athomas91

athomas91

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  1. Interesting Case

    athomas91 replied to Brenna's Dad's topic in Certified Registered Nurse Anesthetist, CRNA

    Was there any neuro (sensory/motor) monitoring being done

  2. Aggressive fluid therapy in Severe Septic Shock and ARDS.

    athomas91 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    i know... :rotfl: i was being "over the edge" i guess at the point you mentioned...the pt is already suffering so either take a chance and fix it....or call it quits... at this point...i don't know...

  3. CRNA in trauma

    athomas91 replied to NeuroNP's topic in Certified Registered Nurse Anesthetist, CRNA

    they are actually hiring...i saw it today - but they are paying

  4. Aggressive fluid therapy in Severe Septic Shock and ARDS.

    athomas91 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    i guess my only point here.... so you have an ards pt that already requires extensive measures to keep them alive...every question that is asked is only answered with an answer that requires another...

  5. Aggressive fluid therapy in Severe Septic Shock and ARDS.

    athomas91 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    well i will start w/ this question... those pt's who are in a +4 state of edema are wet and sloughing skin...like a burn patient - major electrolyte imbalances which in a state such as you mentioned...

  6. New program in development at York College

    athomas91 replied to EmeraldNYL's topic in Certified Registered Nurse Anesthetist, CRNA

    yeah...york is starting one - york hospital will be their primary site... i spoke w/ the chief crna there (i am going to contract w/ them) and she didn't say exactly when it started but i know it is...

  7. Starting school tomorrow

    athomas91 replied to rshores95's topic in Certified Registered Nurse Anesthetist, CRNA

    wow...you all have a short program...we started last january and don't graduate until may

  8. helpful hints on contracts

    athomas91 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    ok - i have done some research - and read multiple posts here... i know of basic things to look for - hours i will be required to work, salary, time required to repay loan, if the loan is repayable...

  9. what would you consider GENERAL anesthesia

    athomas91 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    ok - this didn't happen to me - but i find it a very relevent question for discussion..... scenario: doing a MAC case w/ an ankle block - after sedation - ankle block began by SRNA - SRNA looks up...

  10. Radius to the 4th power

    athomas91 replied to Tia's topic in Certified Registered Nurse Anesthetist, CRNA

    and radius to the 5th power is important in which one?!?!?!?!?!?!?!? LOL turbulent flow

  11. what would you consider GENERAL anesthesia

    athomas91 replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    jwk... it wasn't MY mentor...and my friend who was with that person is well aware that this person is only a mentor of what not to do.... and i hate to tell you...but bad practitioners come in all...

  12. precordial or not?

    athomas91 replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    gasspassah - although it gets on my nerves - i like the reassurance that my steth gives me...although precordial i really don't hear very well...when it is esophageal i am very happy to use

  13. straightforward question for CRNA's

    athomas91 replied to speed's topic in Certified Registered Nurse Anesthetist, CRNA

    drug abuse doesn't really have any relation to if you like your job actually it has been shown to be more related to how stressful your job is - not because you don't like it but because it bears alot...

  14. helpful hints on contracts

    athomas91 replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    it is kate...i am going fri to

  15. New CRNA Grad to independent practice???

    athomas91 replied to Ava's mom's topic in Certified Registered Nurse Anesthetist, CRNA

    i think a blanket statement of NO or YES isn't appropriate... i guess the question is - how comfortable are you with your practice and do you have complete confidence you could handle anything coming...

  16. i want CRNA opinions about ketamine and kids

    athomas91 replied to eph432girl's topic in Certified Registered Nurse Anesthetist, CRNA

    Christine - the posts that follow the OP had some very good helpful hints and advice on dosing etc... first of all - using ketamine w/o versed is evil everything has its place - versed, morphine,...

  17. lets discuss extubation

    athomas91 replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    i likewise had a great time - i didn't know but apparently the U of Pitt has had a number of students in this position - strong showing - but good for them and her!! she will do

  18. lets discuss extubation

    athomas91 replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    gasspassah - lost to a great candidate - so not too upset about it...sure takes alot of work off my back and met great people in the process....thanks for

  19. Top 10 things I learned in anesthesia school

    athomas91 replied to bodawg74's topic in Certified Registered Nurse Anesthetist, CRNA

    ugh.... just when i think i have spent it all....they could at least pay for the boards ONCE....i mean at 32,000.00/yr - come on....

  20. lets discuss extubation

    athomas91 replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    I will preface this with -- In my very short (as of yet) learning experience.... i have found that many are very afraid of higher dose narcotics - i have only worked w/ 1-2 people who utilize this and...

  21. lets discuss extubation

    athomas91 replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    gasspassah - i likewise love to use fent or dilaudid at the end of the case..... get em back breathing and titrate in to keep resps 10-12...they wake up wonderfully...i have used lido as well at the...

  22. Bush, Kerry and CRNA's

    athomas91 replied to catcolalex's topic in Certified Registered Nurse Anesthetist, CRNA

    from what i have found - Bush is the first President to promote all advanced practice nursing forums - and has backed increased funding for graduate education as well as undergraduate education.......

  23. opinion on clinical practice

    athomas91 replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    i am with you on this one - and, by the way, that was very impressive how you stood your ground. i likewise have only worked w/ Anesthesiologists who ensure ventilation prior to

  24. Is it possible to titrate paralytics?

    athomas91 replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    :rotfl:

  25. Resource books

    athomas91 replied to jewelcutt's topic in Certified Registered Nurse Anesthetist, CRNA

    Jaffe is required for us as well - i couldn't live w/o it.... all your surgical procedures are detailed as well as pre/post and maintenance considerations regarding your anesthetic technique we have...