charles-thor

charles-thor

Member
  • Content

    153
  • Visitors

    3,473
  • Followers

    0
  • Likes

    1

All Content by charles-thor

  1. Induced hypotension in surgeries.

    did anyone read the reports of brain death during the beach chair position in the apsa newsletter? one lady was in her mid 40's and healthy. controlled hypotenion (sbp also, vision loss should be a concern in long prone cases. johns hopkins loo...
  2. Why would a CRNA not be allowed to do hearts,OB, Cardio?

    One should raise the obvious question of whether or not the hospital houses a large anesthesiology residency program. I suspect that any institution that runs 2:1 is, in fact, an academic and not private practice, otherwise this is a really poor mod...
  3. Anxiously waiting...

    I took the big quiz on Jan. 28, but still have not heard anything yet. A friend in my program took it on Jan. 12'ish, and found out in 20 days. Sprout - any word???
  4. Anxiously waiting...

    I passed too! I found out this afternoon. I had heard rumors that the envelope comes addressed as "your name" CRNA, however when I didn't see those 4 very important letters after my name on the envelope, I was a bit worried. I just held it in my h...
  5. GRNA with time running out

    i'm taking it too at 8am. wish me luck.
  6. ET pilot balloon & Diprivan

    Most ett cuffs utilized today employ low pressure and high volume balloons. The appropriate question should have been, "what is the maximum PRESSURE that is acceptable in an ett balloon - as pressure will change according to both the volume of the ...
  7. OR patients bypass PACU for ICU

    How to give anestheisa. You ready??? Induction - Give a syring of anestheisa. Give just enough, but certainly not too much! Maintance - Cuddle up to a good book, and try to stay warm. Emergence - Turn anestheisa off. PACU - Pretend to finish your c...
  8. Boards

    hi all. with a week until ANESTHEISA boards, i was wondering what everyone's suggestions are with respect to getting the most out of the next several days of studying. thanks in advance. sorry - i edited the heading to avoid confusion.
  9. Clinical Question

    sounds like a lot of vec after a sux induction for a hip debriedment??? there are, however, many ways to skin the commonly quoted cat...
  10. Beta Blockade during C-section

    Spinal for C-section means you’ve got at least a T4 level. It’s probably fairly safe to assume that some, if not all, of her cardiac accelerators are blocked, thus beta blockade wouldn’t be my first choice. Sounds like she might be experiencing som...
  11. Question about MAC and the Meyer Overton Rule

    Not to confuse things further, but a relationship does exist between MAC and potency, in that the two are inversely related. MAC is how we compare potency amongst the inhalation agents. Agents in order from least to most potent and respective MAC va...
  12. A New Agent to Reverse Rocuronium?

    For those of you interested the development of new methods to antagonize neuromuscular blockade, I've posted the abstract concerning human use of Org. 25969. Enjoy! Anesthesiology. 2005 Oct;103(4):695-703. First Human Exposure of Org 25969, a Novel ...
  13. Clinical - Induction Sequence and Ventilation

    I can count all of the clinical topics on this page on one hand, so here's to getting things back into the right direction... During induction in a patient you believe you can intubate based on airway assessment, who attempts to ventilate prior to pu...
  14. Sympathectomies and atropine

    This is such a great topic, but I’m probably bias as this was the focus of my research requirement for school. Bradycardia leading to cardiac arrest with spinal anesthesia is probably a more common problem than many people believe with an estimated ...
  15. A New Agent to Reverse Rocuronium?

    I'd imagine that this stuff is going to be quite expensive, so I wouldn't count on sux going anywhere anytime soon.
  16. Hgb vs Hct

    Hemodilution affects both hgb and hct. Imagine a set volume (the patient's blood volume) in which hgb is in solution - say a blood volume of 50 dl and a hgb concentration of 14 g/dl. If you add volume to the solution (giving crystalloid), but the a...
  17. Airway management mishap results in tragic outcome

    the prospect of the unantisipated difficult airway, albeit a pretty rare event, is something the anesthesia provider must have tucked away in the back of his/her mind in order to best prevent a bad outcome
  18. Airway management mishap results in tragic outcome

    The possibility of the "can't ventilate can't intubate" situation is present when dealing with the little ones as well...
  19. Apnea and CO2 rise

    Can someone offer a good explanation as to why the PaCO2 increases much more (~7 mmHg) in the first minute of apnea before leveling off (~3 mmHg)? Thanks.
  20. Clinical - Induction Sequence and Ventilation

    I posted this question due to the wide discrepancy in practice I've observed as a student, however I didn't expect to get pretty much the same answer from everyone. I've heard that lots of practitioners would push the sux if unable to ventilate, as...
  21. CRNA Exam Review Course

    After doing a quick online search, I was unable to find any information on the Howard Review. Can someone point me in the right direction? Thanks.
  22. Studying for the Certifying Exam

    I'm curious to hear if anyone else has heard of recent changes to the "big quiz" I plan on using the following: Valley and Memory Master Jensen's Big Blue Anesthesiology Review Re-read Morgan and Mikhail when the new edition comes out Offer weekly sa...
  23. Who is going to AANA meeting?

    Count me in... :innerconf :cheers: :cheers: :barf01:
  24. My first open-heart case...words of wisdom?

    During your cardiac rotation, try to read not only the relevant chapters in Jaffee, but more importantly attempt to get though as much of Hensley and Martin's "A Practical Approach to Cardiac Anesthesia" as possible - with a particular emphasis on th...
  25. Central lines for a lefty?

    Does anyone have central line insertion tips for a lefty? Thanks.