Recent content by waterbottle10

No preop arterial . There is a VBG from 1 year ago, with pCO2 of 46, pH of 7.36, BE of 1, Hco2 of 26 Preop BMP before procedure showed a CO2 of 25, Chloride of 107,

The entire arterial poc test was ph 7.17 paco2 73 po2 341 BE -2 hco3 25 Tco2 29 lactate 1

if she lives at paco2 of 60, wouldnt i see that during preoxygenation or immediately after intubation. etco2 was like high 40s after intubation. (i did not mask ventilate). Also if she lives at 60,why would her pH be 7.15 with a co2 of 75. unless there is metabolic component. she should be...

mainly to see if we missed anything. the case was controlled ventilation. and during preoxygenation prior to intubation, we did not have etco2 anywhere close to this level. i usually do not extubate if their etco2 is 65 unless they can prove to me they can reduce it. i also know she has a...

why high fio2 cause vq mismatch and high paco2...?

Her etco2 was around 55-60, so her Paco2 was about 15-20 higher than etco2.

I dont usually look at BE/BD so i dont remmeber. I can check later It was a mix of LR and NS (one on each IV). about half of each

i did a robot nephrectomy and i kept my patient intubated at the end due to respiratory acidosis. she is elderly with the usual hypertension, DM on insulin, but also with bad pulmonary disease, a component of COPD and severe reduced dlco. on home o2 2L. room air saturation 79-84% surgery...

Has anyone noticed how many CRNA ads there are on youtube now?? Im watching a 10 minute segment on youtube, not healthcare related and i got 2 different ads advocating for CRNA (by AANA). Was really surprised!

What Tslope do you like to set on your ventilators and why?

Does anyone know how many times we can take the board before they stop us forever and remain forever board not certified? I've heard it's 3?

Discussion with surgeon was done about the high risk of the case and decision was made to do Hemi. Patient received a arterial line, block, then spinal 2.7 ml of bupivicaine, with 10 mcg of fentanyl, with epinephrine. Pressure remained stable, with occasional dips 15 minutes later but quickly...

"Total hip replacement (THR) is associated with three potentially life-threatening complications: profuse hemorrhage, VTE (most commonly during insertion of the femoral prosthesis), and bone cement implantation syndrome " I am also concerned regarding bone cementing since this patient is very...

According to Openanesthesia, "The choice between GA and regional is up to the anesthesiologist – Rodgers et al. conducted a metaanalysis of 141 trials including 9559 patients, which showed that neuraxial analgesia reduced overall mortality by about a third (OR=0.70, 95% CI 0.54 to 0.90...

It's common to see a 2.2cm gap in Tricuspid? Why are so many people against spinal? Is it mainly due to surgical length? What if they can finish in 3 hours? The surgeons here are very slow unfortunately. I'm more concerned with her right side, specifically poor RV + barely a tricuspid valve...