smiling_ru

smiling_ru

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All Content by smiling_ru

  1. tumescent anesthesia?

    smiling_ru replied to FritoPie's topic in Certified Registered Nurse Anesthetist, CRNA

    It is used mostly in plastic surgery. It involves diluting a local anesthetic (usually lidocaine and some epi) in a relatively large amount of fluid and injecting into the area to be worked on. Slow...

  2. Accepted to TWU

    smiling_ru replied to tcrn's topic in Certified Registered Nurse Anesthetist, CRNA

    Congratulations!!

  3. High narcotic technique help

    smiling_ru replied to WntrMute2's topic in Certified Registered Nurse Anesthetist, CRNA

    Narcotics have more stability from a CV standpoint, they do not depress cardiac output and there is a limit to vasodialtion. That being said, there are times when the patient is hypotensive for...

  4. High narcotic technique help

    smiling_ru replied to WntrMute2's topic in Certified Registered Nurse Anesthetist, CRNA

    Dave, Most of the time the patients do not breath at higher rates etc. If they do I will titrate morphine but it is rare. The only reason that I use Isoflurane is that I can't seem to get the same...

  5. High narcotic technique help

    smiling_ru replied to WntrMute2's topic in Certified Registered Nurse Anesthetist, CRNA

    There are not a lot of references out there unless it is in the discussion of CV cases. I use this technique almost exclusively. The patients wake up faster, and IMHO smoother. The hospital where I...

  6. Ketamine manufacturer

    smiling_ru replied to TraumaNurse's topic in Certified Registered Nurse Anesthetist, CRNA

    It is one of my favorites for "deep sedation". Start a propofol drip, once the patient is sedated give 5mg of ketamine, redose to respiratory rate/depth. The propofol will counteract the "bad"...

  7. BSN question.

    smiling_ru replied to preCRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    I say go for it! There is a good chance you could get in, and even if you did not it would give you experience in the interview process and feedback on what else you might need for the programs you...

  8. I Got In!!!!!!!!

    smiling_ru replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    Congratulations!!!

  9. What would happen if someone accepted an offer from a hospital, anesthesia groups ect

    smiling_ru replied to Roland's topic in Certified Registered Nurse Anesthetist, CRNA

    Roland, The employers can not place undo restrictions on the stipends. This is a right to work country. If you place restrictions on the stipends that result in an inability to work anywhere but the...

  10. GRE Scores

    smiling_ru replied to fotografe's topic in Certified Registered Nurse Anesthetist, CRNA

    If you go to the AANA site there are links to all of the schools, most put their requirements for GRE scores on their website. If I had to give a ballpark I would say combined verbal and quantitative...

  11. stipends for CRNA programs

    smiling_ru replied to ruth1's topic in Certified Registered Nurse Anesthetist, CRNA

    One thing you could do is call the hospitals/groups you are most interested in working for and ask if they have a stipend program, many do. I believe most don't start until you are in your second...

  12. YESSSSS! I got accepted to Samuel Merritt.

    smiling_ru replied to traumasrna's topic in Student Registered Nurse Anesthetist

    Congratulations to you

  13. Prescriptions

    smiling_ru replied to user69's topic in Certified Registered Nurse Anesthetist, CRNA

    Prescriptive authority varies by state. So what is true in one place may not be in another. This links to state by state list....

  14. Prescriptions

    smiling_ru replied to user69's topic in Certified Registered Nurse Anesthetist, CRNA

    Prescriptive authority varies by state. So what is true in one place may not be in another. This links to state by state list....

  15. Acceptance into CRNA School

    smiling_ru replied to tioul's topic in Certified Registered Nurse Anesthetist, CRNA

    The acceptance letter from one school is not going to guarantee a slot in another school. Most have a system whereby they give so many "points" for various things, including the interview. It may...

  16. Gonzaga said yes!!!

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

    Congratulations! Make sure to take a nice vacation before you

  17. HELP--UTvs.TCUvs.TWU

    smiling_ru replied to GeauxFan's topic in Certified Registered Nurse Anesthetist, CRNA

    I think we have done this before, and if I am not mistaken it was regarding the same two schools. This forum exists so that others can obtain information that was hard to get before. When I started...

  18. hey guys (you know those gaswork jobs)

    smiling_ru replied to alansmith52's topic in Certified Registered Nurse Anesthetist, CRNA

    It depends on the company/group. Some post the salary, others include the overtime and call as part of the salary. When I was searching for a job, I never ran into one that was including benefit...

  19. Should Anesthesia Be an only MD Profession

    smiling_ru replied to Oldsalt's topic in Certified Registered Nurse Anesthetist, CRNA

    I was fortunate in that the school I attended allowed us to do all procedures and a lot of them. When I started working I was told that there were certain procedures which were only performed by the...

  20. Renal protection during aortic clamping

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

    There are D1 receptors in the lungs, here are just a couple of the articles from medline that discuss them. I thought the same thing at one time, so my first search was on whether there were D1...

  21. Renal protection during aortic clamping

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

    On the subject of fenoldopam. I have had two patients desaturate shortly after starting the infusion. Both patients had pre-existing lung disease. I have not been able to find any...

  22. simple mortality question

    smiling_ru replied to Rhon1991's topic in Certified Registered Nurse Anesthetist, CRNA

    If you are interested this is the link to the IOM report. The oft referenced statistics are on page 32. While there are other references listed those did not look at morbidity/mortality or were even...

  23. simple mortality question

    smiling_ru replied to Rhon1991's topic in Certified Registered Nurse Anesthetist, CRNA

    The IOM report (To Err Is Human) is frequently referenced for anesthesia mortality. But the study that the IOM quoted was small and covered only one hospital. (Cohen, Marsha M.; Duncan, Peter G.;...

  24. Say it's not so

    smiling_ru replied to yoga crna's topic in Certified Registered Nurse Anesthetist, CRNA

    I think that there is always someone who can tell me what I need to know. I can get the layout of a hospital in a couple of days. This floor that room is the same all over the country. I don't...

  25. Anesthesia school here I come

    smiling_ru replied to gooser's topic in Certified Registered Nurse Anesthetist, CRNA

    Yeeeeaaaa!!!!!!!