ilovecoffee
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That's not to say that we don't use versed anymore. A few of the intensivists are trying to use precedex when they can, but we have the 24 hour limit too. I have only heard about the apoptosis thing from one of the docs.
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Just google midazolam apoptosis or midazolam brain development (or anything along those lines) and a slew of articles comes up. A lot of the studies are on infant mice, but some feel that they are applicable to humans as well. I found this article among many others: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1576258/ And here's a literature review from the Society of Pediatric Anesthesia The Society for Pediatric Anesthesia - SPA Newsletter
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I'm sorry for your loss. I'm having a rough week over here in peds CVICU myself. Keep up the good work.
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We use fentanyl and versed as well (although versed not as much anymore because of effects on brain development per our intensivists). On a lot of kids that have been sedated a long time we give scheduled doses of methadone and ativan. I was surprised to have a kid on a pentobarb gtt the other day because we don't use it that often, but she loved it!
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I had a former coworker who was totally insane. He worked 360 days (12 hour noc) one year. Now that he's older, he only works five days a week
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Thanks, 0402. The lease we have ends July 1 and there's no opportunity for month-to-month. I've started to apply to a few places (TCH, Ben Taub so far). We will see what they say. Memorial Hermann and Methodist have quite a few jobs posted that I'm thinking of applying to -- they all want one year of experience, though. I hope almost a year counts!
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Hi everyone, After graduating nursing school in May 2010, I moved from Texas to Wisconsin and got a job in ICU in August. Wisconsin is not quite working out, so I'm looking at moving back to Houston, my home town. I want to work in the medical center since the boyfriend will most likely be going to grad school in that area. The problem is that I'm not sure how I'm categorized here because I'm not really a new grad but I'm not considered experienced either. We are probably going to move in the beginning of July, so applying for these internships is now out of the question. Any advice for me on finding an ICU job?