A clamped drain for an open crani is ok because the skull is open. The bone flap is removed and the brain is able to expand. ICP is no longer a problem.....Hyperventilation and medications can also...
I am perfectly aware that lots of people can manage home vents; including home health aides or even a blind person....they are easy to manage. The OP has been posting about this issue since October...
I was trying to help you......by replying to numerous posts from you. Then you started getting ****** with me. Don't turn this around on me..... All ventilators that I work with have low pressure...
I assumed you are not responsible for managing the vent because you clearly don't know how to manage a ventilator based on your previous posts. I can't answer these questions for you. I am not...
CRNA1982 replied to IheartICUnursing's topic in MICU, SICU
Nothing wrong with what you said about giving a non-depolarizer without airway secured; you can never be too safe. Therefore, you can never go wrong with Succs (As long as it is not contraindicated)....
CRNA1982 replied to Dempather's topic in Emergency
You are right, this forum is a good educational tool for the person presenting the case. We often do Morbidity and Mortality presentations in our anesthesia dept to discuss "cases that went south"...
CRNA1982 replied to Dempather's topic in Emergency
Wow! All the wrong drugs were used in this case for both muscle relaxation and sedation. What kind of a doctor orders these drugs? Atracurium is a dead drug.....I can't even believe that a pharmacy...
CRNA1982 replied to maloneys's topic in MICU, SICU
Amidate is a pretty forgiving drug therefore it is a good choice for inducing critical care pts. It is very cardiac stable and often pts. will continue to breathe, unlike propofol which can...
CRNA1982 replied to maloneys's topic in MICU, SICU
Succs is avoided in pts who have been bedridden or pts with a high serum K. Due to the mechanism of action of the drug, it causes K to be released from the motor end plate. Therefore it is avoided...
CRNA1982 replied to maloneys's topic in MICU, SICU
"Succs" or Succinylcholine is a muscle relaxant. Etomidate is an anesthesia induction drug causing hypnosis. You never give Succs alone without Etomidate or some other drug for induction of...
What mode of ventilation were you using? Who is responsible for managing the ventilator? I'm assuming that you are not. Talk to the person who is responsible for ventilator management in your unit;...
I can't say I have ever seen a pt. with a carpal spasm secondary to C-spine nerve impingement. Usually they present with paresthesias (numbness/tingling in upper