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.
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.
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...
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.
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.
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.
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...
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...
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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