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 on: October 23, 2016, 11:20:27 PM 
Started by anesthesiaresident999 - Last post by Margaux8486


I am a nurse and just recently started practicing in a surgical ICU. I went online and searched for informations with regards to what exactly and when does one use propofol or dexmedetomidine in sedating patients in critical care settings? I mean i noticed it varies but I was not able to get  any related literatures for what type of patients is it used and what cases are considered? Hope you can help me with this as I need to present a mini lecture on sedation tomorrow. Thanks a bunch

 on: October 11, 2016, 04:39:00 AM 
Started by GasCreep - Last post by GasCreep
Hi all...
We have a plastic surgeon at our facility that has been recently adding longer and longer, multi-procedure cases.
An example would be:
1- Abdominoplasty
2- Liposuction of the flanks and thighs
3- Submental (Neck) Liposuction
4- Rhinoplasty
5- Blepharoplasty

Takes about 5 to 7 hours.
Patients are usually female with BMI's of 35+, between 40-60 years old, ASA 2 at most (typically HTN).

Anesthesia is GETA, Desflurane, Fentanyl.  He does put in a pain pump for the abdominoplasty. 

Just to get an idea, based on the above info, what would be your minimum recovery time before discharging the patient HOME.  Assuming DC criteria are met in that amount of time.

Would love to hear you opinions and similar experiences. 

 on: October 10, 2016, 05:20:52 AM 
Started by jafo1964 - Last post by ahmedomar
US guided sciatic nerve block at popliteal fossa is my option

 on: October 08, 2016, 09:13:13 PM 
Started by mewinstchurch - Last post by mewinstchurch
Our disposable medical containers, disposable kidney dishes, emesis basins and disposable pillows are made by 100% natural and green products. It will compost very easily at any time.

 on: August 06, 2016, 01:00:06 AM 
Started by anesthesiaresident999 - Last post by ferrer
anaestesia in general or just some topics about it??

 on: July 16, 2016, 02:05:27 PM 
Started by yogenbhatt1 - Last post by anaesami
I use it for lower limb surgeries. very useful if you restrict it to lower limb surgeries. a little unpredictable for segments higher than L1

 on: July 12, 2016, 10:23:31 PM 
Started by Robert Hackett - Last post by Robert Hackett
There are numerous case reports of APL valve trapping with old Draeger APL valves leading to an inability to ventilate which is often undiagnosed until later (by then it may be too late). Draegers newer design of APL valve has a bevel which minimises the risk of this happening. We want Draeger to recall and replace their old APL valves for patient safety. For more details see here:

 on: July 12, 2016, 10:19:40 PM 
Started by Robert Hackett - Last post by Robert Hackett
Indistinct chlorhexidine has been mistaken for other solutions such a s saline (injected into epidural space) and IV contrast (cerebral angiograms etc) with devastating consequences.
We are trying to ban indistinct pourable chlorhexidine. Very interested in your thoughts and help.
Please see this link for more details:

 on: July 02, 2016, 11:08:56 PM 
Started by GRS - Last post by GRS
I would like your advice and opinions relating to the administration of a drug at the end of a lengthy failed resuscitation attempt. We can approach this hypothetically.
A paediatric patient had been assessed to have suffered a cardiac arrest, and a resuscitation attempt had been carried out for more than half an hour. The patient was assessed to have been flatlined and non-shockable throughout the resuscitation attempt. A decision to cease the resuscitation attempt was then made. 4.2mls of intravenous Fentanyl (an intubation dose) was administered after ceasing resuscitation.

What would the possible rationale behind administering the drug to this patient be?

 on: August 29, 2015, 09:47:14 AM 
Started by anesthesiaresident999 - Last post by anesthesiaresident999
Anyone interested in studying anesthesia with a study partner...we ll make schedule and reach those targets. Together we can make studying a pleasant experience :)
Mail me at anesthesiaresident999 @ Gmail. Com

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