gaspassah

gaspassah

Member

  • Content

    457

  • Visitors

    5,414

  • Followers

    0

  • Likes

    1

All Content by gaspassah

  1. SSEP Monitoring

    gaspassah replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    i use it to hone skills in TIVA. i like tiva and try to find excuses to use it. techs i work with suggest no paralytics if doing motor tests. ssep's usually 1/2 mac agent and can paralyze.

  2. ever miss it?

    gaspassah replied to blee1's topic in Certified Registered Nurse Anesthetist, CRNA

    to answer the op's question, there are some things i miss, 1. i worked in an icu that had a close knit group of ppl, i miss the ability to "hang out" after most of the patient care was done. you dont...

  3. STAT intubation advice PLEASE!!!!!!!!!!

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

    repeat after me, "breathing is always good. breathing is always good." i never paralyze outside the OR unless ABSOLUTELY necessary. if its a full blown resp arrest, you won't need paras, however if...

  4. Clinical Question

    gaspassah replied to rn4cicu's topic in Certified Registered Nurse Anesthetist, CRNA

    the hearts i did we gave 20 cc fentanyl and pavulon, as induction, rarely propofol and some chose to add a little thiopental. fent / pav induction works pretty nice. gotta go slow tho. the fent...

  5. Lap Chole and Narcotics

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

    i think there are several factors to remember. 1 age of patient. elderly usually require less narc. and agent 2 surgeon. are you in an OR where private docs are? lap chole usually 40 min from inc. or...

  6. Md's Against Crna's?

    gaspassah replied to LLL123's topic in Certified Registered Nurse Anesthetist, CRNA

    bull____t

  7. Clinical Doctorate in Anesthsia

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

    not only do i agree with an emphasis on hard science. but we also need to push or advertise that our work in critical care at the bedside is what prepares us clinically for anesthesia. many mds talk...

  8. How are practicing CRNAs Fighting for our profession??

    gaspassah replied to TexasCCRN's topic in Certified Registered Nurse Anesthetist, CRNA

    money to the aana is not the only way to get involved. 1. get involved at the state and local level. join your state association, as a new grad you will automatically be joined, it's up to you to...

  9. BIS Monitor

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

    it was on the discovery channel show and it was mentioned quickly in passing. i believe this to be true, also when the anesthesia provider does not do a good enough job of explaining the anesthesia...

  10. BIS Monitor

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

    herein lies the problem with the bis and those who rely on its information as to the adequacy of the depth of anesthesia. if you are using a monitor, you should trust it's validity or accuracy of data...

  11. Airway management mishap results in tragic outcome

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

    understanding physiological differences in patients, ie adults vs kids is extremely important. especially when dealing with airway issues. children have larger tounges smaller airways that are more...

  12. Clinical - Induction Sequence and Ventilation

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

    ventilate rsi no ventilate. although i had a mda question why i ventilate prior to muscle relaxant, his argument is that the sleep agent keeps then apnic long enough for brain damage . my...

  13. Question about NHS

    gaspassah replied to SCmomof3's topic in Certified Registered Nurse Anesthetist, CRNA

    i wasnt a member of any society.

  14. Vasoactive drugs

    gaspassah replied to WakingLife's topic in Certified Registered Nurse Anesthetist, CRNA

    yeah alive a well thank god. i had family and friends in new orleans that lost everything but still have life. up here in miss we just have a bunch of trees down that i now have to cut up and move...

  15. Vasoactive drugs

    gaspassah replied to WakingLife's topic in Certified Registered Nurse Anesthetist, CRNA

    diprivan (trade)/propofol(generic) is a sedative hypnotic/general anesthetic depending on dose. it's mechanism of action is GABA mimetic. GABA is a neurotransmitter that when stimulated causes an...

  16. Mivacron and RSI

    gaspassah replied to maturner's topic in Certified Registered Nurse Anesthetist, CRNA

    while i dont completely disagree with your comments, one thing i think you should bear in mind... if you so choose to use miv and attempt to justify it's use, duration of action of roc will not hold...

  17. Mivacron and RSI

    gaspassah replied to maturner's topic in Certified Registered Nurse Anesthetist, CRNA

    i like miv in cases of when the surgeon is rolling his eyes cause he cant close the fascia on a lap case (not that he cant, it's just easier) and the roc or vec has worn off (like i wanted) so i give...

  18. 100 days before graduation

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

    every time i take out the valley review book, i come across stuff i either forgot or havent locked into memory. i graduated on the 19th of this month and now are REALLY starting to sweat boards. i...

  19. Thought on Laryngeal Spasm

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

    to add a point. make sure you are applying a good positive pressure vent as you remove the tube, most patients will give a good cough and as long as i have been doing this maneuver i havent had a...

  20. Mivacron and RSI

    gaspassah replied to maturner's topic in Certified Registered Nurse Anesthetist, CRNA

    as far as i know, roc and sux are the standard rsi paralytics. although short acting i dont really know how fast the onset is. i have used it for standard intubation and to get good conditions it...

  21. Practice Issues

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

    i missed the parts that were personal attacks requiring moderator intervention. and yes i agree as i stated in my post, not a very pro crna anything to actually be a crna. as for clarification, i am...

  22. Nurse Anesthetists: We Have the Wrong Attitude!

    gaspassah replied to gassyjon's topic in Certified Registered Nurse Anesthetist, CRNA

    i am not advocating anti team approach, i am advocating anti "supervision" in the context of practice limitations. i dont have a problem with mdas. i dont have a problem working side by side with...

  23. Nurse Anesthetists: We Have the Wrong Attitude!

    gaspassah replied to gassyjon's topic in Certified Registered Nurse Anesthetist, CRNA

    hmm, where to start.... if backup is what you want, would you favor a senior crna as a backup that is not in a supervisory role but as backup for airway management or help with a unstable patient, or...

  24. Choosing a CRNA program.

    gaspassah replied to fungirl's topic in Student Registered Nurse Anesthetist

    as far as our lady of the lake goes, they are just starting the program so i doubt anyone will have insight into what the experience will be like. however i did my adn there and the college is run by...

  25. Tuition Question

    gaspassah replied to soonershok's topic in Certified Registered Nurse Anesthetist, CRNA

    kaiser in pasadena was waiving out of state tuition, but i dont know if this will continue as there was some confusion this last semester.