jwk

jwk

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  1. I'm sorry - did I say in any of this in my post? It takes positive pressure to ventilate someone on an LMA if they're not breathing spontaneously. Common sense would tell you that you could use the...
  2. Dangerous road to go down - I don't care what the LMA sales rep tells you about what they do in England. We have had patients aspirate with LMA's in place. We have had patients bite the LMA tube in...
  3. No, actually what you said was I didn't say anything about loving the nurse-bashing comments. The comments, contained in the same message, were the ones supporting AA's, made by someone who is...
  4. I doubt anyone would even offer you anything besides a general for the reasons already stated. We tried doing a few laparoscopic tubal ligations using epidural, and even did one LOCAL laparoscopy....
  5. Not every doc or AA is arrogant. You should re-read some of your own posts. As you might imagine, I absolutely LOVE CNM's
  6. I can probably guess which hospital you're talking about (or narrow it down to 2 or 3). But it seems as though tuition reimbursement / signon bonuses are becoming the norm. That's one of the...
  7. It's a free market - you can go anywhere you want. Isn't that the biggest advantage to being a CRNA? You'll find if you check again that salaries keep rising, as well as sign-on incentives. Many of...
  8. Pregnant

    Fortunately we have good gas scavenging systems now. They were pretty rare 20 years ago. We have pregnant anesthetists and anesthesiologists all the time in our large department. They do fine....
  9. Funny, there's plenty of nurses and CRNA's "interloping" on the doctor's forums as well. I've never asked them to quit posting there. And we've hardly taken over this BB. I think I've identified...
  10. Ah yes, but lizz opened the door by mentioning AA's. I just couldn't help
  11. deepz and gaspassah - just making sure you were still around
  12. Requiring additional education is a smokescreen for limiting AA practice. Yes, there are AA's in Washington, DC, working alongside CRNA's every
  13. Do you really want to start this up again?Have nurses ever been paid directly for putting in foleys or hanging blood? Nope. So what does that do for your comment that "YOU should always be paid for...
  14. True, but I think it's the anesthetists doing the vast majority of the cases - I don't think the docs do too many, although there are more anesthesia residents at Egleston. I think you've got to...
  15. Premedication with Versed would have made this so much
  16. I've tried to make clear that all of this is my personal opinion. And of course I understand that it makes the parents feel better. Why wouldn't it? Curious- did your child get premedicated?...
  17. Again, my point is being reinforced. It helps the parents, not the kids. I guarantee you, 19 years ago, your son probably didn't get a pre-med. And most kids, once you get them out of sight of the...
  18. That only reinforces my opinion that its the PARENTS issue. WE are the
  19. Funny how things are different in different areas. The two pediatric hospitals here depend heavily on their CRNA / AA staff for all types of procedures, including open hearts, neuro, craniofacial...
  20. Full-time paid staff members to orient parents for two minutes of induction time in the OR? That sounds like an expensive luxury for these cost-cutting times. And although I don't do many peds...
  21. As stated in the other thread - I prefer parents NOT to come to the OR with their child. It's much more for the parent's peace of mind than the child. Parents can be a distraction from taking care...
  22. I'll respectfully disagree about keeping parents around during induction of anesthesia. I've done it both ways, with and without parents. I think the key is adequate premedication. Having the...
  23. Having memories of procedures after having only sedation is an entirely different thing than awareness under general anesthesia. Awareness during sedation is not considered cause for concern -...
  24. Someone correct me if I'm wrong on my recollection about this: 1 - I thought an MDA provided the anesthetic for this particular case. It was a "high profile patient", and I think I remember reading...
  25. BINGO, you win the prize (whatever that is). At 37, you're not an old fart like me :) - did you actually use one, because I don't think I've seen one in close to 20 years. You can probably find them...