keermie

The combitube is appealing because of ease, but can be cumbersome. A much better alternative which follows a lot of the same principles of the combitube is the King LT. The similarity is that there are 2 cuffs. You intubate the esophagus blind, wh...

In a TIVA, the BIS will monitor agents like propofol but not fentanyl. So depending on what you are using for your TIVA and the ratio . . . interpret your BIS from this rationale. Also, I would not only reprogram the pacer because you will be unabl...

Contrary to what we had been told for countless years, the popular opinion at the moments is that there is no longer such an infusion of dopamine which helps with renal perfusion. You will find sources to support renal dose dopamine, but they are no...

Ketamine hits the NMDA receptors? I used the word MDA in an interview for school, and an anesthesiologist took offense to it even though all the ones I had worked with previously called themselves the same thing. I still got in but it got me red i...

I am with Craig on this one. I used to carry one around until the senior students hazed me by buying me a little pony pink fanny. The hazing is relentless. Also, I got so frustrated with having a PDA because it consumed my life to keep it off the ...

Being that jello is essentially a quad, I believe that a spinal infusion of vodka does remarkably well being that it is able to blunt jello's sympathetic hyper reflexia. Finding the L2-L3 is a bit of a challenge, likened to trying to harpoon a 450 l...

The hepatitis outbreak (100 and counting) was the result of using a liter bag of fluid to draw flushes. The reuse of syringes or tubing or needles is indefensible because the CDC and OSHA specifically disband this practice. The best rational not to...

All of you have inspired me to post because you have all done a remarkable job maintaining your professionalism. I would like to redirect a lot of the focus on what else can be done. I was recently at the Mid Year in D.C. I was thrilled to meet an...

Dr. Ramsey (ala the Ramsey sedation scale) came and spoke about Precedex. Amongst his lecture was an open heart, who woke up from surgery and promptly walked out of the room on his hemodynamic drips and precedex infusing when prompted by voice. (A ...

End tidal is the most accurate method; however, the dialed in will be more easily defended in a lawsuit. An example is an end tidal of 2.5 and the patient's CO drops from 5.0 to 1.2. You want to lighten the anesthetic immediatly, but because of the ...

ENOUGH! Here is the answer you are looking for. . . it is acceptable to use a stipend and default on it. It really is alright because you worked hard becoming a CRNA. People have done it before under extrenuating circumstances, or just for their pe...

Of the four interviews I went to, one asked clinical questions. That one gave you a piece of paper with values on it and asked, "what is happening based on these values and what are you going to do about it?"

I did attempt to look it up, and was surprised to find limited literature on the subject. What a great thesis project!

I did attempt to look it up, and was surprised to find limited literature on the subject. What a great thesis project!

I second this. It is a primary reason I usually choose an oral airway vs nasal airway, as I have seen this numerous times. The population, a young athletic male, is especially predisposed due to wild wake ups and strength. In my experience, CPAP or...

:rotfl: Good program! Live close to KUMC, not that bad. All didactic up front. Clinicals at Bryan etc have lots of regional and little competition for cases. Good luck!

This is not an answer out of a book, but the way that I would explain the low diastolic: the increased systolic is a result of increasing inotropic contraction of the heart to increase pressure thus also increasing pvr (like aortic regurg). The decr...

I waited three years to apply, and was accepted at 3/4. The program I am at has several people in my class who are basically at a year of experience. I regret not applying earlier, but I also believe that I really came to fruition the second year.

I was applying to a school that did not require the gre, although I had previously taken it and done well. I worked on getting it submitted before the interview and the scores were screened with rationale: it was not a requirement nor expectation in...

don't get me going on movies . . . the best retrograde amnesia flick is probably momento, but that is pretty exclusivitory (i'm smart cause i just made up a new word). Mulluland top 3? Pulease! R U kiddin me? I can name 3 that remove that . . . Th...

Versed provides both, which is the main reason it has replaced Valium.

I completly agree. By going to a cc, you are saving money and getting essentially the same education. It' s not like they are NOT gonna teach you certain material because you paid less. I wish I had done it that way. Not only that but science cla...

Evidence based learning is not a way of saying that we have been doing this for years. Of all people an acclaimed CRNA of 40 years who has their law degree, is published, and has been an excellent resource on this board; should support evidence bas...

I always do this, but I left something out which is probably obvious. Don't sell yourself short either. Taking a class over that you got a C in is probably not a bad idea, just don't let it hold you back from applying and finding out.

As for the previous post, I completely agree! There were a few years when I did not apply because I was intimidated to apply based on what others had heard or said to be true. I wish I had not waited. This is not to say that it is not competetive,...