gotosleep

gotosleep

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All Content by gotosleep

  1. Ephedrine for prevention/treatment of PONV?

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

    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....

  2. SSEP Monitoring

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

  3. SSEP Monitoring

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

    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

  4. Physostigmine + Neostigmine

    gotosleep replied to devine1's topic in Certified Registered Nurse Anesthetist, CRNA

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

  5. Low dose sux, subtherapeutic or good idea?

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

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

  6. Low dose sux, subtherapeutic or good idea?

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

    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

  7. Cutting Balloon cuffs

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

    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

  8. opinions

    gotosleep replied to confusionabounds's topic in Certified Registered Nurse Anesthetist, CRNA

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

  9. opinions

    gotosleep replied to confusionabounds's topic in Certified Registered Nurse Anesthetist, CRNA

    colloids are expensive and usually

  10. opinions

    gotosleep replied to confusionabounds's topic in Certified Registered Nurse Anesthetist, CRNA

    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...

  11. Intrathecal anesthesia in Von Willebrand patient

    gotosleep replied to SchiwartRN's topic in Certified Registered Nurse Anesthetist, CRNA

    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...

  12. info needed from current crna's, please....Is it boring????

    gotosleep replied to tamm1's topic in Certified Registered Nurse Anesthetist, CRNA

    i wasn't

  13. What is beyond the CRNA position?

    gotosleep replied to Terpole's topic in Certified Registered Nurse Anesthetist, CRNA

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

  14. info needed from current crna's, please....Is it boring????

    gotosleep replied to tamm1's topic in Certified Registered Nurse Anesthetist, CRNA

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

  15. Studying for the Certifying Exam

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

    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

  16. Is there any CRNA schools that did not fill seats

    gotosleep replied to sw21 RN's topic in Student Registered Nurse Anesthetist

    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...

  17. Mivacron and RSI

    gotosleep replied to maturner's topic in Certified Registered Nurse Anesthetist, CRNA

    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...

  18. Mivacron and RSI

    gotosleep replied to maturner's topic in Certified Registered Nurse Anesthetist, CRNA

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

  19. Requested reposting of information concerning US Army Graduate Program in Anest Nsg

    gotosleep replied to mwbeah's topic in Certified Registered Nurse Anesthetist, CRNA

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

  20. Anesthesia Clinical question (Ketamine)

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

    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

  21. Requested reposting of information concerning US Army Graduate Program in Anest Nsg

    gotosleep replied to mwbeah's topic in Certified Registered Nurse Anesthetist, CRNA

    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...

  22. Anesthesia Clinical question (Ketamine)

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

    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...

  23. Requested reposting of information concerning US Army Graduate Program in Anest Nsg

    gotosleep replied to mwbeah's topic in Certified Registered Nurse Anesthetist, CRNA

    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...

  24. CRNAs as Independent Contractors

    gotosleep replied to snoopy69's topic in Certified Registered Nurse Anesthetist, CRNA

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

  25. CRNA boards

    gotosleep replied to Kiwi's topic in Certified Registered Nurse Anesthetist, CRNA

    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...