London88

London88

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All Content by London88

  1. Non compete clauses

    London88 replied to mgrn88's topic in Certified Registered Nurse Anesthetist, CRNA

    mgrn88: Go to the legal section of AANA website. There are extensive writings on this topic. I was just reading them on the

  2. Patient with awareness

    London88 replied to Mana_Tangata's topic in Certified Registered Nurse Anesthetist, CRNA

    Loisane: Once again, very well said. It is one thing to make an uninformed statement like Dutchgirl did, but to try and argue to defend that statement is another. There is nothing like a non...

  3. Considering a tubal...

    London88 replied to BRANDY LPN's topic in Certified Registered Nurse Anesthetist, CRNA

    For the original Poster in reference to the anesthesia for BTL. If the procedure is laparascopic there are concerns about airway if they are insufflating the abdomen. So, many anesthesia providers...

  4. Left alone in OR

    London88 replied to jewelcutt's topic in Certified Registered Nurse Anesthetist, CRNA

    Most of the time I do not mind being left alone as a student as it gives you autonomy and helps you develop independent skills. The facility where I am at usually leaves senior students by themselves...

  5. What's going to keep you motivated????

    London88 replied to SRNACHIC's topic in Certified Registered Nurse Anesthetist, CRNA

    So now you think you know wether or not I am a minority? Just look at the assumptions you continue to make! I am not going to respond any further however I will agree with you that this is a free...

  6. What's going to keep you motivated????

    London88 replied to SRNACHIC's topic in Certified Registered Nurse Anesthetist, CRNA

    Your post is totally inappropriate as you are stereotyping, and I don,'t care what color you think you

  7. First Day in OR

    London88 replied to jewelcutt's topic in Certified Registered Nurse Anesthetist, CRNA

    Jewelcutt, Didn't anybody tell you that during the first two months you do a double anesthetic technique, yourself and the patient! I can't begin to tell you how much sevo and forane I inhaled during...

  8. How important is writing ability for an SRNA?

    London88 replied to atainey's topic in Certified Registered Nurse Anesthetist, CRNA

    Atainey, If your husband is attending a university based program he will have to know how to write a paper. That is also probably the case in hospital based programs as you still receive a masters...

  9. GI Diprivan thread

    London88 replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    Passin Gas, According to Barash propofol does have a direct myocardial depressant effect. It also decreases SVR causing it to produce a more profound hypotension than

  10. Radius to the 4th power

    London88 replied to Tia's topic in Certified Registered Nurse Anesthetist, CRNA

    Tia, When you hang a bag of IV fluids and you raise the bag to increase the flow is an example of Pouislle's law. When you use an 18 gauge catheter as opposed to a 22 gauge is an example of...

  11. Applying to school, but need to explain "F" grade

    London88 replied to pinkisnoopi's topic in Certified Registered Nurse Anesthetist, CRNA

    Having an "F" will probably be frowned upon. However, it will be looked at in relationship to your other grades. You obviously have some A's on your transcript, and if they are in some of the other...

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

    London88 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    If you cannot trust your textbooks, and I realize that by the time they are published there is new information rendering some of the info obsolete, what do you go by? If you cannot believe the text...

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

    London88 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    Versatile Kat Low dose dopamine 1-3mcg/kg/min increased renal blood flow and urine output ( Anesthesiology & critical Care Drug Handbook) Renal effects of dopamine predominate when the dose of...

  14. lets discuss extubation

    London88 replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    Brenna's dad When you crank up your flows at the end are you cranking up nitrous as well as O2 or just O2. I noticed that pt's wake up real fast if the inhalation is turned down before the end of the...

  15. opinion on clinical practice

    London88 replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    Gotosleepy, I fully undesrstand that for RSI the textbook method is to not give any breaths, but many of the MDAs I have worked with still attempt one breath.The patient who is not paralyzed is going...

  16. opinion on clinical practice

    London88 replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    Brenna's Dad, I was trying to stay out of this discussion because I cannot see how someone would defend giving the paralytic w/out attempting at least one breath. Without attacking Gotosleepy, I do...

  17. Is it possible to titrate paralytics?

    London88 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    Thank you for the information Gotosleepy. I am always willing to expand my limited knowledge. Most anesthesia providers I have come into contact with shy away from mechanically ventilating the patient...

  18. Is it possible to titrate paralytics?

    London88 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    Maybe I am missing the point here, but why would I want to paralyze somebody with the intention of maintaining their airway with a mask, or with the intention of using an LMA. The beauty of an LMA is...

  19. Is it possible to titrate paralytics?

    London88 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    Loisane Maybe gotosleepy meant what is you explained above, but that it is not the impression I was getting at first , and that is why I wanted an example. It is just that the thought of giving a...

  20. MD referring to CRNA as 'support staff'

    London88 replied to kestrel1121's topic in Certified Registered Nurse Anesthetist, CRNA

    Dixie Just a little FYI about the surgeon viewing anesthesia as support staff. I do not know if you have worked in the OR environment, but are you aware that anesthesia can cancel sugery if they do...

  21. Is it possible to titrate paralytics?

    London88 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    Gotosleepy When would it ever be appropriate to use a paralytic on somebody who is not intubated if your goal is not to immediately intubate them? When would it ever be a safe practice to use a...

  22. What to do...

    London88 replied to JJRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Susanna Just about everything you do in anesthesia is related to the parasympathetic or sympathetic nervous system. Everytime you reach for a drug it is with consideration of the effect on the...

  23. Time for family

    London88 replied to FLCRNA2B's topic in Certified Registered Nurse Anesthetist, CRNA

    Passingas I have to say that your comment on the deterioration in dressing by the end of the first semester hit home. I had to laugh when I first read it because it is such an accurate description of...

  24. Here's what AAs really think of CRNAs

    London88 replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    Tenesema, I believe we are in

  25. Here's what AAs really think of CRNAs

    London88 replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    Tenesema I simply have to respond to your comment in reference to my so called "cocky" statement. The truth of the matter is that a good critical care nurse has to think on his / her feet and make...