gaspassah

gaspassah

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All Content by gaspassah

  1. DNP required soon?

    gaspassah replied to deadsoul's topic in Doctoral Nursing Degrees

    from what i understand the dnp will be awarded primarily due to the amount of clinical hours most crna programs are completing. many are just a few hours shy, probably just end up doing a couple...

  2. cardene

    gaspassah replied to ECU_CRNA2B's topic in Certified Registered Nurse Anesthetist, CRNA

    i have given it bolus by mixing in the standard fashion then drawing some in a 10 cc syringe to give by 1 ml increments. i will also free flow cardene on regular iv tubing if the patient has an art...

  3. nueroanesthesia monitoring question(S)

    gaspassah replied to ECU_CRNA2B's topic in Certified Registered Nurse Anesthetist, CRNA

    if doing motor evoked potentials mep's you shouldnt use nmba, the tech is supposed to monitor for the quality of the twitch, not just is there one, it's kinda like measuring tof ratio for us. sseps,...

  4. Drug dispensing systems

    gaspassah replied to mkmdbm7's topic in Certified Registered Nurse Anesthetist, CRNA

    i think they are fine, ive used them in the past. only thing is make sure your emergency drugs are in an open drawer for easy

  5. Process for Adults vs. Children

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

    dont forget that although halothane was used for many years and was a good agent, it sensitizes the heart to catacholamines. if you give local with epi, you can get vtach vfib rather easily. this is...

  6. ISCM block for shoulder surgery

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

    it's a great block, i too learned it at the navy when training at kaiser. however noone knows what it is here in miss and trying to get them to learn or try it is like beating your head against the...

  7. laryngospasm and peds Succs dose.

    gaspassah replied to SRNA312's topic in Certified Registered Nurse Anesthetist, CRNA

    where i did my anesthesia peds training they didnt want you to use sux on kids for spasms. their treatment was major positive pressure and time, as hypoxia has a muscle relaxant property when it gets...

  8. What is important to you re: the circulator in the room???

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

    2. OR warm and QUIET during induction and wake-up. this is a biggie for me, and the scrubs banging instrument trays all over the place on the metal carts doesnt help

  9. Myn in OB

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

    suzanne, i was wondering if you had evidence to support this statement. as a practicing crna i have been under the impression that crna's can work independantly in all 50 states. the only restriction...

  10. Interesting OB Case

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

    never fear!! underdog is here!! for those of you old enough to remember that cartoon, i would reply to this but we already talked about this one, what's up underdogdude? anymore issues in recovery?

  11. Anectine/Propofol for LMA insertion

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

    i dont normally use defasicualting doses. i read somewhere that nmb can cause myalgia just as using sux can, and just surgery can cause it. i also like to see some twitching, just another way to know...

  12. Anectine/Propofol for LMA insertion

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

    i first concider the use of an lma to be no different than using a mask. the risks are the same as the airway is not protected. therefore my use of the lma is for spontaneously breathing patients. i...

  13. Awake Fiberoptic with Ketamine? Any other tricks?

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

    i dont usually use much more than about 5 mg versed titrated. i usually do the transtracheal nerve block with superior laryngeal nerve block and lido 4%

  14. How would you manage this airway?

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

    in the OR cric... in the field, have someone do a chest compression and intubate the bubble.

  15. Pediatric CRNA

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

    i do about 1/2 to 2/3 of my work as a peds crna. there are no specialty schools per se. there are specialty rotations at about every school for peds tho. i think to be a peds crna, work somewhere with...

  16. Why havent CRNAs pushed MDAs out yet?

    gaspassah replied to platon20's topic in Certified Registered Nurse Anesthetist, CRNA

    first i would like to start off with the statement that i usually try to stay out of these arguments as they tend to go nowhere. however, this time i'll jump in and give my 2 cents. i am a crna and...

  17. Question for the Post Grads

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

    i will take a stab at this one, again be assured different ppl have different opinions. when you graduate you will think that you are the smartest you have ever been. be advised, as much as you think...

  18. Questions about Ketamine & Propofol Case

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

    i was going to put my 2 cents in earlier but i thought i would let things die down a little. i have 2 techniques where i use propofol and ketamine together. in a 100 cc bag a saline i add 200 mg...

  19. Non anesthesia provider providing anesthesia

    gaspassah replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    i'm sure it has been stated before but i will do so again for completeness. if the ed/gi doc is pushing the propofol, who is in charge of the airway while they are doing the procedure, ie setting bone...

  20. Miller vs Mac Contraversey!

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

    lol i appreciate the vote of confidence, but dont tell anyone you'll ruin my rep as a slacker! how are things going for you, hope all is well, i may be coming out in august, may try to teach a...

  21. Miller vs Mac Contraversey!

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

    yoga, i work at a large university hospital with a big tech staff, they do a good job of keeping good batteries, plus we have lots of students that during machine checkouts etc are keen to decreasing...

  22. Miller vs Mac Contraversey!

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

    well you'll probably look at me strange like everyone else but i like the small pediatric handle with a miller 4 blade, i intubate 99 percent of my patients like this. if you like a miller blade try a...

  23. Why would a CRNA not be allowed to do hearts,OB, Cardio?

    gaspassah replied to Alpha13's topic in Certified Registered Nurse Anesthetist, CRNA

    politics, 99% of the time it's

  24. Different ways to skin the cat..

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

    standard of care is what a prudent practitioner would do in a similar situation, not some written standard that all practicitioners must adhere to, unless its a policy written by the hospital or...

  25. ASA's response to Grey's Anatomy

    gaspassah replied to no-pain's topic in Certified Registered Nurse Anesthetist, CRNA

    i would be interested to know what percentage is front line and what percent is stateside, crna vs