offlabel

offlabel

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All Content by offlabel

  1. Anatomy of pain pathway This is a pretty concise and simple way to sum up pain surgical and
  2. Confused about dobutamine. Help!

    Interesting, complex case. Dobutamine isn't as common as it used to be. It sounds like it was added precisely because of the mitral insufficiency. Vasopressin and the NE would make the mitral resurge...
  3. High Spinal

    It'd just be best to have anesthesia direct things, I think. They know what the issues are and they'll likely tell you what, if anything they
  4. shadowing CRNA

    It sounds like you might be getting the brush off by people who don't want a hassle. They don't know you. You need a personal "in" somewhere, a person who can set it up for you. It's definitely not...
  5. Calibrating CVP/ART/etc

    Where the transducer is when it is zeroed makes no difference at all, as long as the atmospheric pressure where the patient is is the same as where the transducer is. You could zero with the...
  6. ACDF Anesthesia Techniques and PACU Pain Management-

    What patients bring to the OR in terms of chronic pain determines analgesic strategy for anesthesia. Patient's having an ACDF don't necessarily bring chronic pain. They do hurt though, and good...
  7. Anyone entered PICU nursing already a parent?

    Most difficult part of peds ICU for me was not the death of a child (pretty awful) but the devastation of the parents. No anguish to match it on the planet and very difficult to witness. Was not a...
  8. So, you've a ventricular drain that allows drainage of CSF. You've also a drainage bag apparatus that is on a ruler thingy with a laser level. The gradations on the ruler are cm's. When you shoot the...
  9. It was sevoflurane, but I get the
  10. It's available, I know. What does "routine" mean? Are more than 50% of NMB being reversed
  11. I guess we'll see. I don't see it for the routine use that's being implied, given the reception it's being
  12. Is suggamadex a better reversal agent or a way to fix sloppy
  13. How to Avoid Becoming Cynical

    Been doing this for a very long time.... and I do not want to sound snarky... you used the word "I" by far more than any other word in your post... By and large, cynical and burned out people have the...
  14. What happened to the "Emergency" in "Emergency Room?"

    Since when is the ER not anywhere near as much bona fide emergencies as routine complaints? It's always been that way. Even in the late 80's during the 'crack wars' in inner city hospitals it was...
  15. 25000 mcg of fentanyl in 5 sec

    Wow... that's one powerful alaris pump. 90 liters an
  16. Pediatric RSI Trauma Atropine?

    Not a routine intubation at all. Definitely a risk of prolonged laryngoscopy and desaturation because of disrupted anatomy and in line stabilization of the c-spine. Atropine would preempt reflexive...