via the title, what is your approach? submitted by /u/pudincok [visit reddit] [comments ..read more

Hi all, I’m just starting to learn about the different paralytics that can be used for RSI and already have some questions that I can’t find answers for so any help in understanding would be greatly appreciated. I understand succinylcholine is often preferred d/t it being shorter acting but why does that matter? If we are effectively breathing for the patient, why does it matter that rocuronium will last 20-30 minutes longer? Especially if rocuronium has a reversal agent and sux comes will all those additional possible complications. Additionally, when going with succinylcholine, since it is ..read more

Any tips on how to increase success rate of right upper limb arterial cannulation of small babies? Details: At our centre, for repair of coarctation of aorta (COA) our surgeon usually requires a femoral arterial line (post-coarctation) and a right upper limb arterial line (pre-coarctation). This population of patients are usually small babies, frequently less than 3 kg in weight. For the pre-coarctation arterial line, we usually only get two opportunities i.e. at the right radial artery or the right brachial artery. Even with ultrasound guidance (hockey stick probe) it could be extremely diff ..read more

submitted by /u/100mgSTFU [visit reddit] [comments ..read more

I remember first hearing about Sugammadex a little less than a decade ago and how everyone was incredibly excited for it! And not exactly new, but Bis/Sedline has become reinvigorated & more popular in our ORs. I'm wondering if you guys have heard about anything or are excited for something in the pipeline that will improve the way we practice that may be common in the next decade? submitted by /u/otterstew [visit reddit] [comments ..read more

Has anyone left private practice and gone into academics and stayed? Who has gone into it and then decided to leave? An opportunity arose in academics that seems interesting compared to the upheaval in the private market. I don’t like 1:4 CRNA supervision and can only get worse with the number of calls. submitted by /u/HsRada18 [visit reddit] [comments ..read more

I’m talking about ob patients that come in 8, 9, 10cm requesting an epidural. They can barely sit up. They’re moving around throughout the entire procedure. They’re either unwilling or incapable of pushing out their lumbar spine. I hit nothing but bone due to their horrendous positioning and constant movement. You need multiple OB nurses just to hold them in place. What is your cutoff, if any, for aborting the procedure? submitted by /u/cooking_in_progress [visit reddit] [comments ..read more

Context: anesthesia resident going into critical care. How do you guys deal with RNs and other healthcare people that subtlety disrespect the work and sacrifice it takes to get through med school, residency, and fellowship? This is something that's never really talked about in training and everyone wants physicians to play nice, not rock the boat, "be professional", but frankly I am getting really frustrated with people making false equivalencies like "CRNAs do the same thing" and our generation's batch of nursing and mid level staff playing doctor with these semantic blurring of the lines. P ..read more

https://www.healthcaredive.com/news/ftc-noncompete-ban-healthcare-doctor-effects/713846/ Some good news! submitted by /u/fuzzysciencegoblin [visit reddit] [comments ..read more

I’m not sure if any of you saw the post on residency subreddit about the policy letting IMG practice in America without doing residency here will drive down wages. Do you all think that we should be worried about that our salaries will go down soon? Especially since CRNA are also advocating for more policies that don’t benefit physicians too. submitted by /u/SoarTheSkies_ [visit reddit] [comments ..read more