Diprivan/Vented

Is it possible to titrate paralytics so that they can still breathe but remain immobilized?

I don't deal too much with them, but it seems like the consensus is that they are pretty much jerks. Most of the medicine residents I've talked to seemed to think so. Does anyone have any stories?

Anyone got any recommendations? :)

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This isn't meant to be an official scientific document, so I apologize in advance for the sloppy work. It's been widely known that increased fluid volume can lead to edema. My theory is based upon the intentional inducement of mild to moderate edema ...

Maybe I can give you an idea of an ideal pt that would benefit from this procedure: 52 y/o BM. Trached, size 8. Vent settings SIMV 12 (up from 4 over the past few weeks), TV 650, Fi02 50% (up from 30 over the past few weeks), P 5, PS 10. Pt AAO x2, r...

Thanks for the questions. I really appreciate them. I'd like to discuss dialysis on these sorts of pts since many of them are also in acute renal failure. I think that Dopamine 2-5 mcg/kg/min would benefit most of these pts, and I've seen many of the...

I have seen some pts with +4 edema with sloughing and wet skin, but not to the extent that they were like burn pts. Pts can easily obtain electrolyte imbalances, however. That's why electrolytes should be monitored on a scheduled basis. BMP, Mag, PO4...

I'm not sure of what you mean. Are you saying that causing a mild pulmonary edema will cause pulmonary shunting secondary to pulmonary hypertension? If so, from my understanding, the time for intentional induction of pulmonary edema isn't long enough...

I was hoping you'd reply. What I've noticed in the practice is that pts will start to develop generalized edema. It's only later on, after they've developed edema, that the pulmonary vascular endothelial cells will start to leak, so we're looking f...

Let me just preface this with the fact that this is all theory. I wouldn't ever do this nor do I have it within my scope of practice to do this. Also, I think I am using the word "paralytic" more liberally than you guys are. In my view, a paralytic i...

No one likes diprivan? Short life span, fast-acting. I was able to perform conscious sedation on a pt going through dt's using diprivan and ativan so that the urologist could insert a coudet (?) catheter. That was pretty sweet. Had the guy asleep all...

What school are you going to? Which schools accepted you? Thanks!

Which school did they get into?

I just thought how wonderful it would be to be able to titrate paralytics at that golden rate in which they couldn't move but could still maintain their airway. Of course, they would be sedated. Just think of all the complications and costs you would...

The other day I was doing conscious sedation on a patient with morphine. He was agitated, trying to get out of bed, trying to leave the hospital, but completely confused (didn't know place or date). They had just extubated him, a bit prematurely, and...

This morbidly obese lady (approx 550 lbs) self-extubated, and anesthesiology was called. Took them a while to re-intubate because when they went in to visualize, all they saw was soft tissue. They wound up having to reintubate with a combi-tube (sp?)...

I don't understand why anyone would want to live in Hawaii. Yeah, it's got nice beaches and it's a nice place to relax, but that's all! And the women there are so-so. When I went to visit there, all the gorgeous ladies I talked to wound up being from...

I don't understand why anyone would want to live in Hawaii. Yeah, it's got nice beaches and it's a nice place to relax, but that's all! And the women there are so-so. When I went to visit there, all the gorgeous ladies I talked to wound up being from...

Also, why didn't they try to do go in and nasally intubate her, blind. I've seen some anesthesiologists do that, especially with really obese pts. Was it because her INR was so high they didn't want her to bleed? But I would think that you could fix ...

Also, why didn't they try to do go in and nasally intubate her, blind. I've seen some anesthesiologists do that, especially with really obese pts. Was it because her INR was so high they didn't want her to bleed? But I would think that you could fix ...

This morbidly obese lady (approx 550 lbs) self-extubated, and anesthesiology was called. Took them a while to re-intubate because when they went in to visualize, all they saw was soft tissue. They wound up having to reintubate with a combi-tube (sp?)...

Pulmonary Edema-Possible Prevention, Cause To the Editor This is in response to the Letters to the Editor on the subject of postoperative pulmonary edema. In our institution, we have observed and recorded episodes of pulmonary edema in young, stron...

Unruly pts require conscious sedation. 4 mg Ativan bolus with diprivan, titrate for ramsey 3. ?

Nitric oxide.