yoga crna

yoga crna

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All Content by yoga crna

  1. Documentation Question?

    yoga crna replied to druse's topic in Legal

    Being an iconoclast, I would like to offer a different perspective of documenting delays in the operating room. The PRIMARY purpose of the medical record is the care of the patient. What is...

  2. IV Phenergan

    yoga crna replied to ERERER's topic in Infusion, Intravenous

    I did a Medline search, which has the very latest in peer reviewed literature and couldn't find any references for speed of administration or dilution of promethazine. It is of interest to me,...

  3. propofol

    yoga crna replied to popbob's topic in Emergency

    I administer propofol every day and find it to be a very unpredicable drug. A very muscular male patient became apneic after a 20 mg test dose. When I tried to ventilate him--he had a laryngospasm...

  4. quick ? for you CRNA's

    yoga crna replied to blee1's topic in Student Registered Nurse Anesthetist

    Being a CRNA is much different than other types of nursing. We make our own decisions, based on our education, experience and being aware of current practice. Protocols, doctors' orders and...

  5. First Names & "Professionalism"

    yoga crna replied to porsch65's topic in Operating Room

    This is a great thread and something that needs to be discussed. I call the surgeons "Doctor" unless they tell me otherwise. Even if they tell me to call them by their first name, I don't do it in...

  6. Clinical Doctorate in Anesthsia

    yoga crna replied to Lambert5883's topic in Certified Registered Nurse Anesthetist, CRNA

    I have mixed feelings about this topic. Have you ever noticed how many initials some nurses have after their name? It seems to me that the more initials, the less self confident they are. And, none...

  7. prone positioning and pt. blindness

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

    I think the issue is retinal artery flow and perfusion, but I am not sure why it is more common in the prone position. I do know there have been several malpractice suits on this issue and believe...

  8. I'd Love to be a CRNA but...

    yoga crna replied to 30andconfused's topic in Student Registered Nurse Anesthetist

    I really must be blunt--if you don't like taking care of patients, please do not consider being a CRNA. What separates us from other anesthesia providers is our caring and compassion for patients....

  9. BIS Monitor

    yoga crna replied to sandman1914's topic in Certified Registered Nurse Anesthetist, CRNA

    First, I must say that I don't use a BIS monitor in my practice and have seen it used once and was not impressed. I do believe that some sort of consciousness monitoring may be useful in trauma...

  10. Tumescent

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

    I am not convinced that a formula would work with tumescent local anesthesia for liposuction. The reason is that it is difficult to determine how much of the tumescent fluid is suctioned out with the...

  11. Analgesia with IV Start

    yoga crna replied to ogrern2002's topic in Infusion, Intravenous

    I use lidocaine 0.5% (plain) with Na Bicarb (4:1), 30 gauge skin wheal prior to starting every IV. A needle stick with a 30 gauge needle hurts less than an 18 or 20 gauge needle and buffering the...

  12. Malignant Hyperthermia Paper

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

    Andy, I had a patient with MH in a plastic surgery office. She was having a rhinoplasty under general anesthesia, was intubated with a non-depolarizing muscle relaxant and did well during the...

  13. OR Narcotic Waste

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

    One of the reasons I love office anesthesia and the fact that I own the facility, is that we cut the BS down to a workable and reasonable process. I ask the circulating nurse for the narcotics,...

  14. Question re Post-Op Amnesia

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

    All of the discussion has been good and I am in agreement. However, I have one major beef--please do not call the anesthetist or anesthesiologist a "gas passer". I take great exception to using such...

  15. Standing Prep

    yoga crna posted a topic in Operating Room

    I have a question for my OR nursing colleagues. First a little background--I am a CRNA in private practice and the owner of a surgery center for plastic surgery. Our surgeons are excellent and have...

  16. CRNA Management Best Practices

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

    I agree with Loisanne about this being a complex question. I would like to know who you are and why you want this information. There are resourses out there, but it would be useful to know what your...

  17. Standing Prep

    yoga crna replied to yoga crna's topic in Operating Room

    Sirri. There is no rationale, except that it was how he was taught to do it. I was hoping that some of you on this forum would know the rationale. Stephanie There is an oraganization for plastic...

  18. Clinical - Induction Sequence and Ventilation

    yoga crna replied to charles-thor's topic in Certified Registered Nurse Anesthetist, CRNA

    I like to ventilate first for another reason. It gives you and the patient a chance to correct any problems that may happen at the last minute. Did the bag mysteriously fall off the machine, was...

  19. Low dose sux, subtherapeutic or good idea?

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

    Years ago, we used the lower doses you mention. Actually, it worked pretty well, except it could be marginal when you need more profound relaxation. I changed to higher doses and would use that now...

  20. Airway management mishap results in tragic outcome

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

    "Unable to intubate--unable to ventilate" is one of the most frightening events that happens in anesthesia. In the nasal intubation scenario from the legal case, it could happen because of blood in...

  21. Clinical Topics

    yoga crna posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I would like to request that there be more clinical topics on this forum or else a separate place be set up for students or those who are considering becoming a CRNA. Clinical anesthesia is exciting,...

  22. Cutting Balloon cuffs

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

    One of the things that separates the great from the good anesthetists, is what I call The Art of Anesthesia. It is doing every technique artfully as well as skillfully. And, there is always a reason...

  23. Position of arms

    yoga crna posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I'm going to try to keep this clinical idea afloat with a question. How do all of you position the arms when the patient's arms are tucked at the side, not on armboards? This is when the patient is...

  24. I Stink at IV's.

    yoga crna replied to Mrs.S's topic in Ob/Gyn

    Sometimes starting IVs can be the most frustrating procedure you do--take this from someone who has been starting them for over 45 years in anesthesia. But, there are a few tricks. 1. 18 gauge are...

  25. What is beyond the CRNA position?

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

    Anesthesia is a strange field when it comes to advancement and upward mobility. There are many possibilities, however, most of them take you away from direct patient contact and administering...