Tenesma

Tenesma

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All Content by Tenesma

  1. Awake intubation question

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

    sux... is a bad drug... in an unstable patient why would you want to use a drug that will rob them of their spontaneous ventilation??? ideally you would want to intubate everybody while they are still...

  2. Awake intubation question

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

    Pete... i feel bad for your exposure to anesthesia providers as it appears they are always "running with their tails between their legs" while you have to fix all of the problems... 1) why would the...

  3. Diabetes mellitus and being an anesthesiologist

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

    okay.... wintermute has got a point... a pump is

  4. Diabetes mellitus and being an anesthesiologist

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

    I think it would be possibly dangerous to be an anesthesiologist doing main OR work with Insulin dependent diabetes.... There will be times where the patient is so sick that for 3,4 or even 8 hours...

  5. Awake intubation question

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

    the use of paralytics in floor/ICU intubations should only be used in very RARE and SPECIAL circumstances, and MOST DEFINITELY NEVER USE SUX!!!!!! if the esophagus was intubated that would explain the...

  6. Medical school?

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

    dita.... huh? your posting didn't make much sense... having children is not cultural or societal, it is

  7. Medical school?

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

    i have quite a few friends who started med school at the 35 to 37 age range... in fact, the age of people starting med school is increasing - the average is 28 right now i

  8. Medical school?

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

    med school isn't more challenging - it is a different challenge. for all those who are thinking about going to med school... go for it... it is the most rewarding thing I can think of. If, however,...

  9. Dilaudid vs. Fentanyl?

    Tenesma replied to EmeraldNYL's topic in Pain Management

    1) Fentanyl has a long half-life, but has a short duration of action due to its lipophilic structure and rapid redistribution - hence the advantage of using it in conscious sedation, but if you run it...

  10. Interesting Case - Pheochromocytoma

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

    he wanted a CVP of 12 and it was only 3...???? easy solution: change the height of the transducer or add about a PEEP of 20.... sigh... CVP is useless... now

  11. Aggressive fluid therapy in Severe Septic Shock and ARDS.

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

    diprivan.... no offense, but how long have you worked in the ICU environment? all you told us what the synopsis of somebody who is trached and failing wean to trach collar, and who is currently...

  12. Aggressive fluid therapy in Severe Septic Shock and ARDS.

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

    of course there is such a thing as renal dose dopamine with the inference being that with low dose dopamine you are able to provide for natriuresis and diuresis --- however what has been proven wrong...

  13. Aggressive fluid therapy in Severe Septic Shock and ARDS.

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

    i love the fact that you are so interested in thinking about problems and trying to think of novel ways of managing them.... however you are unfortunately confusing a lot of issues 1) creating...

  14. How do CRNAs/SRNAs benefit anesthesiology residents?

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

    athlein - you are absolutely right, i spend way too much time on this board (usually when i am on call between cases)... sometimes I see myself as the lone voice to correct a lot of misperceptions...

  15. How do CRNAs/SRNAs benefit anesthesiology residents?

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

    deepz: there are about 34,000 anesthesiologists in the U.S. According to the american board of anesthesia, there are 29,000 board-certified doctors, and about 3,500 board elegible doctors (meaning...

  16. Clinical question about laryngoscopy

    Tenesma replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    first of all there is no relationship between ASA status and airway grade of view!!!! I have had ASA I pts that were can't ventilated/can't intubate (very bad!) I see cords almost all the time - i...

  17. CRNA Debate from www.studentdoctor.net

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

    ptu2slp - agreed that a lot of the postings on studentdoctor.net are very immature and ill-advised. 1) advances in safety have been primarily made by CRNAs: wrong. 2) CRNAs provide anesthesia in 65%...

  18. END technicians in the OR

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

    it is used often for carotids, c and t-spine work....most of the time we use SSEPs, but if there is concern for anterior cord involvement we add MEPs.... I oversee the SSEP tech in the OR and...

  19. MD, DO, NP, DC, OD -- Who deserves the title PCP?

    Tenesma replied to RMARTINNC's topic in Nurse Practitioners, NP

    cardiacNP01 - your post is mildly misleading... no matter how much experience an NP has, they will NOT be equivalent to an MD trained in a primary specialty.... (except maybe for family practice -...

  20. Here's what AAs really think of CRNAs

    Tenesma replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    as far as ER/pulmonology/Interventional cardiology... they are far from being as good at managing a crumping patient than an anesthesia person... without a doubt... I freakin' have to fix their...

  21. Here's what AAs really think of CRNAs

    Tenesma replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    deepz... i am not going to have a stroke... i agree that compared to any other specialty we perform a lot of very detailed tasks that revolve around monitoring, assessing vital signs, etc.... which in...

  22. Here's what AAs really think of CRNAs

    Tenesma replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    you are right alan... i don't employ them, and i never said they work under me or for me... I said they work WITH me, because we use a team approach in our ICU management of patients.... Do they...

  23. Here's what AAs really think of CRNAs

    Tenesma replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    "many of us were accustomed to taking care of patients on the brink of death before going to anesthesia school, and no the MD was not always there to hold our hands." i was going to stay out of this...

  24. Here's what AAs really think of CRNAs

    Tenesma replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    i don't see what is wrong with anesthesia nurse... i am an anesthesia doctor... who cares? by the way, don't be so hell bent on having anesthetist as part of your title, because in Great Britain, the...

  25. Propofol question

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

    actually chris - maybe i didn't explain it properly it is the soybean oil that accerelates the decay when warmed (and oxygenated), and lecithin is there to help stabilize the oil/emulsification... it...