versatile_kat

I work in a private practice hospital and have really gotten adept at extubation with the dressing being put on. Once the stitches start going in, I reverse them (if needed), get them back breathing, titrate in any additional narcotics and get all m...

Wes - here's a cut and paste from one of my previous posts (July 2005) about missing an intubation ... "Most students feel like the intubation "makes" the rest of the case. If you get it in the first time, you function with a sense of success and th...

There is also a great PDA program available from Skyscape called "The Manual of Anesthesia Practice". I would refer to it one the nights I was on call. It's a great reference, with tips that aren't in Jaffee.

Hello ... No one has posted anything here yet so I hope I'm not the only sunshine state nurse!!! I'm in Tampa and working as a CSU nurse at a hospital in Bradenton. Hope to go to NA school this spring! Any other Floridians out there?

I've always found that in my fluffier patients, if I go about 5 inches straight up from the crack, eureka! - you should take a step back and double check the desired insertion area before numbing them up and going in with the epidural needle. It also...

I don't detect any sarcasm in either response to your original question - what both of them said is right on. Relax.

She means for acceptance into a program ... not the minimum you get when you fill your name in correctly.

Well - the main difference is your benefit package - it mirrors the anesthesiologists ... same leave, same 401K %, obviously not the same pay . But I'd have to say the reason I'm so happy at this hospital is because of the people. Everyone is part ...

Well - since I just started my first job this past Jan, I can definitely say it is all I thought it would be. Excellent coworkers (both CRNA and MD), great OR staff, nice mix of ASA 1-4 cases. And the bonus - I work for the anesthesiology group and n...

Come on people - lighten up! Paindoc appears to have a lot to offer when it comes to anesthesia ... we could use some more professionals on this board with quality experience to add to the clinical discussions. Give the woman/man a break!

:rotfl: That's pretty funny ...

Good point. I agree re: your routine and assitance being more of a hindrance than a benefit. In most of my clinical experiences, however, all I need to do is (while still visualizing the cords) hold out my right hand and the ETT is placed in it.

Well - this is refreshing. In my opinion - the time during the case in which the circulator is a great asset is during set-up and induction. From assisting with getting the patient onto the OR table, putting monitors on and helping keep the mask on ...

The subdural space is known as a potential space that lies between the dura and the arachnoid membranes. It's called a "potential" space because it normally does not exist. Here is a quick link http://www.burtonreport.com/infspine/EpiduralSteroidAnat...

MM - I notice you are in home health ... you may want to get into an ICU before you start worrying about graduate level classes. That may give you more confidence when it comes to physics and chemistry, since you'll be working with patient's on venti...

http://www.aana.com/becomingcrna.aspx?ucNavMenu_TSMenuTargetID=101&ucNavMenu_TSMenuTargetType=4&ucNavMenu_TSMenuID=6&id=1018 At your leisure ... http://www.kishhospital.org/health_services/pain_management.html An instance where a CRNA ut...

For my awake FOI's (not like I'm an expert - only have 9 under my belt), I anesthetise the airway with 5cc 4% Lido in a nebulizer (about 5-10min before heading back to the OR) +/- Cetacaine spray to the posterior oropharynx, depending on the patient....

LOL - that's exactly what I was thinking.

Congratulations ... Just remember - humbleness is next to godliness in the OR. Where will you be going?

Great Post.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10625002&dopt=Abstract

Suss! Don't go givin' the incredible edible egg a bad name!

I've read through most of this discussion with disbelief ... but, Nephro, here's something you may find interesting about when CRNAs administer life saving drugs - it's done intraoperatively. Which usually means you're DNR order no longer plays a par...

I wish we were ... from what I've read - it may cause SCh to go the way of the dodo. Are you using it?

Titratability (depending on the gas), hemodynamic stability, amnesia, analgesia, and muscle relaxation. But, once you start school, you'll see that anesthesia can be delivered a million different ways. And unless you end up in a rural hospital or do...