jwk

jwk

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All Content by jwk

  1. Is It Possible to Feel Surgical Procedure

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

    Next time request MAC from your friendly neighborhood anesthetist. At most mine get a little versed, a little fentanyl, and some propofol. Very smooth, very short acting, no thrashing around.Your...

  2. lets discuss extubation

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

    I agree with gotosleepy - 10-15mcg/kg is too much for a lot of cases. 20cc of fentanyl up front on a 1hr TAH = Narcan at the end. I'm curious what kind of PACU discharge times you have with this much...

  3. lets discuss extubation

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

    Decadron for nausea seems to be the "in" thing right now, but keep in mind there is a low but potentially huge future problem with

  4. what would you consider GENERAL anesthesia

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

    That, and maybe an "agree to disagree" about our professional

  5. precordial or not?

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

    Many moons ago we used a foley or red rubber catheter. You cut off the distal end and the proximal end can go in your ear. You have to play around a little to find the right size that fits in your...

  6. what would you consider GENERAL anesthesia

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

    I like that - a mentor of what NOT to do. And yes, they do exist in all forms of healthcare

  7. i want CRNA opinions about ketamine and kids

    jwk replied to eph432girl's topic in Certified Registered Nurse Anesthetist, CRNA

    It was actually given in liquid form - I couldn't tell you the last time I've seen or heard of it - probably more than 20 years

  8. what would you consider GENERAL anesthesia

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

    Ah, c'mon, give me a

  9. what would you consider GENERAL anesthesia

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

    Real smart - why does this CRNA think there are scavenging systems? You guys scare me!

  10. what would you consider GENERAL anesthesia

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

    General - your mentor is an

  11. DC area CRNA's/SRNA's

    jwk replied to hopeful04's topic in Certified Registered Nurse Anesthetist, CRNA

    Just curious why any facility would actively be recruiting 40 anesthetists. That's a huge number of holes to

  12. lets discuss extubation

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

    Define a big dose of

  13. Did anyone else see the show on Anesthesia Awareness on Discovery Health tonight?

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

    Re-read my previous posts. I have all the sympathy in the world for someone who has truly experienced awareness under general anesthesia. Awareness under sedation is an entirely different thing. I see...

  14. Did anyone else see the show on Anesthesia Awareness on Discovery Health tonight?

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

    Mary - I'll take back pretty much everything I said in my previous reply to you. Somewhere along the line you've gotten a little confused. You were NOT under a general anesthetic. That means you...

  15. Did anyone else see the show on Anesthesia Awareness on Discovery Health tonight?

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

    I am truly shocked that something like this would happen. It's a shame you stayed quiet about this. All it has done is enabled these doctors to do the same thing to other patients. And as far as not...

  16. Did anyone else see the show on Anesthesia Awareness on Discovery Health tonight?

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

    First - if this happened to you, I am sorry. You haven't said anything about the particulars of your surgery, but regardless, if it actually happened to you, I'm sure all of us regret it. That being...

  17. CRNA's and 1099 status

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

    I get some of my income as a contractor on a 1099. The advantages from a tax standpoint are numerous. For me specifically, here's the deal:As an employee, I can only deduct non-reimbursed employment...

  18. Opinions on BIS Monitors?

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

    Funny how the companies always think that YOU/WE are the problem and not their device. We have a new continuous NIBP machine that I can only get to work about 1/3 of the time, and even when it works,...

  19. Question

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

    Pretty lame if that ticks them off. There are a few non-anesthesiologist docs still around doing anesthesia - apparently some docs back in the 50s-60s kind of drifted into anesthesia, mainly in...

  20. Opinions on BIS Monitors?

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

    :chair: is right One hospital where I occasionally do some PRN work has them, and they sit unused most of the time. My main hospital does not / will not use them. Many of the studies supporting their...

  21. Is it possible to titrate paralytics?

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

    I thought it was pentothal, KCl and pavulon. What's funny is all the bleeding hearts who think, "what if it doesn't work right?". Give me a break. They START with 2000mg of pentothal (yes 2gm), then...

  22. Washington, D.C. CRNAS

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

    Re-read my post I've been doing this for more than 25 years - I was referring to you supposedly doing this for almost 40 years. You're so hell-bent on bashing AA's that you don't bother actually...

  23. Is it possible to titrate paralytics?

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

    Yet another way to get sued by using an LMA inappropriately. It's already

  24. Washington, D.C. CRNAS

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

    So now only nurses are credible?:rotfl: And I'm not grasping for legitimacy - I've only been doing this a few years less than you

  25. Is it possible to titrate paralytics?

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

    And in my mind, that would be one of the worst cases to use them in. What's the point? It's not like an ETT is an expensive thing to