pasgasser

Latest Activity

1. BIS Monitor

   pasgasser replied to sandman1914's topic in Certified Registered Nurse Anesthetist, CRNA

   I agree completely. Multiple studies have shown that EEG is not a reliable method of determining sedation level. BIS only measures frontal lobe in some way that the company will not divulge then...

2. Pneumonic for GAS LAW

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

   pneumonics are ok, but Troy is correct. This is important and understanding the relationships is a must in practice. Few CRNA's or MDA's could quote these Laws but the magority should be able to...

3. Beginner with OB epidurals

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

   Sprout, your second catherter may have not been intrathecal. After placing the toughy needle the first time if you bolused the needle (like many including myself do) then that fluid plus the fluid...

4. Why would an anesthesia provider do this?

   pasgasser replied to AmiK25's topic in Certified Registered Nurse Anesthetist, CRNA

   The reason the provider changed the line is because at the onset of the case the pt descibed could easily need large bore access. A 4 lumen CVL is great for infusions but is a horrible volume line....

5. Side effects of spinal anesthesia

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

   depending upon the pt's co-existing dzs it could (diabetes could cause the urinary retention to occur for several days). If the pt had not urinated after 72 hours I would investigate other causes....

6. Side effects of spinal anesthesia

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

   Urinary function is usually the last thing to return after SAB, this is lilkely the cause of your grandfather's issue. Nothing to worry about give it time. Because of this issue many providers...

7. Can someone explain this to me: Changing out various airway tubes.

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

   The reason for such a large ordeal is that if it the original intubation resulted in the pt being intubated with a combitube it can be assumed all other avenues were tried unsuccessfully. Combitubes...

8. Can someone explain this to me: Changing out various airway tubes.

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

   The reason for such a large ordeal is that if it the original intubation resulted in the pt being intubated with a combitube it can be assumed all other avenues were tried unsuccessfully. Combitubes...

9. CRNA working as PACU RN

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

   I'm curious. I am an anesthesiologist and at times I have sat with a pt in the PACU while waiting for the second on call RN to come in (I have also had the surgeon sit with the pt in the PACU while I...

10. Woman Warns Against Anesthesia Awareness

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

    Awareness during anesthesia is terrible but the BIS monitor is likely not the answer. Many times a full EEG has been used to attempt to determine depth of sedation and many times it has been...

11. Propofol question

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

    This reply is to address pain on injection of propofol and not the original concern of chris. I have found two ways to help avoid pain on injection of propofol. 1)give 1 mg/kg of lidocaine 2 minutes...

12. dexmetatomadine

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

    The surgeon injects the scalp with local/epi and no further analgesic is necessary. At times colleages have needed low dose remi or propofol to aid with the anesthetic but I have not needed these to...

13. dexmetatomadine

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

    The surgeon injects the scalp with local/epi and no further analgesic is necessary. At times colleages have needed low dose remi or propofol to aid with the anesthetic but I have not needed these to...

14. dexmetatomadine

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

    My precedex use hs been limited to awake craniotomies. It works well because the sedation is good but respiratory drive is not decreased so no increase in PaCO2 and a intra-op neuro exam is easy to...

15. dexmetatomadine

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

    My precedex use hs been limited to awake craniotomies. It works well because the sedation is good but respiratory drive is not decreased so no increase in PaCO2 and a intra-op neuro exam is easy to...