jwk

jwk

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All Content by jwk

  1. Thoughts about Combitubes.

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

    Although you won't see many tracheal placements, it can happen (that's why the tube is designed the way it is). And the idea that you won't hit it blindly if you can't see it is BS. Also - the whole...

  2. ST changes

    jwk replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    1) We see a fair number of "urgent" lap chole's - people with rotten gallbladders that they've ignored, and now present with lots of belly pain, fever, etc.2) 170/100 is not what I'd term...

  3. Here's what AAs really think of CRNAs

    jwk replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    Why wouldn't they? In a group practice, what do you think you can do that I

  4. Thoughts about Combitubes.

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

    They're useful as an airway when you can't really get anything else. Although I've put them in mannequins, I've never seen one used or needed to be used in clinical practice. They remind me of the...

  5. What is important to you re: the circulator in the room???

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

    I'll offer a little bit of the flip side to this perspective. In practices where the anesthesiologist and anesthetist are BOTH present at induction, I'd rather have the circulator NOT be helping us....

  6. HR 5688 Act

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

    I know a couple of DO's with HUGE

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

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

    Here's my favorite quote from the article: "The level of sedation used in our lab renders the patient completely unconscious" That is a general anesthetic by any definition. Seems like they are...

  8. CRNA to MDA??

    jwk replied to Inuyasha2k06's topic in Certified Registered Nurse Anesthetist, CRNA

    Yes, a CRNA can become an anesthesiologist, and quite a few have done so over the years. However, there are no shortcuts, unless by some chance you actually take medical school classes in your other...

  9. Propofol question

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

    Conscious it the key word. If your patient doesn't respond to verbal stimulation, you've passed conscious sedation and gone to deep sedation. If they don't respond to a painful stimulus (which is...

  10. Propofol question

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

    See yoga's post above - you shouldn't be using it for

  11. HR 5688 Act

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

    Clueless on many

  12. HR 5688 Act

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

    Amen to

  13. CRNAs and the AANA.. in trouble??

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

    I'm sorry, what were you saying about stupidity and

  14. SRNA with a problem, need some help fast!

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

    Geez, someone please look at the SECTION of the forum you're in before posting

  15. Anesthesia Technologist

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

    Cellsaver is almost a no-brainer to operate. The training courses from the manufacturers are three days long, and cover a surprising amount of material in those three days, more than enough to cover...

  16. Myn in OB

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

    Our department is pretty evenly split male/female, and we all do our time in OB. Except for the rare request for a female anesthetist or anesthesiologist based on religion, we don't pay any attention...

  17. Anectine/Propofol for LMA insertion

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

    As inhalation agents are taken up, alveolar concentration > blood concentration > brain concentration. Blowing 2.1% sevo means nothing a minute or two into the case - the brain concentration,...

  18. Anectine/Propofol for LMA insertion

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

    That's called not being deep enough - it has absolutely nothing to do with relaxation.This is why some people have issues with anesthesia awareness - they mask a light anesthetic with

  19. Anectine/Propofol for LMA insertion

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

    No reason to give any NMB for LMA's as a matter of routine.

  20. Death Penalty Anesthesia

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

    I agree we provide anesthesia "services" during organ harvests. We don't provide anesthesia per

  21. Death Penalty Anesthesia

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

    We don't provide "anesthesia" for organ

  22. to cuff or not to cuff

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

    Why are you coming to an anesthesia forum to post this

  23. The business of being a CRNA

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

    Hah - by that time I'll have earned the right to be a

  24. Central Line Placement - no reimbursement for RRNA/SRNA

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

    If they thought they could get away with it (and some apparently do), most insurance companies would prefer not to pay for anything. Except for government payors, it's going to get to the point where...

  25. The business of being a CRNA

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

    Our group has a very significant incentive package for taking call - it will be hard to give it up, but once my son's out of college, all bets are