Recent content by proman

I guess I'm cheating but you can get PaO2 above 760 by going hypothermic. Our co-oximeters just give a blank result at around 24 degrees. I'll post a picture on Wednesday from my next circ arrest case. If you want to be pedantic, remind your attending that he didn't specify temperature or pressure.

Feel free to PM me. I'm around, just having a particularly busy month.

Ditto.

We had the inventor give grand rounds. The device runs off sevo. I didn't see anything about it that made me think it was a good idea.

Just as important as the machine, the archive needs attention too. We are in the process of transitioning to Xcelera, the Phillips product. Xcelera allows for post processing of the 3D images, where other archives like Prosolv do not. As for the cardiologists coming to the OR, I don't see that...

Are you able to post the loops? I think we're all saying it's impossible to hide 1800 cc of fluid in a hemithorax and it not be visible. If the shift is that bad, then there should be tamponade physiology (CVP, PA, MAP equalizing). Also, on echo you'll see RA systolic collapse or inversion of...

Couple of points: Post cardiac surgery low cardiac output syndrome or refractory hypotension should have an intra-aortic balloon pump placed. I personally think that phenylephrine infusions have no place in the postoperative patient. I also find it impossible to miss 1800 cc of fluid in the left...

Sorry about your grandmother but SDN is not the appropriate place for personal medical questions.

No pharmacologic agent has been shown to decrease neurologic deficits after DHCA. Both antegrade and retrograde cerebral perfusion improve outcomes. Hypothermia is the only effective way of reducing both the neurophysiologic ("housekeeping") and function (neuronal activity) oxygen demand. We...

This is my concern with APRV. Some patients get incredibly high tidal volumes (like over 10cc/kg) yet the proponents of the mode say that's not injurious. I use low tidal volume, high PEEP. I don't think the delivery really matters (pressure control vs volume control) but as far as I know...

I completely agree. I just didn't want anyone to think that midazolam provides any retrograde amnesia.

I don't think benzos give any retrograde amnesia. Usually critical illness gives great retrograde amnesia. So does hypoxia or hypercarbia.

Funny I do these with a 9.0 ETT, the EBUS bronch is bigger than a regular bronch and I don't have to use IV agents. Sometimes I use a sux or remi drip if they need help calming down. I think a 35Fr DLT is about a 10.0 ETT. A lot use some sort of supraglottic airway, I'll only use an LMA for...

Something's not adding up. You lubed the exchange catheter right? Here's proof that the 14 Fr extra-soft Cook Airway Exchange catheter fits in a 35 Fr DLT. I can take more pictures if you don't believe me.

If you do it, do it now before the rates go up. But I wouldn't do it. Take the cash you would have spent on taxes and start doing a backdoor Roth.