for all anesthesia residencies but i can tell you about my experiences 1) didactics (meaning lecture/class-room setting - includes grand rounds) is about 3-4...

  15. What is up with CRNA/AA/MDA politics.

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

    sorry - i misread about the GA part. you are right, those aren't very common... Most centers that do >3,000 deliveries per year would average 2-4 GAs per month (based on my readings). I don't...

  16. What is up with CRNA/AA/MDA politics.

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

    the story behind this is an interesting one.... in 1995 there were 2 news reports regarding a bad job situation for anesthesiologists... therefore anesthesia residency applications fell into the...

  17. What is up with CRNA/AA/MDA politics.

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

    athlein... i am glad that SRNAs get stipends - because I can imagine it must be tough to go from making good money as a nurse back to needing student loans again! you are right --- this is tiresome......

  18. What is up with CRNA/AA/MDA politics.

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

    alan... i usually enjoy/value your posts, but i am afraid that your recent postings must be made by somebody else or maybe you were on call last night??? (that would explain the english...

  19. What is up with CRNA/AA/MDA politics.

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

    alan... where do you get your information from? first of all the definition is as follows: "period of advanced medical training and education that normally follows graduation from medical school and...

  20. What is up with CRNA/AA/MDA politics.

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

    the term resident comes from Hopkins from long ago - when residents would actually live in the hospital... And up to the recent 80 hour work week rule, it felt like we lived in the hospital because we...

  21. What is up with CRNA/AA/MDA politics.

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

    stevierae... i don't know what institution you are in, but when i was a resident I did all of the difficult intubations on my own on the neuro/ortho-spine service with the attending in the background...

  22. Bypass question

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

    I don't really remember saying there was a trend about MDs leaving the room while on pump.... The pump issue depends on the institution, the complexity of the case and the experience of the...

  23. IV potassium

    Tenesma replied to limabean's topic in Patient Safety Issues

    i am sure you have seen a lot of patients... the 18 year old i would suggest did not die from hypokalemia... my point, originally, is that there is rarely the need for aggressive potassium...

  24. IV potassium

    Tenesma replied to limabean's topic in Patient Safety Issues

    ladylynx... what you are saying is not based in fact. 1) due to its high bioavailability and rapid absorption, enteral potassium provides adequate potassium replacement in a patient that can tolerate...

  25. IV potassium

    Tenesma replied to limabean's topic in Patient Safety Issues

    ladylynx... i am glad you are on a mission for your patients.... I am sure the doctors are on a mission to do as much harm as possible with their minimal