jwk

jwk

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All Content by jwk

  1. Induced hypotension in surgeries.

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

    http://www.apsf.org/assets/Documents/summer2007.pdf Here is a startling article in the APSF newsletter about the dangers of the beach chair

  2. the AA question (Anesthesiologist Anger)

    jwk replied to Burnt2's topic in Certified Registered Nurse Anesthetist, CRNA

    I notice your comments were a few posts behind the general's

  3. the AA question (Anesthesiologist Anger)

    jwk replied to Burnt2's topic in Certified Registered Nurse Anesthetist, CRNA

    And many of us are still waiting for evidence that "K. Crozer MD BG USAF ret" actually exists. If he does, he's sure hard to

  4. CRNA's exposure to anesthetic gases -

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

    Rarely - whether I extubate someone deep or awake, I'll immediately place the mask back on until we're ready to move them to the stretcher and leave the OR. The newer agents don't hang around very...

  5. Cosmetic Surgery Death after RN (not CRNA) Administered Propofol

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

    Conscious sedation that progresses to general anesthesia is almost always due to either impatience, incompetence, stupidity, or some combination thereof. It just shouldn't be happening. Use of...

  6. Cosmetic Surgery Death after RN (not CRNA) Administered Propofol

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

    Versed to the point of apnea is NOT conscious

  7. CRNA's exposure to anesthetic gases -

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

    I'm never exposed to anesthetic gases while sedating patients.And when I anesthetize patients, the exposure is minimal because of waste anesthetic gas scavenging systems and high airflow rates through...

  8. Induced hypotension in surgeries.

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

    That's a calculated MAP, but still a pretty good approximation. A true MAP is going to come from integrating the curve under an arterial line trace - if that particular monitor actually does that....

  9. Induced hypotension in surgeries.

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

    Controlled or deliberate hypotension is rapidly becoming a thing of the past in many facilities. Even though the causes are debated, peri-operative visual loss is a big concern in spine surgery (and...

  10. CRNA's and pain mgt techniques/pain clinics

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

    Regional anesthesia and invasive lines are different than a therapeutic block for chronic pain. I know AA's and CRNA's that do regionals and lines every day. It's largely practice-dependent as to...

  11. CRNA's and pain mgt techniques/pain clinics

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

    Pain management procedures cross the line to the practice of medicine. It's only being done in a few states, and Louisiana CRNA's lost their fight recently to do

  12. 'PA anesthetist'?

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

    Don't tell me you left UNM Z

  13. 'PA anesthetist'?

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

    Seems like there are still plenty of CRNA's at

  14. 'PA anesthetist'?

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

    I love

  15. 'PA anesthetist'?

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

    You can't even get your own specialty's facts

  16. How much fluid bolus before epidural on your unit?

    jwk replied to mitchsmom's topic in Ob/Gyn

    For my scheduled C-Sections, I want to see the 2nd liter of fluid running by the time the epidural is placed. Most of our patients will be on their 3rd liter of fluid by the time they hit the...

  17. Attention all Canadian CRNA's/SRNA's/Hopefuls. . .

    jwk replied to niki_m787's topic in Student Registered Nurse Anesthetist

    Two differences in Canada - one, each province kind of makes it's own rules. And in the Canadian proposals, "Nurse Practitioners-Anesthesia" will be fully medically directed, not

  18. PANA vs Pennsylvania Society of Anesthesiologist

    jwk replied to CRNANUPE_2B's topic in Certified Registered Nurse Anesthetist, CRNA

    The concept that expanded AA practice is bad for CRNA's is like saying that Target opening across the street from WalMart is bad. The difference is that half of those WalMarts and Targets probably...

  19. Malignant Hyperthermia

    jwk replied to SN Mommy's topic in Certified Registered Nurse Anesthetist, CRNA

    Now there's an interesting perspective - I never thought about someone with MH working in the OR and having occupational exposure to triggering agents. I wonder if this has been studied anywhere or...

  20. PANA vs Pennsylvania Society of Anesthesiologist

    jwk replied to CRNANUPE_2B's topic in Certified Registered Nurse Anesthetist, CRNA

    Legislators that originally supported the bill have withdrawn their support - although it's possible that it could reappear, it appears dead for this

  21. waking anesthestized patient

    jwk replied to akor's topic in Operating Room

    Sorry, I've got a different take on this one. This would never happen in our facility. The stress of anesthesia, especially induction and intubation, is not an inconsequential event, particularly in...

  22. PANA vs Pennsylvania Society of Anesthesiologist

    jwk replied to CRNANUPE_2B's topic in Certified Registered Nurse Anesthetist, CRNA

    Far, far too late on others seeing the video. It's all over "the other board", and has been forwarded numerous times to countless emails including anesthesiologists, legislators and congressmen. It...

  23. PANA vs Pennsylvania Society of Anesthesiologist

    jwk replied to CRNANUPE_2B's topic in Certified Registered Nurse Anesthetist, CRNA

    Clearly NOT - the legislation

  24. All CRNAs need to READ this

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

    I questioned it right off the bat but my response was

  25. Study: 100 patients a day in USA wake up during surgery

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

    BIS is not worth much in general, but not indicated by any stretch of the imagination for a spinal or epidural. Nothing personal, but this is the problem with people who have heard of BIS, usually...