gotosleep

I've seen it done in training once. The MDA doing it couldn't give a scientific rationale as to why she thought it worked. I presume it's parasympatheticolytic action may be the rationale. Personally,I don't buy it. There are a number of better drugs...

I don't understand why they insist that you do not use muscle relaxants. That doesn't make sense to me. It's SSEP not MEP............

doesn't make any sense...another example of voodoo anesthesia. sad.

i'm aware of that. there is a reason the RECOMMENDED dose is 1mg-1.5mg/kg for RSI though.

20-40mg is just absurd. what is the point of this? Either you give the drug or you don't. I can imagine the plaintiff's expert having a lot of fun with you after your patient aspirates.

well....your first problem is that you should be extubating your patients in the OR. :) secondly, i wouldn't give a damm what the PACU nurse thought about how I extubated my patient.

true....but some people dislike the coagulation abnormalities associated with this product.

colloids are expensive and usually unnecessary.

Phenylephrine infusion. you can avoid the precipitous bradycardia and increase in SVR with careful titration. I always get a giggle out of watching people give ephedrine to a beta blocked patient. It seems counter-productive in my opinion considerin...

sonya, historically anesthesia providers avoid using any kind of regional anesthesia in patients with Von Willebrand disease. I know that some providers are putting epidurals in parturients with normal bleeding times. i think however, the consensus i...

i wasn't offended.

go to http://www.gaswork.com... I know of several positions in Illinois alone offering over 200K.

couldn't you present your questions in a more tactful manner? christ...I can't believe anyone even bothered to respond to this.

sweat book at least once maybe twice. memory master/cards at least twice. return to problem areas frequently. avoid marathon study sessions....study in blocks of 45 min to a hour to avoid fatique.

the army has always had a reactionary and short-sighted recruitment policy. The yearly incentive bonus is just laughable especially when juxtaposed to the current civilian CRNA salary. Current events and mobilization tempo demand a more reasonable co...

i really don't see a place for the drug. First and foremost, I dislike the histamine release that is far too common. The density of the block is often inadequate for laryngoscopy and the onset is too slow. The duration of action precludes its use on ...

i don't know why anyone would use mivacron....terrible drug

you're talking about active duty...I'm talking about the reserve STRAP program.

I just don't understand why you didn't use more ketamine as opposed to giving repeated boluses of propofol to a patient who "had a poor airway and was obese."

well done...very accurate description. This is what I did to obtain my CRNA education. One thing though... "basically 4.5yrs serving in a TPU or IMA unit." Please correct me if I'm wrong. But my understanding is that there is no half years in obligat...

maybe.. I like to use an antisialagogue with ketamine, especially with pediatrics. Also, the combination of propofol (and versed and fentanyl) with ketamine, even in small doses is sufficient to depress laryngeal reflexes. I'm confused by the versed,...

Well good luck mike...I know the army is struggling with recruitment and retention in all MOS. I am a Army Reserve CRNA (brand new civilian trained graduate) and I look forward to working with the Army trained CRNAs in the near future. I've always t...

well...i think it's pretty obvious that he is joking...

It's called the National Certification Examine. It is a Computer Adaptive Test (much like the RN boards). You may have 90-160 questions depending on how well you do. Most people take the Valley Review Course which I recommend. This test is no joke. Y...