Oldsalt

Oldsalt

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All Content by Oldsalt

  1. Titration of Inhalational Agents

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

    Hi! On this note....I am curious, if you could stratify the highest to lowest n/v triggers from personal experience - what would they be? And on that note if you could stratify the CTZ receptor in...

  2. Titration of Inhalational Agents

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

    Thank you for your post. In peds, with no changes in HR - I dont associate "OD" with that situation...Take for example a Normal Mask induction with Sevo - at which the child eventually becomes...

  3. Titration of Inhalational Agents

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

    Thanks for you reply. What you are describing is the variability that most patients will present w/i a normal case - i.e. peaks and nadirs of IV narcotics and levels swing of noxious stim - the...

  4. Titration of Inhalational Agents

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

    Thanks for your Post This is the quandary isn't it? How "low can you go?" w/o sacrificing the amnesia? MAC levels are points, provided by research (an in some articles by plaintiffs case reports),...

  5. Titration of Inhalational Agents

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

    Thank you for your post... What you are describing is very close to what I have been hearing from all the students I have queried about this.... And indeed, Age MAC variations are listed for Sevo, and...

  6. Titration of Inhalational Agents

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

    Thanks for your post. The use of the BIS is not the qualifier but .....what MAC BAR levels for the inhalational agents are you seeing when you "Tailor it"? Hence what are you being taught the value...

  7. How do you pay for school?

    Oldsalt replied to richard13's topic in Certified Registered Nurse Anesthetist, CRNA

    I actually did my thesis on this very topic - The average cost of school (28 month program, all costs considered....i.e. living, tuition, books, everything in mid 1990's) was about 103K. If one takes...

  8. Should Anesthesia Be an only MD Profession

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

    Thank you for your post and link.... I find that many points are very detailed in description - but one seemed to catch my attention where Judge Bennet had remarked from Randall v. Buena Vista City....

  9. Should Anesthesia Be an only MD Profession

    Oldsalt posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I knew this would get your attention. This question is for those seeking, in current studies, and practicing anesthesia. I understand the economics and statistics for various practice settings, hence...

  10. Should Anesthesia Be an only MD Profession

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

    In speaking with a fellow anesthetist today, he indicated that the aggressiveness of many MDA groups (as well as the ASA dictums) have been increased .......seeking to ensuring limiting CRNA practice...

  11. Should Anesthesia Be an only MD Profession

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

    Wondeful comment Loisane ...Curative vs Supportive - Havent thought about it in that light - nice insight. An earlier post also had indicated that Anesthetist Schools are be required to offer a...

  12. Should Anesthesia Be an only MD Profession

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

    Very recently I was involved in a recent case (craniotomy - during a locums assignment) in which a central line was required. After induction, the MDA strolled in and started looking for the Central...

  13. Should Anesthesia Be an only MD Profession

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

    Roland thank you for your post: Though much can be gained from seminars - they don't offer what actual training provides: numbers in real life situations- this must start in one's training - not ad...

  14. do you fight a V/Q mismatch

    Oldsalt replied to alansmith52's topic in Certified Registered Nurse Anesthetist, CRNA

    One lung ventilation can create havoc on your anesthetic techniques d/t once collapse occurs a fair respectable r to l shunt develops in combination with and increase PA-a gradient - both of which...

  15. Should Anesthesia Be an only MD Profession

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

    Thanks for your question. I graduated from Gonzaga University which was excellent in central axis blocks but was completely lacking in Fiber optics and Peripheral Nerve Blocks (didactics only). I...

  16. Should Anesthesia Be an only MD Profession

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

    Thanks for your post. In my use: Doctors/Physician (A person licensed to practice medicine; a medical doctor) was intended to be used synonymously- but doesn't change or lessen the point. And I am...

  17. Should Anesthesia Be an only MD Profession

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

    Thanks for your post, You've really hit it didn't you? I can certainly say that my practice is design for 100% safety and comfort for the patient - which would be exactly the same for any other type...

  18. Should Anesthesia Be an only MD Profession

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

    The beauty of the internet is some degree of anonymity. I'm a CRNA, practicing for almost a decade - previously a faculty at a major university (instructing both 2nd year residents and fellows), just...

  19. laryngospasm

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

    I have found that over time - you will be able to descrene the slight clues precipitation a spasm - I tend to be of opinion for exceelent suctioning, deep extubation (if no contraindications), and...