Recent content by markneil

  1. markneil

    What the hell am I supposed to do with this?

    Before there was a ready-made "duoneb" vial, we used to mix 2.5 mg albuterol vial(above) with 0.5 mg ipratropium vial and administer it nebulized Q4PRN. This was during my last life as a respiratory therapist about 20 years ago.
  2. markneil

    Drug induced sleep endoscopy

    Easy procedure and literally takes 5 minutes. When we also first started to place Inspire it took ENT about 3 hours, now he takes half that or faster.
  3. markneil

    Scalp IV for adults?

    In a "jam" means an emergent situation with no other choice. If a scalp IV is there, fine; I would use use it more as a temporary line but I would like a more definitive and reliable access so central venous cannulation would be my best bet. Everyone should be able do them lateral or supine.
  4. markneil

    Anesthesiologist behaving badly

    In residency, I never came to work hungover, but I went to Chipotle (never again) the night before and all night I was on the toilet for maybe 5 hours that night having felt like I had a bowel prep. It was around 4 am when I realized that I was really too weak and should stay home. But I went...
  5. markneil

    What’s it like living on an attending’s salary

    As a single guy, I'm able to save. No need for a large home, 1 nice car. So I put away maybe 80-90% of my income. Done with this in 7-10 years.
  6. markneil

    Would you choose anesthesiology again?

    This is somewhat how it goes with us as well. One post op discussion involved the patient opening his eyes in PACU and GI handing him his colonoscopy results and telling him to see him in 5 years.
  7. markneil

    Regional Anesthesia Fellowship

    The best way to learn blocks is doing them.
  8. markneil

    amisulpride (edited)

    our pharmacy doesn't have it, but we did get droperidol again. that's been working like magic.
  9. markneil

    Rate my job

    Looks pretty decent from the information you've given. Obvious things that may stand out are: being a hospital employee and are you a recruiter....anyways, it's not bad.
  10. markneil

    Only Surgeons should be cancelling (or transferring) cases

    We have the ability and the power to cancel cases and suggest transfer to a higher level of care if necessary. You and your surgeons should be on the same page most of the time and luckily where I work we are.
  11. markneil

    Intubating patients with laryngeal edema

    Yes, was it suspected before induction? Maybe some racemic epi/IV steroids beforehand if suspected. We have a FO nasopharyngoscope handy in our OR for the ENT guys that we can use so a little lidocaine spray and versed to take a look at the severity. Have several tubes with differing sizes...
  12. markneil

    How long are drawn up meds considered sterile?

    I was taught 12 hours for propofol after drawing it up when I was a resident. I guess all the other drugs were also wasted at that time if they weren't used. DIPRIVAN® (propofol) Injectable Emulsion. 451094A/Issued: February 2008. US Food and Drug Administration...
  13. markneil

    Bay Area Locum market

    I read somewhere someone was renting out their backyard for 3K/month to some tech workers. Tents not included.
  14. markneil

    miami anesthesia (PP, academics, lifestyle)

    Thanks for all the replies. This doesn't sound bad, but as noted 1:3 and 1:4 supervision I know nothing about. I have never supervised and seems like Florida utilizes CRNAs and AAs far greater than where I am. This looks like Envision's (Kendall Anesthesia) description but I might be wrong...
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