sir,
  thanks for your reply.but sir there was no pneumothorax in chest x-ray post CPR.waiting for your input.
                  regards.

hi all,
      i just want to discuss one case .one lady 38 year old known case of hypothyroidism treated with tab thyroxine for one month underwent transsphenoidal hypophysectomy for pituitary adenoma was extubated in operation theatre and shifted to critical care unit with bradycardia,not responding with fixed and dilated pupil.INJ.ATROPINE .6 MG was given.she had cardiac arrest.CPCR started according to AHA guideline.when i tried to intubate failed twice with stylet ,there was laryngeal edema and larynx was anterior.i immediately secured the airway with size 3 LMA.saturation went upto 95%.patient had massive swelling of neck,chest and ventilation was difficult.percut tracheostomy tried failed.i put size 6 endotracheal tube with bougie.SPO2 65%.surgical tracheostomy was done.chest x ray done there was air in mediastinum.what was cause of subcutaneous emphysema?
                                                    thanks.regards.

HI,
  any role of INTRAAORTIC BALOON PUMPMING during or after CPR if shock persists? regards

sir,
  we often use 1-1.5 litre of O2+N20 ,but with good anesthesia machine in which oxygen analyser is there & constant EtCO2 monitoring.regards

sir,
Don't you think its unsafe practice.regards

hi,
  i doubt drug reaction for your current problem/you might be suffering from post traumatic stress disorder besides other problems/please see a psychiatrist & a neurologist at the earliest.regards

sir,
this is really a new & rare thing to me.i would like to have inputs from others.
                                 regards.take care

hi,
that's really a very rare thing/anyway we have other relaxants like rocuronium,vec etc/hopefully you shouldn't be allergic to these/use them/be cautious/regards

hi jafo sir,
        in first 2 scenario i fully agree with you.giving bilaetral deep cervical/superficial plexus blocks can't be justified keeping in mind respiratory complications/sir, in third scenario as humerus fixation is  an emergency surgery can we try interscalene block or something regional block in case of lumbar disc disease.waiting for ur suggestion.regards

sirs,
i expect you people will be giving your ideas.
             regards

thank you sir for your reply.regards

sirs,
i want to know whether you people prefer low flow of gases during controlled ventilation ,for example total 1.5 litre of gases per minute(900 ml of N2O +600 ml of 02) using a bain circuit or closed circuit.what are the advantages & disadvantages,regards

sir,
  i have never experienced this,but literature suggests rocuronium pain ,it can be prevented by prior use of lignocaine ,1.5-2 mg /kg body weight IV or use of ephedrine.regards

hi jafo sir,
       thanks for your reply.i am aware of the complications. i will be using this device in spontaneously ventilating patients in short surical procedures.regard

hi all,
i think all the intensivists might have used MGSO4 in acute severe asthma.i want to know the mechanism of action.thanking you all.regards