WntrMute2

WntrMute2

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All Content by WntrMute2

  1. Nurse Anesthesia Board Exam Advice

    WntrMute2 replied to MaleAPRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Assuming you are a good student with the usual godd to excellent grades, then the test shoukd be what you have been preparing for these past 2 years. So, don't sweat it too much. I found a lot of...

  2. Awake Fiberoptic with Ketamine? Any other tricks?

    WntrMute2 replied to miloisstinky's topic in Certified Registered Nurse Anesthetist, CRNA

    In school I was able to do a couple of dozen. We had a spine surgeon at our primary site that liked them done on all his cervical spine patients. As a practicing CRNA I do them aboout once a month...

  3. HELP, New CRNA prac getting screwed by the man.

    WntrMute2 replied to alansmith52's topic in Certified Registered Nurse Anesthetist, CRNA

    Well, organize youself a bit and with a united front tell them no. Then negotiate a deal that is fair to you. If all of you refuse to comply then you'll have some real power. I know it sounds a...

  4. Circ Arrest

    WntrMute2 replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    We do these about 1 per month. Pavulon just prior to CPB cesation, so they don't try to breath and get an air embolus. Big dose of methyl-prednisolone 10-15 mg/kg. Mannitol by perfusion, lasix 10...

  5. Swan Lines

    WntrMute2 replied to 2ndChance's topic in Certified Registered Nurse Anesthetist, CRNA

    Well managing a patient in the ICU or during transport is different than managing a patient with PHT after a 4 hr pump run or even a 60 min run and the patient suddenly tanks as the surgeon closes the...

  6. Swan Lines

    WntrMute2 replied to 2ndChance's topic in Certified Registered Nurse Anesthetist, CRNA

    I must be working in a backwater hospital. We put PA caths in ALL hearts and thoracic or AAAs. I would reccomend being familiar with waveforms, complications. instertions as the board questions may...

  7. Had my interview Figured u guys would be interested :P

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    You know what's really weird, I interviewed at 4 schools and had exactly no clinical questions. All each school wanted to know was how I was going to manage the academic, personal and financial...

  8. Book: Nurse Anesthesia SECRETS

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    So I have a question for you MmacFN, truly I don't mean this in anything other than curiosity, no attack intended so don't see one please. Your posts have been filled with excitment about your...

  9. Have Docs kept you out of an OR room b/c your a CRNA?

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    I have to agree w/ the Doc here (despite my usual position). Pain management seems clearly diagnosis and treatment, which makes it a Medical issue clearly. That doesn't mean we couldn't learn to...

  10. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    Well, there is also the simple plan of JUST NOT USING IT. Seems pretty simple, but it works. The reasons textbooks don't tell you when and when not to use it is because clinical judgement is in the...

  11. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    Usually I just use 1 induction agent plus muscle relaxant plus fentanyl. On big cases like AAAs valves etc. I might do a narcotic induction w/ sufentanil. I have given combinations before but that...

  12. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    Pete495 says: "Can't argue with Barash. There's no doubt about Ketamine's bronchodilating effects. I think the question is do you use it in a rapid sequence w/ sux, and do you use it with...

  13. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    From Barash, Clinical Anesthesia:"Ketamine has well-characterized bronchodilatory activity. In the presence of active bronchospasm ketamine is considered the iv induction agent of choice. Ketamine...

  14. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    "I was asking questions that related to an actual case. I thought it might be interesting but if your going to be an as* about it i wont bother posting anymore"

  15. Have Docs kept you out of an OR room b/c your a CRNA?

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    Actually, most of the time the surgeons ask why do we have MDAs when the CRNAs do all the work. There are moments where a surgeon may ask if the MD can step into the room. That's happened exactly...

  16. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    I can't really answer your questions directly but a couple of your statements require exploration: 1)"Also, 180 of succs (why propofol then??)" Patients need hypnosis not just paralysis for...

  17. Lidocaine prior to IV start?

    WntrMute2 replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    Here's my take on the situation. Anesthesia is about the relief of pain so I do what I can to begin that process early. If I'm putting in the IV either because I'm at the bedside early or the pre-op...

  18. The Physics of Anesthesia

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    My suggestion is you put down the palm, give up the cheat sheet, hide the tables that you have been relying on in the ICU and pick up a paper and pencil each time you need to calculate and get over...

  19. Tips for IJ placement

    WntrMute2 replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    When encountering difficulty threading the wire, try dropping the needle more and more parallel to the patient as you try and thread. If you still have trouble SLIGHTLY withdraw the needle as you try...

  20. Tips for IJ placement

    WntrMute2 replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    Actually, the answer is probably more medial. If you don't find the IJ as you probe laterally you must move medially. Consider that the carotid A. lies medial to the IJ, so probing increasingly...

  21. RRNA/SRNA clinical problems

    WntrMute2 replied to zzzno2's topic in Certified Registered Nurse Anesthetist, CRNA

    As a CRNA who works with students frequently I'll give students a second chance if the patient was not in need of a RSI, is unstable, truly looked difficult or is desaturating. As long as we can...

  22. How many epidurals does it take.......

    WntrMute2 replied to Pete495's topic in Certified Registered Nurse Anesthetist, CRNA

    I believe that it takes soemwhere around 50 epidurals and a similar number of central lines before one becomes comfortable doing them. I did about this many during school. This doesn't mean your...

  23. Clinical Question

    WntrMute2 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I had my first case of negative pressure pulmonary edema yesterday. 26 YO for a knee scope, declined SAB and LE block, she requested a general and due to her GERD/heartburn, I chose GA with ETT. I...

  24. High narcotic technique help

    WntrMute2 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I'm interested in trying high narcotic techniques in my practice. I only did a few of these in school and would like some references and/or personal suggestions. It is difficult to get information...

  25. Regional Anesthesia

    WntrMute2 replied to sonessrna's topic in Certified Registered Nurse Anesthetist, CRNA

    Yes, residents almost always get preferential treatment. For those of you choosing a school there are 3 questions here you should be asking when interviewing. Do you also train residents? What kind...