heartICU

heartICU

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All Content by heartICU

  1. bump...just checking to see if any anesthesia providers use electronic
  2. Just wait until you get a couple cases added into your room because you don't have enough CRNAs, you can't find a propofol pump to do TIVA, and you have to flip a 400-lb intubated patient prone... I...
  3. Swan questions

    we wedge in all ICUs except CTICU. And the patients initially have a heparinized solution if they coem from the OR, and when we do tubing changes, we replace it with
  4. The Ether Dome was the location of the first (successful) public demonstration of the use of ether for surgical anesthesia. It is at Mass General Hospital in Boston. I remember watching a video on it...
  5. I would actually keep the A&P book. I happened to keep my A&P book from undergrad, and it had simple explanations for things I couldn't
  6. Regional Anesthesia

    I also have had a good experience with regional techniques. My program does a lot of orthopedic procedures (tons of hips and knees), and they will do almost all of them under spinal unless its...
  7. I know this is an old thread, but I have a recipe for remi/propofol, both for general TIVA and lighter anesthetics, and I thought maybe some of the other students might be able to use it, if they...
  8. SRNA baby

    Two men who graduated several years ahead of me at my hospital both had children while in the program (or rather, their wives did). Actually, one had two children while in the program. They both did...
  9. I am currently in the program. The program is integrated, so you take classes and clinicals at the same time, but as the programs progresses, you spend lesss time in class and more int he OR. The last...
  10. We usually don't use our epidurals to augment the anesthetic until the bloodletting is over...you don't want a sympathectomy and then run into some bleeding and not have your patient be able to...
  11. It depends if it is a state school or private school. Private schools will not increase tuition, while state schools
  12. Hey guys, I have two cases tomorrow - both women with AML for bone marrow harvests. The only medical problems that both have is the leukemia...no current comorbidities. (as if CA isn't enough...) I...
  13. PE and R. to L. atrial shunt

    When I was in ICU, I prepped heart and lung transplant patients....we have to draw a TON of blood on them too...30-40 tubes is about right! You feel like you are sucking them
  14. PE and R. to L. atrial shunt

    I had actually taken care of another person who had it also. She had extremely severe heart failure...she had all three valves done multiple times, and had the worst pulmonary hypertension I had ever...
  15. Just wanted to give my input on the housebuying issue....let me give you a sample of the timeline I had. I graduated undergrad with my BSN in May 2003, and began looking for a house in Nov 2003. I...
  16. PE and R. to L. atrial shunt

    I have had a patient who has had a R-to-L shunt purposely placed to alleviate strain on the right heart. I know this isn't what you are looking for, but it's kind of interesting anyway. She had severe...
  17. Sedation Minimalization....Opinions Needed

    My ICU would give Zyprexa to patients who were chronically agitated, along with haldol. Haldol was passed out like water. Sometimes it worked, sometimes it didn't/ It seemed as if you had to get on a...
  18. I did consider it- but they had to be prone for it, and it would have to be a very deep MAC for them to tolerate the initial insertion and harvest (the insertion point was at the iliac). I wasn't...
  19. Hey, thanks for asking...I ended up doing a general for both - both women said they would prefer to be completely out for it. I talked it over with my staff, and he was willing to do it under spinal,...
  20. Are you talking about a cadaveric donor, or living
  21. Notched QRS question & BBB

    It depends on what it is. You have to have a whole twelve lead EKG to be able to chart whether it is a L or R BBB....you need to be able to look at the precordial leads
  22. In our program, we get 28 days of PTO per year. This includes all holidays, vacation, sick time, personal days, educational leave, etc. However, some rotations have time off "built-in"...for example,...
  23. Notched QRS question & BBB

    Yep, I agree with #1. If the QRS is between 0.10 and 0.12, it is an incomplete BBB. If it is > 0.12, it is a complete
  24. When you say we have to 'answer' to someone, do you mean that we have to 'answer' to physicians? I don't think this is true at all, if that is the way you meant it. I believe the only person I have...
  25. I have a different situation. I applied to anesthesia school in Dec 2003, and also purchased a house the same month. I assumed that I would not be admitted to anesthesia school with the minimum 1 year...