offlabel

offlabel

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All Content by offlabel

  1. ABG Results, Explain this to me....

    offlabel replied to MillsAnthonyRNTL's topic in Critical Care

    A PaCO2 of less than 16 mmHg is incompatible with consciousness. Artifact. All of the other indices not reading or "out of range" indicate sample or analysis error. Get another gas on another...

  2. NP/Crna vs MD

    offlabel replied to FutureNurseKelvin's topic in General Nursing

    If you have the chops, go to medical school. Not everyone does. I'm going to predict that if you choose not to do that, you'll go to anesthesia school and ultimately decide to forego NP school. They...

  3. PEEP and blood pressure/other hemodynamics

    offlabel replied to sunnybabe's topic in Critical Care

    A good summary... I encourage students to view RAP/CVP as more of a cardiac function indicator than indicator of adequacy of intravascular

  4. Does it bother CRNA's that MDA's get so much more...?

    offlabel replied to ICU, RN, BSN, B.S.'s topic in Certified Registered Nurse Anesthetist, CRNA

    There are over 85 CRNA's in my private practice group. Some work independently in small rural community hospitals doing general ortho, ob/gyn, gen'l surgery with simple pain on the side, some work in...

  5. Atrial pacing above 100 to increase CO/MAP

    offlabel replied to CardiacDork's topic in General Nursing

    I'll add my voice to those advising caution here. Not understanding something does not mean something's wrong. This idea is an unfortunate consequence of the culture of nursing education today that...

  6. He is Risen!

    offlabel replied to kakamegamama's topic in Spirituality, Religion

    Indeed, He is risen.

  7. RT focus on pao2?

    offlabel replied to hotcoffee's topic in MICU, SICU

    If you look at this curve, you'll notice that there can be a wide range of SaO2 for a more narrow range of PaO2. Look at the steep part, pick a PaO2 below 60 (on the x axis) and draw a straight line...

  8. PEEP and blood pressure/other hemodynamics

    offlabel replied to sunnybabe's topic in Critical Care

    Think of it this way.... if the CVP (really, the right atrial pressure) is higher than the mean systemic filling pressure (driving pressure behind venous return volume) it absolutely impedes venous...

  9. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    Oh....BTW, I'm A CRNA. But I still don't think that being in anesthesia is a prerequisite for this conversation, for what its

  10. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    OK...I take it back.... switch "false statement" with "that has been seriously challenged". Now, read the reference list in your google books link. Or read it here:...

  11. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    Since when does someone need to claim expert status to make an argument? Folks don't need to check in with anyone first in order to justify taking a position on something here, I hope. We'd both end...

  12. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    A summary in HealthDay news for healthier living? Look, even in the Google book link you provided, significant weight of the article was based on Robert Lagasse's work in response to the IOM's...

  13. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    Not sure what this is supposed to be. All of these improvements culminated in the 1980's when the anesthetic death rate was 2:10000, according to the IOM. The death rate allegedly radically improved...

  14. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    We're talking about deaths directly attributable to anesthesia or as a contribution to the death. Your 1 in 200-300k number comes from a study by Eichorn in 1989 and included ASA 1 and 2 only, died...

  15. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    So, not to put too fine a point on this, and, seeing as how ignorance of anesthesia literature is really unforgivable, could you give the source for this number? I'm aware that it is cited in the...

  16. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    Well, you picked the paper, I didn't. As to your IOM paper that you're citing, are you referring to "To Err is Human: building a safer health care system" published by the IOM's Committee on Quality...

  17. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    Using your paper, the rate of anesthetic related mortality is about one per one million population per year. Your authors put it at about 315 to 320 deaths either directly caused or as a contributing...

  18. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    Splitting hairs, but using the rate of "underlying and contributing" cause of death per million population, the number is more than 2 times higher than one in 300000 (using the paper you

  19. CRNA and patient death

    offlabel replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    False

  20. weekend plan for my ICU experience?

    offlabel replied to sophie<3's topic in Student Registered Nurse Anesthetist

    Do not consider applying to anesthesia school before you have 3 years of significant critical care

  21. PEEP and blood pressure/other hemodynamics

    offlabel replied to sunnybabe's topic in Critical Care

    A little bit to unpack, but these are good questions. You're on the right track when you say peep decreases venous return (VR). Really, any increase in intrathoracic pressure does that. CVP (RA...

  22. When a To-Be Engineer Wants to Become a Nurse

    offlabel replied to Jinac's topic in International Nursing

    If you possess the aptitude to successfully complete a degree in engineering, you will not be very happy in general staff nursing, IMHO. Surely some will take that the wrong way and perhaps be...

  23. Look who's back..back again...Jahi's back...

    offlabel replied to Penelope_Pitstop's topic in General Nursing

    Would she meet the brain death criteria now that she did at Oakland Children's, Benoit whatever? If she wouldn't, she ain't dead

  24. RN to PA

    offlabel replied to igmatic's topic in General Students

    PA school is way faster...." independence" is in the eye of the beholder. PA's are far more commonly a solo provider in rural ER's than NP's, just as one example. The only 'advanced' practice role I'd...

  25. The Doc said this can't happen!???

    offlabel replied to qaqueen's topic in Critical Care

    Tachyphylaxis, or acquired resistance over a prolonged exposure to a medication has been described several times with cisatricurium. Usually happens over several days or weeks. Just use something...