yoga crna

yoga crna

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All Content by yoga crna

  1. Documenting post LMA removal

    I never thought much about and haven't documented extubation of the LMA. I think you can do either way on this, except if there is blood in the oropharynx or unusual secretions. That would be useful...
  2. Vasoactive drugs

    Hopefully, you are joking. I have a great deal of respect for all of you who are working in critical care areas, getting high grades in the hard sciences and who get into anesthesia school. I would...
  3. Vasoactive drugs

    [.....Anyways, just wondering your opinion on this and is this normal or routine, I have never come across the use of propofol in this manner since this time..... Putting on my legal hat, remember...
  4. I agree with Sandman--it is a matter of time. You can do a crico very fast and are able to oxgenate the patient. We have a crico kit that enables you to connect up an ambu bag or anesthesia circuit....
  5. Vasoactive drugs

    You are correct, I was harsh and for that I apologize. However, before you are too hard on me, you may be interested in understanding my frustration. I just got a lawsuit to review that is based on...
  6. Vasoactive drugs

    Diprivan a benzo?? Where did you get that information. I sincerely hope you are not administering Diprivan if you don't know its classification. Yoga
  7. Karla, Today was a typical Wednesday for me as a CRNA in office practice. It really started with yesterday when I called each patient for today and got a brief history and explained about their...
  8. malpractice insurance

    Insurance issues are very complicated, which is why I usually defer to AANA Insurance Services for information and advise. Currently, there are very few insurance companies that write CRNA policies...
  9. malpractice insurance

    Under the laws of agency, employers are resposible for the acts of their employees. They have malpractice insurance on their employees to cover that responsibility. Of course, that applies only to...
  10. malpractice insurance

    Malpractice insurance is needed for practice, but who pays for it is another story. Kevin is correct in his answer and I would like to elaborate. When I was employed, my employer paid for it, now...
  11. Karla, Go to the AANA web site (American Association of Nurse Anesthetists) aana.com . They are the best resource for career information. I am an old CRNA with over 45 years of active clinical...
  12. Loisane, I can relate to your post and agree with you on your assessment of Kevin's post. I hope both of you are members of [email protected], where there are usually great discussions on...
  13. The perfect OR

    Please let the anesthetists select their own anesthesia machines and monitors. There are different models on the market with different bells and whistles. My main criteria is a machine that can be...
  14. Gonzaga University in Spokane has a wonderful school. The students do not compete with residents, do a wide variety of cases, tons of regional anesthesia. There classes are small and they get a lot...
  15. Many, if not most laryngospasms occur because the patient has a reactive airway and is not quite responsive enough to handle it themselves. The reactive airway may be due to secretions, blood, edema,...
  16. I must defend your anesthesia professionals here. Every emergence from anesthesia must be tailored to the patient, the surgical procedure, the recovery plan and even the experience of the...
  17. It's difficult to add to the excellent comments of others, but here are a few more. 1. Learn the politics of the operating room: when to open your mouth, when to keep quiet , when to joke, when to...
  18. I don't believe there have been any reliable clinical studies that have proved tetragenic effects or increased rate of miscarriage from trace inhaled anesthetics. Perhaps one of the many students of...
  19. Since the moderators closed the thread about CRNA attitudes before I had a chance to respond, I thought I would offer my perspective on practice situations. One of the best parts of CRNA practice is...
  20. Practice Issues

    Opt-out is a Medicare reimbursement issue and NOTHING ELSE. It is not a practice issue or an independence isssue. State law dictates nurse anesthetist practice. Opt-out is related to how a hospital...
  21. Practice Issues

    I agree with you deep. It is too bad the original poster did not have the courage to own up to his identity. I have quite had it with others trying to define our practice and don't have any respect...
  22. Lidocaine for Migraines

    I frequently do sphenopalatine blocks with lidocaine 4% on cotton applicators inserted through the nares. The patient's neck should be hyperextended and she should stay in this position for about 20...
  23. You are asking good questions and I am pleased that students are interested in this topic. The answers to your question are not simple, but I will try. First of all, consider the average case is 10...
  24. Wow, You are way off base on fees. While we will never know the average unit charge for anesthesia, I would guess that it is about $65+ per unit. Medicare sets its own rate, based on geography, that...
  25. A better question is--what percentage of billing do you collect? It all depends on the practice setting, the type of cases, the reimbursement model, and contractual arrangements. For example, I...