still waiting for the link. The corrupted FDA has stopped the entry to US...I used it in training, I had no problems with high doses, no adverse fx. Definitely safer than Neostigmine/Glycopyrolate combination.

Cheers,

BUMP!

I am in process of educating our staff regarding the dangers of shoulder braces in steep t-berg. Such are dangerous and have been shown to cause brachial plexus injuries. I am writing here to find the write-up that I believe was in the ASPF newsletter a few years prior...can anyone here offer assistance?

cheers!

This is an excellent piece of equipment! I have utilized it on many occasions and find it user friendly, intuitive setup, and easy to troubleshoot. I wish it could take snapshots for me for better documentation. My suggestion for use: be very careful, methodical where you place the ETT connector when inserting the ETT via stabilization rod, its embarassing to misplace it.

You are correct in that the trend toward nurse anesthetists is growing. We manage our surgeries with a group of four anesthetists (CRNA) and a supervising MD (MDA). This has been demonstrated time and time again as an economical and astoundingly safe arrangement. Dialogue concerning the safety and efficacy of the CRNA is becoming a moot subject which only demonstrates our hunger for money and control and a loss of concern to advocate for patients' access to quality care. Discussions to the threat of anesthetic practice in the US must now be directed towards medicare reimbursement which increasingly threaten to diminish (and has recently diminished); once again a money and control issue. Anesthetic practice as we know it is not ending, but augmenting options in what we can do and offer for our patients. Change can be good....

Many of our patients undergoing orthopedic procedures endure prolonged tourniquet durations resulting in exhibit sympathetic symptoms clearly related to "tourniquet pain" that is quite resistant to narcotic treatment and anesthetic deepening. At times the tachycardia and hypertension requires administration of hypotensives and beta antagonists. What are your current repertoires for treating tourniquet pain?