Oldsalt

Oldsalt

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All Content by Oldsalt

  1. Scope of Practice

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

    To be polite - that is inaccurate...identifying conditions or states based on their presentation is something that a good educated clinician does all the time....you have to make differential...

  2. Scope of Practice

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

    This question cannot be answered in this type of forum for the basic fact of origin of differing definitions. AANA's argument is based on the historic origins in the US of anesthesia providers, its...

  3. Can a CRNA become a............

    Oldsalt replied to hocke5716's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm in agreement...I too would highly recommend to shadow both an anesthetists and anesthesiologist. Ask them point blank your concerns and questions. Then balance out the pros and cons against one...

  4. MAC how Deep is your Depth?

    Oldsalt posted a topic in Certified Registered Nurse Anesthetist, CRNA

    What is the general understanding and use of the information that folks are getting about MAC these days? What I mean is ......what type of education about patient specific adjustments are students...

  5. MAC how Deep is your Depth?

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

    Thank you for your comment. No - no perfect formula - no such animal - but again - its foundational knowledge (the depth - no pun here intended) by which critical thinking can be based. Training - is...

  6. MAC how Deep is your Depth?

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

    Thanks for your post. Absolutely - In terms of those fundamentals - how do you adjust for age variations, temp, and MAC multiples? Example: Say youre doing a LE Vasc. Case (Fem-Pop - something to...

  7. MAC how Deep is your Depth?

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

    Thanks for your question. MAC is defined as minimum alveolar concentration to achieve specific end points (Awake levels, Movement, BAR) - first described by Eger over 40 years ago - it was initially...

  8. MAC how Deep is your Depth?

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

    Let me apologize - since my original post was a bit overstated and over the top... The question that I wanted to ask - is how much application of fundamental understanding should we demand of...

  9. only top 4 percent?

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

    Yes - but it is not those I was referring too - there were 3 other attributes (inference to clinical judgment - yes?). I have met very poor clinicians and very excellent intelligent clinicians -...

  10. MAC how Deep is your Depth?

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

    Thanks your your reply. What numbers and research are you basing 50%? If you are using age old MAC numbers - do you know that they apply to an average age of 40 (meta analysis research - but you know...

  11. All CRNAs need to READ this

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

    I neither feel threatened nor upset by your post - but would like to take the time to thank you for it. It has provided a degree of insight that many have found uncomfortable. Many have questioned...

  12. only top 4 percent?

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

    Seriously, If it were my mother, father, son or daughter - give me the top 1% every time - I want the guy that knows everything, that is cool, calm, collected, and intelligent. I certainly hope that...

  13. CRNA PHD Anyone?

    Oldsalt posted a topic in Certified Registered Nurse Anesthetist, CRNA

    A Colleague and long friend of mine is on the task force researching the feasibility of all CRNA's programs to require a doctorate degree for entrance to CRNA practice. Though I am all for being well...

  14. CRNA PHD Anyone?

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

    .... The possession of knowledge does not kill the sense of wonder and mystery. There is always more mystery.....Anais Nin Oh most certain - that there are no absolutes (other than the proverbial...

  15. CRNA PHD Anyone?

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

    Thanks for the response. Let me be the devils advocate.... I agree on some levels - but the argument was similar when anaesthetists were practicing at diploma levels when the transition to Masters...

  16. Very Unhappy With My Career

    Oldsalt replied to Nupe4sleep's topic in Certified Registered Nurse Anesthetist, CRNA

    My 2 cents.... I have had the privilege and opportunity of working in some of the most demanding areas or anesthesia in multiple situations (from sole providers to supervised team approaches)... First...

  17. HI; can anyone help?

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

    i'm all ears -

  18. CRNAs as Independent Contractors

    Oldsalt replied to snoopy69's topic in Certified Registered Nurse Anesthetist, CRNA

    I fully agree with Yoga ....BTW could you repost that URL - it doesn't seem to go anywhere...anywho couple of other points.... Do get as much broad clinical experience as you can ....the HARDEST part...

  19. Pretty Neat New Anesthesia Site

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

    Hi - Yeah cool site The webmaster was a bit surprised at the amount of activity on the beta site - but He wrote to me that at this point all beta testers are welcome to come and try the site - upload...

  20. Pretty Neat New Anesthesia Site

    Oldsalt posted a topic in Certified Registered Nurse Anesthetist, CRNA

    A Freind that just returned from the Anesthesia Faculty Meeting told me about this Beta Site - Its not even yet listed on the public serch engines - and He told me to take a look I was Floored...

  21. Single parent & CRNA school

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

    When I completed my studies in the Mid 90's - My thesis dealth with the overall cost of school - I was able to obtain information from about 13% of the student population at the time (so the numbers...

  22. Anesthesia Websites

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

    A Freind that just returned from the Anesthesia Faculty Meeting told me about this Beta Site - Its not even yet listed on the public serch engines - and He told me to take a look...

  23. Titration of Inhalational Agents

    Oldsalt posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Good Day everyone, This question is for anyone fimiliar with these concepts: How are you being instructed or instructing the titation of inhalational agents without the use of Bispectral analysis...

  24. Titration of Inhalational Agents

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

    Thanks for your question In my explanation I was describing an induction -prior to IV placement- not maintainece of a peds patient (child) - not neo or infant. And absolutely - SV is fixed in those...

  25. Titration of Inhalational Agents

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

    Thanks for your response. Actually, N/V does have a link with the ANS hence our original discussion..but first the specifics so that we are all on the same sheet of music I was fortunate to be the...